Inspection Reports for Southwest Healing Gardens
13406 East Boston Street, Chandler, AZ 85225, AZ, 85225
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Inspection Report
Annual Inspection
Capacity: 5
Deficiencies: 2
May 18, 2023
Visit Reason
State-compiled facility profile showing 1 inspection from 2023 with deficiency history
Findings
The inspection found two deficiencies related to personnel records and resident service plans, indicating incomplete documentation and potential risks to resident care.
Deficiencies (2)
| Description |
|---|
| C. A manager shall ensure that a personnel record for each employee or volunteer: 1. Includes: a. The individual's name, date of birth, and contact telephone number; b. The individual's starting date of employment or volunteer service and, if applicable, the ending date; and c. Documentation of: i. The individual's qualifications, including skills and knowledge applicable to the individual's job duties; ii. The individual's education and experience applicable to the individual's job duties; iii. The individual's completed orientation and in-service education required by policies and procedures; iv. The individual's license or certification, if the individual is required to be licensed or certified in this Article or in policies and procedures; v. If the individual is a behavioral health technician, clinical oversight required in R9-10-115; vi. Evidence of freedom from infectious tuberculosis, if required for the individual according to subsection (A)(8); vii. Cardiopulmonary resuscitation training, if required for the individual in this Article or policies and procedures; viii First aid training, if required for the individual in this Article or policies and procedures; and ix. Documentation of compliance with the requirements in A.R.S. § 36-411(A) and (C); Based on observation and interview, the manager failed ensure a personnel record for each employee or volunteer included the requirements in R9-10-806(C)(1) for one of five personnel sampled. The deficient practice posed a risk as required information could not be verified for E4. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: a. A description of the resident's medical or health problems, including physical, behavioral, cognitive, or functional conditions or impairments; Based on record review and interview, the manager failed to ensure a resident had a written service plan to include a description of the resident's medical or health problems, including physical, behavioral, cognitive, or functional conditions or impairments, for two of two residents sampled. The deficient practice posed a risk as the service plan did not reinforce and clarify services to be provided to a resident. |
Report Facts
Inspections on page: 1
Total Deficiencies: 2
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