Ahwatukee Adult Care III

Based on record review and interview, the manager failed to ensure that 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 an assisted living facility, and, if an individual was requesting or expected to receive supervisory care services, personal care, services, or directed care services, was dated and signed by a Physician, Registered nurse practitioner, Registered nurse, or Physician assistant, for one of three residents sampled. Findings include: 1. A review of R2's medical record revealed a document titled, "Determination Letter," which did not state if R2 was requesting or expected to receive supervisory care services, personal care, services, or directed care services. The document was signed dated by a Physician. No other documentation dated within 90 calendar days before R2 was accepted by an assisted living facility and signed by a Physician, Registered nurse practitioner, Registered nurse, or Physician assistant which stated if R2 was requesting or expected to receive supervisory care services, personal care, services, or directed care services was available for review. 2. In an interview, E3 acknowledged R2's "Determination Letter" form did not state if R2 was requesting or expected to receive supervisory care services, personal care, services, or directed care services.

Based on record review and interview, the manager failed to ensure that 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 an assisted living facility, and, if an individual was requesting or expected to receive supervisory care services, personal care, services, or directed care services, was dated and signed by a Physician, Registered nurse practitioner, Registered nurse, or Physician assistant, for one of three residents sampled. Findings include: 1. A review of R2's medical record revealed a document titled, "Determination Letter," which did not state if R2 was requesting or expected to receive supervisory care services, personal care, services, or directed care services. The document was signed dated by a Physician. No other documentation dated within 90 calendar days before R2 was accepted by an assisted living facility and signed by a Physician, Registered nurse practitioner, Registered nurse, or Physician assistant which stated if R2 was requesting or expected to receive supervisory care services, personal care, services, or directed care services was available for review. 2. In an interview, E3 acknowledged R2's "Determination Letter" form did not state if R2 was requesting or expected to receive supervisory care services, personal care, services, or directed care services.

Based on observation and interview, the manager failed to ensure medications stored by the facility were stored in a locked area. The deficient practice posed a health and safety risk to residents with access to the medications. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed an unlocked medication cabinet in the common area. The unlocked medication cabinet contained medication for six residents. 2. In an interview, E2 And E3 acknowledged the medications were not stored in a locked area and were accessible to residents.

Based on observation and interview, the manager failed to ensure medications stored by the facility were stored in a locked area. The deficient practice posed a health and safety risk to residents with access to the medications. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed an unlocked medication cabinet in the common area. The unlocked medication cabinet contained medication for six residents. 2. In an interview, E2 And E3 acknowledged the medications were not stored in a locked area and were accessible to residents.