Arizona Assisted Living Home LLC

Based on documentation review, record review, and interview, the manager failed to ensure, for one of two personnel members sampled, before providing assisted living services to a resident, a manager or caregiver provided current documentation of cardiopulmonary resuscitation (CPR) and First Aid training certification. The deficient practice posed a risk if an employee was unable to meet a resident's needs during an emergency. Findings include: 1. A review of the facility schedule revealed E1 worked as a caregiver every day in March 2024 from 3 PM until 6:45 PM. 2. A review of E1's personnel record revealed documentation of CPR and First Aid training dated September 2, 2021 with a marked expiration of September , 2023. 3. In an interview, E1 acknowledged E1's personnel record did not include documentation of current CPR and First Aid training.

Based on record review, observation, and interview, the manager failed to ensure a medication administered to a resident was documented in the resident's medical record, for one of two sampled residents who received medication administration. Findings include: 1. A review of R1's medical record revealed a service plan, updated December 10, 2023, for personal care services including medication administration. 2. A review of R1's medical record revealed a medication list, dated February 26, 2024, which included, "Memantine 10 MG tablet, take 10 mg by mouth 2 (two) times every day in the morning and the evening." 3. A review of R1's medical record revealed a Medication Administration Record (MAR) dated February 2024. The MAR documented the following: - "Memantine 5 mg tabs, take 1 tab by mouth twice daily," had been marked as administered at 8 AM on each day in February, but had not been marked as administered on any day in February 2024. 4. In an interview, E1 acknowledged the provided documentation of medication administration for R1 was not accurate.

Based on observation and interview, the manager failed to ensure a resident bathroom used by more than one resident contained paper towels in a dispenser or a mechanical air hand dryer. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed paper towels or a mechanical air hand dryer was not available in any of the four shared bathrooms inspected. 2. In an interview, E1 acknowledged the manager failed to ensure a shared resident bathroom contained paper towels in a dispenser or a mechanical air hand dryer.