Inspection Reports for West Valley Helping Hands
15021 N 91st Ln, Peoria, AZ 85381, AZ, 85381
Back to Facility ProfileInspection Report Summary
The most recent inspection on September 5, 2024, included deficiencies that resulted in a $500 fine, which has been paid in full. Earlier inspections showed recurring issues related to medication administration, service plan documentation, and facility safety, including a failure to provide a proper means of exiting the building that alerted staff to resident egress. Complaint investigations substantiated deficiencies in medication orders, vaccination documentation, and notification procedures, as well as safety concerns about resident whereabouts. Enforcement actions were taken multiple times, with fines issued in August 2023 and August 2024, but no license suspensions or immediate jeopardy findings are listed in the available reports. The pattern suggests ongoing challenges with regulatory compliance, particularly in medication management and safety protocols, with no clear improvement trend.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
19% better than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Sep 5, 2024
Summary
The enforcement resulted in a $500 fine which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine imposed as part of enforcement action | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Aug 14, 2024
Summary
The deficient practice posed a health and safety risk because the facility was unaware of the general or specific whereabouts of a resident, resulting in a civil fine.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure a means of exiting the facility that provided access to an outside area that controlled or alerted employees of the egress of a resident from the facility. | Pending |
Inspection Report
Complaint Investigation
Capacity: 7
Deficiencies: 3
Aug 14, 2024
Visit Reason
Deficiencies found during complaint and compliance inspection including failure to notify Department and means of exiting the facility.
Findings
Deficiencies found during complaint and compliance inspection including failure to notify Department and means of exiting the facility.
Complaint Details
Complaint AZ00214466 investigated
Deficiencies (3)
| Description |
|---|
| A. A governing authority shall: 7. Notify the Department according to A.R.S. § 36-425(I) when there is a change |
| F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 2. There is a means of exiting the facility |
| F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 2. There is a means of exiting the facility |
Enforcement Action
Enforcement
Fines: 1
Total: $750.00
Aug 29, 2023
Summary
The enforcement resulted in a fine of $750.00 which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $750.00 | Fine associated with enforcement action #00112603 | Paid |
Inspection Report
Complaint Investigation
Capacity: 7
Deficiencies: 4
Aug 14, 2023
Visit Reason
Deficiencies found during complaint and compliance inspection including failures in written service plans, medication orders, vaccination documentation, and medication administration.
Findings
Deficiencies found during complaint and compliance inspection including failures in written service plans, medication orders, vaccination documentation, and medication administration.
Complaint Details
Complaints #AZ00197965, #AZ00198775, #AZ00198778, and #AZ00198780 investigated
Deficiencies (4)
| 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 |
| C. A manager shall ensure that a resident's medical record contains: 12. A medication order from a medical practitioner for each medication administered |
| C. A manager shall ensure that a resident's medical record contains: 17. Documentation of notification of the resident of the availability of vaccination |
| 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 |
Inspection Report
Annual Inspection
Capacity: 7
Deficiencies: 2
Dec 5, 2022
Visit Reason
Deficiencies found during annual compliance inspection including failures in service plan documentation and medication administration compliance.
Findings
Deficiencies found during annual compliance inspection including failures in service plan documentation and medication administration compliance.
Deficiencies (2)
| Description |
|---|
| C. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving directed care services includes documentation of the resident's weight or documentation from a medical practitioner |
| 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 |
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