Inspection Reports for
Springdale Village
7255 E Broadway Rd, Mesa, AZ 85208, United States, AZ, 85208
Back to Facility Profile22 Reports
Inspection Report — Apr 20, 2026
Enforcement
Date: Apr 20, 2026
Visit Reason
Civil monetary penalty, action 00163358 (invoice INV-342179), assessed 20 April 2026.
Findings
A $500.00 penalty was assessed and paid in full on 20 April 2026.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Mar 4, 2026
Enforcement
Date: Mar 4, 2026
Visit Reason
Civil monetary penalty, action 00157518 (invoice INV-330592), assessed 4 March 2026.
Findings
A $2,250.00 penalty was assessed and paid in full on 3 April 2026.
Report Facts
Penalty amount: 2250
Amount paid: 2250
Amount remaining: 0
Inspection Report — Feb 25, 2026
Complaint Investigation
Date: Feb 25, 2026
Visit Reason
On-site complaint investigation of complaint 00158269 at an Assisted Living Center, conducted 25 February 2026.
Complaint Details
The following deficiencies were found during the on-site investigation of complaint 00158269 conducted on February 25, 2026.
Findings
The inspection found three deficiencies related to failure to report and investigate suspected abuse and exploitation, misappropriation of resident property, and environmental hazards posing risk of physical injury. Plans of correction were provided for all deficiencies.
Deficiencies (3)
R9-10-803 — The manager failed to report suspected abuse, neglect, or exploitation and did not initiate or document an investigation. Facility documentation lacked an incident report or internal investigation regarding exploitation or theft of a resident.
R9-10-810 — The manager failed to ensure residents were not subjected to misappropriation of personal and private property by facility staff. Residents R1 and R5 experienced missing personal items, and no proper documentation or investigation was completed.
R9-10-820 — The manager failed to ensure the premises were free from conditions that could cause physical injury. A resident room had drywall damage, exposed flashing, and frayed carpeting, posing a risk of injury.
Report Facts
Deficiencies cited: 3
Inspection Report — Dec 12, 2025
Annual Inspection
Date: Dec 12, 2025
Visit Reason
Compliance (Annual) inspection of an Assisted Living Center conducted on December 12, 2025.
Findings
This inspection found eight deficiencies related to tuberculosis screening, fingerprint clearance card verification, quality management, personnel skills verification, residency documentation, environmental safety, pest control, and chemical storage.
Deficiencies (8)
R9-10-113 — The manager failed to ensure that employees and residents received required tuberculosis screening, annual symptom documentation, training, and risk assessments for infectious tuberculosis.
R9-10-803 — The facility failed to verify the current status of an employee's fingerprint clearance card, allowing an employee with an expired card to be scheduled for work.
R9-10-804 — The manager failed to maintain a Quality Management program with documented reports for at least 12 months as required.
R9-10-806 — The manager failed to verify and document caregivers' skills and knowledge before providing physical health services to residents.
R9-10-807 — The manager failed to ensure residents' medical records contained required documentation of freedom from infectious tuberculosis before or within seven days of occupancy.
R9-10-820 — The manager failed to maintain the premises and equipment free from conditions that could cause physical injury, including damaged molding, peeling flooring, and unsafe carpeting.
R9-10-820 — The manager failed to implement and document a pest control program compliant with regulations, with chemicals improperly stored unlocked in the laundry area.
R9-10-820 — The manager failed to ensure poisonous or toxic materials were stored in a locked area inaccessible to residents, with chemicals found unlocked in the laundry room.
Report Facts
Deficiencies cited: 8
Inspection Report — Oct 22, 2025
Complaint Investigation
Date: Oct 22, 2025
Visit Reason
On-site complaint investigation of complaint 00146216 at an Assisted Living Center, conducted 22 October 2025.
Complaint Details
The following deficiencies were found during the onsite inspection for complaint 00146216 conducted on October 22, 2025:
Findings
The inspection found one deficiency involving a trip hazard due to missing flooring. The facility was under construction and the premises were not free from conditions that could cause physical injury.
Deficiencies (1)
R9-10-820 — The manager failed to ensure the premises and equipment were free from conditions that may cause physical injury. A section of flooring was missing, posing a trip hazard to residents or others.
Report Facts
Deficiencies cited: 1
Inspection Report — Oct 2, 2025
Complaint Investigation
Date: Oct 2, 2025
Visit Reason
On-site complaint investigation at Springdale Village Assisted Living, conducted 2 October 2025.
Findings
The inspection found 19 deficiencies. No evidence was provided in the deficiency descriptions.
Deficiencies (19)
No evidence was provided for the governing authority's compliance with A.R.S. § 36-411.
No evidence was provided regarding the manager ensuring policies and procedures cover caregiver response to sudden or out-of-control resident behavior to prevent harm.
No evidence was provided that policies and procedures were reviewed at least once every three years and updated as needed.
No evidence was provided that a documented report was submitted to the governing authority identifying concerns about delivery of resident care and any changes made as a result.
R9-10-113 — No evidence was provided that staff or volunteers with more than eight hours per week of direct resident interaction provided evidence of freedom from infectious tuberculosis before starting work.
R9-10-808 — No evidence was provided that residents provided evidence of freedom from infectious tuberculosis before or within seven days of occupancy.
No evidence was provided that individuals accepted by the facility submitted required documentation dated within 90 days and signed by authorized medical personnel.
No evidence was provided that the facility had a documented residency agreement including required terms and policies before or at acceptance of an individual.
No evidence was provided that residents had written service plans reviewed and updated at least every six months for those receiving personal care services.
No evidence was provided that written service plans were signed and dated by the resident, manager, and required medical or behavioral health professionals when developed or updated.
No evidence was provided that residents' medical records contained medication orders from medical practitioners for administered or assisted medications.
R9-10-818 — No evidence was provided that residents' medical records documented orientation to facility exits as required.
No evidence was provided that medication administration policies and procedures were reviewed and approved by a medical practitioner, registered nurse, or pharmacist.
No evidence was provided that food was protected from potential contamination during obtaining, preparation, serving, and storage.
No evidence was provided that tableware, utensils, equipment, and food-contact surfaces were clean and in good repair.
No evidence was provided that disaster drills for employees were conducted on each shift at least quarterly and documented.
No evidence was provided that evacuation drills for employees and residents were conducted at least every six months.
No evidence was provided that the premises and equipment were cleaned and disinfected according to policies to prevent illness or infection.
No evidence was provided that the swimming pool was enclosed by a wall or fence with a self-closing, self-latching gate locked when not in use as required.
Report Facts
Deficiencies cited: 19
Inspection Report — Aug 7, 2025
Complaint Investigation
Date: Aug 7, 2025
Visit Reason
On-site complaint investigation of complaints 00134835 and 00138313 at an Assisted Living Center, conducted 7 August 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints 00134835 and 00138313 conducted on August 7, 2025.
Findings
Two deficiencies were found related to medication storage security and fire safety systems. The facility failed to secure medication carts and had a non-functioning fire alarm and sprinkler system requiring ongoing fire watch.
Deficiencies (2)
R9-10-817 — The manager failed to ensure that medications were stored in a locked room, closet, cabinet, or self-contained unit used only for medication. An unlocked medication cart was accessible in the hallway with no staff present.
R9-10-819 — The manager failed to ensure the fire alarm system was installed according to NFPA 72 and in working order. The fire panel showed a trouble alert and the sprinkler system was not functioning properly, requiring a documented fire watch.
Report Facts
Deficiencies cited: 2
Inspection Report — Apr 10, 2025
Complaint Investigation
Date: Apr 10, 2025
Visit Reason
The inspection was conducted to investigate complaints related to the facility's failure to ensure residents' rights to formulate advance directives, failure to notify family members after changes in residents' conditions, failure to develop complete care plans after falls, medication administration errors, inadequate supervision to prevent elopement, and incomplete medical records.
Complaint Details
The complaint investigation was substantiated with findings that the facility failed to ensure residents' rights to advance directives, failed to notify families after changes in condition, failed to properly plan care after falls, administered incorrect medication doses, failed to monitor elopement risk adequately, and failed to maintain complete medical records.
Findings
The facility was found deficient in multiple areas including failure to document and honor residents' advance directives, failure to notify family members after falls and changes in condition, failure to update care plans and conduct interdisciplinary reviews after falls, medication errors involving incorrect dosing of cyclobenzaprine, inadequate monitoring and notification related to resident elopement risk, and incomplete medical records due to lack of access to prior records from previous owners.
Deficiencies (6)
Failed to ensure two of three sampled residents reviewed had documented advance directives or evidence of discussion regarding code status.
Failed to notify family members of changes in condition for two residents after falls and elopement incidents.
Failed to develop complete care plans and conduct interdisciplinary reviews for falls for one resident.
Failed to administer medication according to physician orders resulting in overmedication of one resident.
Failed to properly monitor and document elopement risk and notifications for one resident at risk of elopement.
Failed to maintain complete and accessible medical records for one resident due to lack of access to prior records from previous owners.
Report Facts
Incorrect medication doses: 13
Care plan update timeframe: 7
BIMS score: 13
BIMS score: 15
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse | Interviewed regarding advance directive paperwork process and fall assessments. | |
| Certified Nursing Assistant | Interviewed regarding locating code status paperwork in case of resident unresponsiveness. | |
| Licensed Practical Nurse | Interviewed regarding admission paperwork and documentation of advance directives and elopement risk. | |
| Director of Nursing | Interviewed regarding expectations for advance directive paperwork, fall notifications, and elopement protocols. | |
| Therapy Director | Interviewed regarding inability to access medical records prior to facility ownership change. | |
| Administrator | Interviewed regarding lack of access to electronic records from previous owners. |
Inspection Report — Jan 14, 2025
Enforcement
Date: Jan 14, 2025
Visit Reason
Civil monetary penalty, action 00109966 (invoice INV-262025), assessed 14 January 2025.
Findings
A $1,000.00 penalty was assessed and paid in full on 20 March 2025.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Jan 2, 2025
Routine
Date: Jan 2, 2025
Visit Reason
The inspection was conducted to assess the facility's compliance with infection prevention and control guidelines, specifically related to a resident experiencing diarrhea and potential clostridium difficile infection.
Findings
The facility failed to ensure appropriate infection control guidelines were implemented and followed for one resident with diarrhea symptoms. Contact precautions were not in place despite the resident being tested for C-diff, contrary to facility policy and staff statements.
Deficiencies (1)
Failure to provide and implement an infection prevention and control program for a resident with diarrhea and suspected clostridium difficile infection.
Report Facts
Episodes of diarrhea: 3
BIMS score: 15
Inspection Report — Nov 19, 2024
Annual Inspection
Date: Nov 19, 2024
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00203831, AZ00204156, AZ00204374, AZ00211815, AZ00216558, and AZ00218846 at an Assisted Living Center, conducted 19 November 2024.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00203831, AZ00204156, AZ00204374, AZ00211815, AZ00216558, and AZ00218846 conducted on November 19, 2024.
Findings
This inspection found 19 deficiencies related to personnel record documentation, policy and procedure implementation, resident medical records, facility cleanliness, and safety measures. The facility failed to maintain required documentation and ensure proper safety and health standards.
Deficiencies (19)
A governing authority failed to ensure documented good faith efforts to contact previous employers for three personnel sampled.
The manager failed to establish or document policies and procedures covering caregiver responses to residents' sudden, intense, or out-of-control behavior to prevent harm.
The manager failed to ensure policies and procedures were reviewed at least once every three years and updated as needed.
The manager failed to submit a documented report to the governing authority identifying concerns about delivery of services and actions taken.
R9-10-113 — The manager failed to ensure caregivers provided evidence of freedom from infectious tuberculosis for two personnel sampled.
R9-10-808 — The manager failed to ensure residents provided evidence of freedom from infectious tuberculosis before or within seven days of occupancy for three residents sampled.
The manager failed to ensure documentation dated within 90 days before acceptance included required medical information and signatures for three residents sampled.
The manager failed to ensure documented residency agreements were in place before or at acceptance for three residents sampled.
The manager failed to ensure residents had written service plans reviewed and updated at least every six months for two residents sampled.
The manager failed to ensure residents' written service plans were signed and dated by the resident or representative, manager, and nurse for three residents sampled.
The manager failed to ensure a resident's medical record contained a medication order from a medical practitioner for each administered medication for one resident sampled.
R9-10-818 — The manager failed to ensure residents' medical records contained documentation of orientation to facility exits for three residents sampled.
The manager failed to ensure medication administration policies and procedures were reviewed and approved by a medical practitioner, registered nurse, or pharmacist.
The manager failed to ensure food was protected from potential contamination, including unclean refrigerators and uncovered food containers.
The manager failed to ensure facility equipment and food-contact surfaces were clean and in good repair, with observations of dirty utensils, rusty cabinets, and dust accumulation.
The manager failed to ensure disaster drills for employees were conducted on each shift at least once every three months and documented.
The manager failed to ensure evacuation drills for employees and residents were conducted at least once every six months with documented resident participation.
The manager failed to ensure the premises and equipment were cleaned and disinfected according to policies, with multiple areas observed unclean and containing blood or debris.
The manager failed to ensure the swimming pool gate was locked when the pool was not in use.
Report Facts
Deficiencies cited: 19
Complaints investigated: 6
Inspection Report — Oct 3, 2024
Complaint Investigation
Date: Oct 3, 2024
Visit Reason
The inspection was conducted due to a complaint investigation regarding alleged abuse of a resident by a certified nursing assistant (CNA) at the facility.
Complaint Details
The complaint investigation was substantiated. The allegation involved a CNA (staff #141) who was found to have been more aggressive than necessary, causing bruising and skin tears to resident #1. The facility notified police, ombudsman, medical director, resident's family, and the CNA's staffing agency. Multiple staff interviews and evidence supported the findings.
Findings
The facility failed to protect the rights of one resident to be free from abuse by staff, as evidenced by bruising and skin tears consistent with being squeezed and scratched by a hand. The allegation was substantiated by interviews, documentation, and evidence collected during the investigation.
Deficiencies (1)
Failure to protect resident #1 from abuse by staff, resulting in bruising and skin tears on the resident's right forearm.
Report Facts
Braden Scale score: 12
BIMS Evaluation score: 99
BIMS Evaluation score: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA) | Alleged abuser (staff #141) involved in abuse incident with resident #1 | |
| Administrator | Interviewed regarding abuse incident and investigation | |
| Certified Nursing Assistant (CNA) | Staff #78 who reported bruising and relayed information about the incident | |
| Registered Nurse (RN) | Staff #61 who interviewed resident and reported incident to administrator | |
| Hospice Nurse | Staff #142 who visited resident and confirmed no bruises on admission |
Inspection Report — Apr 4, 2024
Annual Inspection
Date: Apr 4, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements including timely completion of Minimum Data Set (MDS) assessments, care plan development, discharge communication, activities program qualifications, staff CPR certification, and vaccination policies.
Findings
The facility was found deficient in completing timely MDS assessments for multiple residents, developing complete care plans with measurable interventions, ensuring discharge summaries were provided, directing the activities program by a qualified professional, maintaining current CPR certifications for staff, and administering pneumococcal vaccines as required.
Deficiencies (6)
Failure to complete comprehensive Minimum Data Set (MDS) assessments within regulatory time frames for residents #8, #10, and #12.
Failure to develop and implement a complete care plan with specific interventions for resident #4.
Failure to ensure a discharge summary was completed and provided for resident #14 at discharge.
Activities program not directed by a qualified professional; staff #21 did not meet all regulatory qualifications.
Three staff members (#35, #15, #17) had expired CPR certifications but continued to work.
Failure to administer pneumococcal vaccine to resident #4 despite signed consent.
Report Facts
Hours worked with expired CPR certification: 860
Hours worked with expired CPR certification: 175
Hours worked with expired CPR certification: 140
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #38 | MDS Coordinator / Licensed Practical Nurse | Named in relation to backlog and efforts to catch up on MDS assessments. |
| Staff #33 | Director of Nursing | Acknowledged issues with MDS assessments, care plans, discharge summaries, and vaccination policies. |
| Staff #6 | Facility Administrator | Acknowledged issues with MDS assessments and monitoring progress. |
| Staff #21 | Activity Director | Named in relation to activities program direction deficiency. |
| Staff #52 | Human Resources Director and Business Office Director | Provided information on employee file reviews and licensing/certification policies. |
| Staff #72 | Director of Social Services | Interviewed regarding discharge summary process and responsibilities. |
| Staff #53 | Infection Preventionist | Interviewed regarding vaccination policies and resident #4's vaccine status. |
| Staff #50 | Licensed Practical Nurse | Interviewed regarding care plan process. |
| Staff #51 | Licensed Practical Nurse | Interviewed regarding care plan process and updates. |
Inspection Report — Mar 8, 2024
Enforcement
Date: Mar 8, 2024
Visit Reason
Civil monetary penalty, action 00111604 (invoice INV-258322), assessed 8 March 2024.
Findings
A $250.00 penalty was assessed and paid in full on 8 April 2024.
Report Facts
Penalty amount: 250
Amount paid: 250
Amount remaining: 0
Inspection Report — Oct 10, 2023
Enforcement
Date: Oct 10, 2023
Visit Reason
Civil monetary penalty, action 00112415 (invoice INV-258915), assessed 10 October 2023.
Findings
A $1,750.00 penalty was assessed and paid in full on 23 November 2023.
Report Facts
Penalty amount: 1750
Amount paid: 1750
Amount remaining: 0
Inspection Report — Sep 20, 2023
Annual Inspection
Date: Sep 20, 2023
Visit Reason
On-site compliance (annual) inspection of an Assisted Living Center conducted 19-20 September 2023.
Findings
The inspection found nine deficiencies related to staff training, personnel records, resident service plans, vaccination documentation, and facility maintenance. Several deficiencies were repeats from prior inspections, indicating ongoing compliance issues.
Deficiencies (9)
The manager failed to ensure the facility administered a fall prevention and fall recovery training program for all staff, with no documentation of training for eight sampled employees.
The governing authority failed to ensure one employee had a valid fingerprint clearance card or application within 20 working days of hire, posing a safety risk. Documentation was incomplete and verification with DPS was lacking.
R9-10-113 — The manager failed to ensure one employee's record contained current medical documentation of freedom from infectious tuberculosis at the time of hire or since.
The manager failed to ensure a resident's written service plan included the level of service the resident was expected to receive, despite evidence the resident required personal care services.
The manager failed to ensure a resident receiving personal care services had a written service plan reviewed and updated at least once every six months; the plan had not been updated for over twelve months.
The manager failed to ensure a resident's written service plan was signed and dated by a nurse or medical practitioner when updated, which could pose a health risk.
The manager failed to ensure residents' medical records contained documentation of notification of pneumonia vaccination availability for five sampled residents, posing a health and safety risk.
The manager failed to ensure that two residents unable to ambulate had timely signed determinations by their primary care providers that their needs were being met, as required every six months.
The manager failed to ensure the premises were free from conditions that could cause physical injury; exposed jagged metal corners in a resident's unit posed an injury risk.
Report Facts
Deficiencies cited: 9
Inspection Report — Jul 20, 2023
Complaint Investigation
Date: Jul 20, 2023
Visit Reason
On-site complaint investigation of complaints AZ00190428 and AZ00198165 at an Assisted Living Center, conducted 20 July 2023.
Complaint Details
An on-site investigation of complaints AZ00190428 and AZ00198165 was conducted on July 20, 2023 and the following deficiencies were cited.
Findings
Two deficiencies were cited related to the lack of accessible alert systems for residents receiving personal care and unsafe elevator conditions due to overdue maintenance and unresolved violations.
Deficiencies (2)
The manager failed to ensure a bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies was accessible in units used by five residents receiving personal care services.
The manager failed to ensure the premises was free from a condition or situation that may cause physical injury, as the elevator had unresolved violations, overdue maintenance, and had broken down recently, causing safety concerns for residents and staff.
Report Facts
Deficiencies cited: 2
Inspection Report — Dec 15, 2022
Routine
Date: Dec 15, 2022
Visit Reason
The inspection was a routine survey to assess compliance with regulatory requirements related to resident care, medication administration, infection control, staffing, and other facility operations.
Findings
The facility was found deficient in multiple areas including failure to maintain a clean environment, incomplete care plan updates after falls, medication administration errors, inadequate shower and hygiene care, incomplete wound and pressure ulcer care, improper catheter care and urinary output monitoring, inaccurate nurse staffing postings, unsecured expired medications and supplies, and improper disposal of biohazardous materials.
Deficiencies (11)
Failed to ensure housekeeping services necessary to maintain a safe and clean environment were provided for one resident (#58).
Failed to ensure the comprehensive care plan was updated to reflect the changing needs of one resident (#3) after falls.
Failed to ensure medications were administered as ordered by the physician for one resident (#123).
Failed to ensure one resident (#8) was provided showers as ordered and documented.
Failed to ensure one resident (#223) received treatment and care in accordance with professional standards of practice.
Failed to ensure necessary care and services related to pressure ulcer was provided for one resident (#3).
Failed to provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections for residents (#222, #274, #42).
Failed to ensure the Daily Staff Postings for nursing staff was accurate for actual hours worked by licensed and unlicensed direct care nursing staff.
Failed to ensure the medication error rate was less than 5% by failing to ensure two out of three residents reviewed (#20 and #62) received medications according to the physician orders.
Failed to ensure that expired supplies and medication with missing and/or damaged labels were not available for resident use; and failed to ensure that a resident's home medications were not left unsecured on a counter in the medication room.
Failed to ensure that biohazardous material/sharps were disposed of properly.
Report Facts
Sample size: 18
Medication error rate: 6.67
Staffing hours discrepancy: 7
Staffing hours discrepancy: 13.25
Staffing hours discrepancy: 6
Staffing hours discrepancy: 6.95
Staffing hours discrepancy: 6.25
Staffing hours discrepancy: 12.25
Staffing hours discrepancy: 3.25
Staffing hours discrepancy: 31.75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #72 | Director of Nursing | Interviewed regarding housekeeping, medication errors, catheter care, staffing postings, and infection control deficiencies |
| Staff #76 | Licensed Practical Nurse | Observed medication pass and medication room; interviewed about medication errors and expired supplies |
| Staff #99 | Registered Nurse | Observed medication pass and interviewed about medication administration |
| Staff #54 | Certified Nursing Assistant | Interviewed about catheter care documentation |
| Staff #45 | Staffing Coordinator | Interviewed about accuracy of staff postings |
| Staff #111 | Administrator | Interviewed about staff postings accuracy |
Inspection Report — Sep 30, 2021
Routine
Date: Sep 30, 2021
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to PASARR screening, respiratory care, food storage, and meal service practices at Springdale Village Post Acute.
Findings
The facility failed to complete required PASARR screenings for residents staying longer than 30 days, failed to have a physician order for oxygen use for one resident, and did not maintain nourishment refrigerators at appropriate temperatures. Additionally, the facility failed to dispose of bread by best buy dates and allowed uncovered beverages to be delivered to residents.
Deficiencies (4)
Failure to ensure PASARR screening was completed for residents staying longer than 30 days.
Failure to ensure one resident had a physician order for oxygen use.
Failure to maintain nourishment refrigerators at appropriate temperatures and failure to dispose of bread by best buy date.
Failure to ensure beverages were covered when delivered to residents.
Report Facts
Refrigerator temperature readings above 41 degrees F: 12
Number of residents affected by PASARR deficiency: 2
Sample size for oxygen order review: 3
Number of loaves of bread past best buy date: 8
Distance uncovered beverages carried: 35
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #21 | Social Worker / Social Services Director | Interviewed regarding PASARR screening requirements and facility practices. |
| Staff #1 | Director of Nursing (DON) | Interviewed regarding PASARR screening expectations, oxygen order entry, and food service policies. |
| Staff #103 | Clinical Vice President (VP) / Corporate Resource | Interviewed regarding PASARR form instructions and facility policy adherence. |
| Staff #75 | Dietary Manager | Interviewed regarding nourishment refrigerator temperatures, food storage policies, and beverage service practices. |
| Staff #105 | Licensed Practical Nurse (LPN) | Interviewed regarding oxygen order requirements and resident #34's oxygen administration. |
| Staff #58 | Director of Admission | Interviewed regarding PASARR screening process and hospital responsibilities. |
| Staff #18 | Certified Nursing Assistant (CNA) | Interviewed regarding beverage service practices. |
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