Inspection Reports for Southwest Comfort Care
8608 E Roanoke Ave, Scottsdale, AZ 85257, United States, AZ, 85257
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 15, 2024, identified deficiencies related to policies, personnel records, caregiver services, facility egress, and medication administration. Earlier inspections showed a similar pattern of issues, including fall prevention training, documentation, caregiver training, and resident service plans. Inspectors cited recurring concerns with maintaining proper personnel records, ensuring caregivers follow service plans, and providing safe means of exit from the facility. Complaint investigations were not substantiated or were not listed in the available reports. The inspection history indicates ongoing challenges with compliance in several operational areas without clear improvement over time.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
11 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
197% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 7
Date: Oct 15, 2024
Visit Reason
On-site review of plan of correction with seven deficiencies cited related to policies, personnel records, caregiver services, facility egress, and medication administration.
Findings
On-site review of plan of correction with seven deficiencies cited related to policies, personnel records, caregiver services, facility egress, and medication administration.
Deficiencies (7)
C. A manager shall ensure that policies and procedures are established, documented, and implemented to protect the health and safety of a resident
C. A manager shall ensure that a personnel record for each employee or volunteer includes required information
C. A manager shall not accept or retain an individual if the primary condition is a behavioral health issue
C. A manager shall ensure that a caregiver or assistant caregiver provides services per the resident's service plan
F. A manager shall ensure there is a means of exiting the facility for residents
B. Medication administration must comply with orders
B. Medication administration must be documented in the resident's medical record
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 7
Date: Feb 8, 2024
Visit Reason
On-site investigation of complaints AZ00204106 and AZ00206086 with seven deficiencies cited related to policies, personnel records, caregiver services, facility egress, and medication administration.
Findings
On-site investigation of complaints AZ00204106 and AZ00206086 with seven deficiencies cited related to policies, personnel records, caregiver services, facility egress, and medication administration.
Deficiencies (7)
C. A manager shall ensure that policies and procedures are established, documented, and implemented to protect the health and safety of a resident
C. A manager shall ensure that a personnel record for each employee or volunteer includes required information
C. A manager shall not accept or retain an individual if the primary condition is a behavioral health issue
C. A manager shall ensure that a caregiver or assistant caregiver provides services per the resident's service plan
F. A manager shall ensure there is a means of exiting the facility for residents
B. Medication administration must comply with orders
B. Medication administration must be documented in the resident's medical record
Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 8
Date: May 15, 2023
Visit Reason
On-site compliance inspection found nine deficiencies including fall prevention training, documentation submission, caregiver training, personnel records, resident acceptance documentation, service plans, and facility egress.
Findings
On-site compliance inspection found nine deficiencies including fall prevention training, documentation submission, caregiver training, personnel records, resident acceptance documentation, service plans, and facility egress.
Deficiencies (8)
36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition
E. A manager shall ensure documentation required by this Article is provided to the Department within two hours after a Department request
A. A manager shall ensure that a caregiver provides documentation of completion of a caregiver training program approved by the Department
C. A manager shall ensure personnel records include documentation of qualifications and completed orientation
B. A manager shall ensure that before or at the time of acceptance of an individual, the individual submits documentation dated within 90 calendar days
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan completed no later than 14 calendar days after acceptance
C. A manager shall ensure that a resident's medical record contains required resident information
F. A manager shall ensure there is a means of exiting the facility for residents
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