Inspection Reports for The Forum at Tucson
2500 N Rosemont Blvd, Tucson, AZ 85712, United States, AZ, 85712
Back to Facility ProfileInspection Report Summary
Most inspections found deficiencies related primarily to medication administration, resident service plan documentation, employee training, and safety procedures. The most recent report from January 28, 2025, showed an enforcement action with a $250 fine that was fully paid, reflecting a repeat medication administration issue identified earlier that month. Previous enforcement actions included a $1,000 fine in February 2023 and deficiencies in CPR training and caregiver certification in January 2023. Several complaint investigations were conducted, with multiple deficiencies noted but no immediate jeopardy or license suspensions reported. While some issues have recurred, the facility has addressed enforcement penalties promptly, and there is no clear pattern of worsening or improvement over time.
Deficiencies per Year
20
15
10
5
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Enforcement
Deficiencies: 0
Jan 28, 2025
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State-compiled enforcement action report for THE FORUM AT TUCSON detailing enforcement action #00109899 with associated payment schedule.
Findings
The report documents an enforcement action completed with a fine of $250.00 and payment fully made by the due date.
Report Facts
Total fines: 250
Inspection Report
Enforcement
Deficiencies: 1
Jan 15, 2025
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Inspection conducted on January 15, 2025, related to enforcement concerns documented in the Civil Fines Table and Event ID # FHFQ11.
Findings
The facility was found to have a repeat deficiency involving failure to ensure a medication was administered in compliance with a medication order for one of ten residents sampled. A civil fine of $250 was assessed due to the risk posed by improper medication administration.
Deficiencies (1)
| Description |
|---|
| Failure to ensure a medication administered to a resident was in compliance with a medication order for one of ten residents sampled. |
Report Facts
Civil fine amount: 250
Residents sampled: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Fletcher Kuhn | Manager | Licensee/Director/Provider named in enforcement agreement |
| Dawn Butler | Bureau Chief | Signed enforcement agreement |
| Thomas Salow | Assistant Director | Signed enforcement agreement |
| Aaron Teilles | Deputy Bureau Chief | Signed enforcement agreement |
Inspection Report
Complaint Investigation
Capacity: 130
Deficiencies: 20
Jan 15, 2025
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State-compiled facility profile showing 5 inspections from 2023-01 to 2025-01 with deficiency history including complaint and annual compliance inspections.
Findings
Across all inspections, multiple deficiencies were identified including failures in timely and accurate resident service plans, medication administration compliance, evacuation drills, employee training and documentation, and unsafe storage of poisonous materials.
Complaint Details
The most recent inspection on 2025-01-15 was a complaint and compliance (annual) inspection investigating complaints AZ00216934, AZ00217427, AZ00218363, AZ00219391, and AZ00220724.
Deficiencies (20)
| Description |
|---|
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 1. Is completed no later than 14 calendar days after the resident's date of acceptance; |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: b. The level of service the resident is expected to receive; |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: c. The amount, type, and frequency of assisted living services being provided to the resident, including medication administration or assistance in the self-administration of medication; |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on changes in the requirements in subsections (A)(3)(a) through (f): a. No later than 14 calendar days after a significant change in the resident's physical, cognitive, or functional condition; |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on changes in the requirements in subsections (A)(3)(a) through (f): b. As follows: ii. At least once every six months for a resident receiving personal care services, and |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on changes in the requirements in subsections (A)(3)(a) through (f): b. As follows: iii. At least once every three months for a resident receiving directed care services; and |
| C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: a. Provides a resident with the assisted living services in the resident's service plan; |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order, and |
| A. A manager shall ensure that: 5. An evacuation drill for employees and residents: a. Is conducted at least once every six months; and |
| A. A manager shall ensure that: 5. An evacuation drill for employees and residents: b. Includes all individuals on the premises except for: i. A resident whose medical record contains documentation that evacuation from the assisted living facility would cause harm to the resident, and |
| R9-10-120. Opioid Prescribing and Treatment F. For a health care institution where opioids are administered as part of treatment or where a patient is provided assistance in the self-administration of medication for a prescribed opioid, including a health care institution in which an opioid may be prescribed or ordered as part of treatment, a medical director, a manager as defined in R9-10-801, or a provider, as applicable to the health care institution, shall: 4. Except as provided in subsection (H), ensure that an individual authorized by policies and procedures to administer an opioid in treating a patient or to provide assistance in the self-administration of medication for a prescribed opioid: c. Documents in the patient ' s medical record: ii. The effect of the opioid administered or for which assistance in the self-administration of medication for a prescribed opioid was provided. |
| C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record; and |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when updated, is signed and dated by: a. The resident or resident's representative; b. The manager; c. If a review is required in subsection (A)(3)(d), the nurse or medical practitioner who reviewed the service plan; and d. If a review is required in subsection (A)(3)(e)(ii), the medical practitioner or behavioral health professional who reviewed the service plan. |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order, and |
| A. A manager shall ensure that: 6. A resident is provided a diet that meets the resident's nutritional needs as specified in the resident's service plan; |
| A. A manager shall ensure that: 1. The premises and equipment used at the assisted living facility are: b. Free from a condition or situation that may cause a resident or other individual to suffer physical injury; |
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411. |
| C. A manager shall ensure that policies and procedures are: 1. Established, documented, and implemented to protect the health and safety of a resident that: e. Except as provided in subsection (M), cover cardiopulmonary resuscitation training for applicable employees and volunteers, including: i. The method and content of cardiopulmonary resuscitation training, which includes a demonstration of the employee's or volunteer's ability to perform cardiopulmonary resuscitation; ii. The qualifications for an individual to provide cardiopulmonary resuscitation training; iii. The time-frame for renewal of cardiopulmonary resuscitation training; and iv. The documentation that verifies that the employee or volunteer has received cardiopulmonary resuscitation training; |
| A. A manager shall ensure that: 1. A caregiver: b. Provides documentation of: i. Completion of a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers; |
| A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents; |
Report Facts
Inspections on page: 5
Total deficiencies: 20
Complaint inspections: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Named in multiple deficiency findings related to service plans, medication administration, evacuation drills, and documentation | |
| E2 | Acknowledged deficiencies in service plan signatures and poisonous materials storage | |
| E3 | Acknowledged deficiencies in service plan signatures and poisonous materials storage | |
| E4 | Acknowledged deficiencies in CPR training policy and poisonous materials storage | |
| E8 | Caregiver | Named in fingerprint clearance and CPR training deficiencies |
| E9 | Caregiver | Named in fingerprint clearance deficiency |
| E13 | Caregiver | Named in fingerprint clearance and caregiver training documentation deficiencies |
Inspection Report
Enforcement
Deficiencies: 0
Feb 7, 2023
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State-compiled enforcement action report for THE FORUM AT TUCSON detailing enforcement #00113820 with payment and completion status.
Findings
The report documents an enforcement action completed with a penalty payment of $1,000.00 and associated dates for start, due, and completion.
Report Facts
Total fines: 1000
Inspection Report
Enforcement
Deficiencies: 2
Jan 17, 2023
Visit Reason
The inspection was conducted to address compliance issues related to CPR training and caregiver certification at The Forum At Tucson.
Findings
The facility was found to have two violations: failure to ensure CPR training for one employee included a demonstration of ability to perform CPR, and failure to ensure one employee working as a caregiver had valid documentation of completion of an approved caregiver training program.
Deficiencies (2)
| Description |
|---|
| The manager failed to ensure CPR training for one employee included a demonstration of the employee's ability to perform CPR. |
| The manager failed to ensure one employee working as a caregiver provided valid documentation of completion of an approved caregiver training program. |
Report Facts
Penalty Amount: 1000
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Fletcher Kuhn | Executive Director | Licensee/Director signing enforcement agreement and related to the enforcement action. |
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