Inspection Reports for Sun View Estates Home Care III
17673 West Acapulco Lane, Surprise, AZ 85388, AZ, 85388
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Inspection Report
Annual Inspection
Capacity: 7
Deficiencies: 2
Feb 4, 2025
Visit Reason
State-compiled facility profile showing 2 inspections from 2023-07 to 2025-02 with deficiency history
Findings
Two inspections were conducted, one in July 2023 with no deficiencies found, and a more recent annual compliance inspection in February 2025 identifying two deficiencies related to documentation and disaster plan review.
Deficiencies (2)
| Description |
|---|
| B. A manager shall ensure that before or at the time of acceptance of an individual, the individual submits documentation that is dated within 90 calendar days before the individual is accepted by an assisted living facility and: 1. If an individual is requesting or is expected to receive supervisory care services, personal care services, or directed care services: a. Includes whether the individual requires: i. Continuous medical services, ii. Continuous or intermittent nursing services, or iii. Restraints; and b. Is dated and signed by a: i. Physician, ii. Registered nurse practitioner, iii. Registered nurse, or iv. Physician assistant; and 2. If an individual is requesting or is expected to receive behavioral health services, other than behavioral care, in addition to supervisory care services, personal care services, or directed care services from an assisted living facility: a. Includes whether the individual requires continuous behavioral health services, and b. Is signed and dated by a behavioral health professional. Based on record review and interview, the manager failed to ensure before or at the time of acceptance of an individual, the individual submitted documentation dated within 90 calendar days before the individual was accepted by the assisted living facility to indicate whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints, for one of four sampled residents. The deficient practice posed a risk if the facility was unable to meet a resident's needs. Findings include: 1. A review of R2's medical record revealed documentation stating whether R2 required continuous medical services, continuous or intermittent nursing services, or restraints was not available for review at the time of inspection. 2. In an interview, E1 acknowledged R2 had no documentation showing if R2 needed continuous medical services, nursing services, or restraints. |
| A. A manager shall ensure that: 2. The disaster plan required in subsection (A)(1) is reviewed at least once every 12 months; Based on documentation review and interview, the manager failed to ensure the disaster plan required in subsection (A)(1) was reviewed at least once every 12 months. The deficient practice posed a risk if facility staff were unable to implement the disaster plan. Findings include: 1. A review of facility documentation revealed documentation of a disaster plan review conducted in 2023. However, an annual disaster plan review conducted in 2024 was not available for review at the time of inspection. 2. In an interview, E1 acknowledged there was no documentation to indicate the disaster plan required in subsection (A)(1) was reviewed at least once every 12 months for 2024. |
Report Facts
Inspections on page: 2
Total Deficiencies: 2
Complaint Inspections: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Named in deficiency findings related to documentation and disaster plan review |
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