Inspection Reports for
Tempe Post Acute

The complaint investigation found substantiated deficiencies related to failure to follow physician orders for blood sugar monitoring and insulin administration for two residents (#215 and #46).

The facility failed to ensure that physician orders for blood sugar monitoring and insulin administration were followed for two residents, resulting in blood sugars not being rechecked and physicians not being notified as ordered. This failure posed risks of elevated blood sugar and potential harm to residents.

The complaint investigation found that physician orders for blood sugar monitoring and insulin administration were not followed for two residents, resulting in elevated blood sugar levels without appropriate rechecks or physician notification.

The facility failed to follow physician orders for blood sugar rechecks and notification of the physician when blood sugar levels were elevated for residents #215 and #46. This failure could result in residents having uncontrolled high blood sugar and potential harm.

The facility failed to maintain a clean and sanitary kitchen, with observations including food debris, pest presence (live and dead roaches), improper food storage and thawing practices, standing water from leaks, and uncompleted cleaning logs. These deficiencies posed a potential risk for foodborne illness.

The facility failed to maintain a clean and sanitary kitchen environment, with observations including food debris, pest presence, improper food storage, and water leaks, posing a potential risk for foodborne illness.

The investigation was complaint-related, focusing on missed dialysis treatments and conflicting dialysis schedules for resident #10. The complaint was substantiated with findings of missed dialysis on April 6 and April 15, 2023, and transportation issues contributing to missed appointments.

The facility failed to ensure resident #10 received dialysis according to physician orders, with conflicting dialysis schedules between orders and the dashboard, missed dialysis appointments without documented reasons, and transportation issues contributing to missed treatments. The resident experienced adverse health effects including hospitalization due to missed dialysis.

The investigation was complaint-related, focusing on missed dialysis treatments and conflicting dialysis scheduling information for resident #10. The complaint was substantiated by findings of missed dialysis appointments, conflicting orders, and adverse resident outcomes.

The facility failed to ensure resident #10 received dialysis according to physician orders, with conflicting dialysis schedules between physician orders and the facility's dashboard. The resident missed dialysis appointments on April 6 and April 15, 2023, with no documented reasons, and experienced adverse health effects including hospitalization due to missed dialysis. Transportation issues and dialysis center refusals contributed to missed treatments. Documentation and communication deficiencies were also noted.

The complaint investigation was substantiated with findings including unclean resident rooms, inaccurate resident assessments, medication administration errors, failure to provide scheduled showers, inadequate nutrition documentation and provision, and lack of psychotropic medication monitoring.

The facility failed to maintain a clean and homelike environment for residents, ensure accurate Minimum Data Set assessments, administer medications as ordered, provide scheduled showers, maintain adequate nutrition for residents, and monitor behaviors and side effects for psychotropic medications. These deficiencies posed risks of harm including unsafe environment, inaccurate care planning, inadequate treatment, poor hygiene, nutritional deficits, and unmonitored medication effects.

The facility was found deficient in multiple areas including failure to maintain a clean and homelike environment upon admission, inaccurate Minimum Data Set (MDS) assessments, medication administration outside physician orders without notification, inadequate provision of showers to residents, inconsistent documentation and provision of meals, and failure to monitor behaviors and side effects for residents on psychotropic medications. These deficiencies posed risks of harm such as unsafe environment, inaccurate care planning, inadequate treatment, poor hygiene, nutritional deficits, and unmonitored medication effects.