Arizona State Veteran Home-Phx

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Administration Deficiencies

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Emergency Preparedness Deficiencies

Establish policies and procedures for volunteers.

Emergency Preparedness Deficiencies

Establish roles under a Waiver declared by secretary.

Emergency Preparedness Deficiencies

List the names and contact information of those in the facility.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

Based on interviews, clinical record review, review of facility documentation, and review of facility policy and procedure, the facility failed to protect the rights of one (#67) of five sampled residents to be free from abuse by another resident (#61). The deficient practice could result in further abuse of residents and appropriate action not taken.

Based on interviews, clinical record review, review of facility documentation, and review of facility policy and procedure, the facility failed to protect the rights of one (#67) of five sampled residents to be free from abuse by another resident (#61).

Based on clinical record reviews, facility documentation, resident and staff interviews, and policy review, the facility failed to protect the rights of Seven residents (#119; #48, #617, #247, #264, #787, #394) to be free from abuse by other resident(s) (#237; #604, #623, #51, #394, #787). The deficient practice could lead to physical and psychosocial harm to residents.

Based on observations, interviews, clinical record review, and policy, the facility failed to provide food texture designed to meet the needs of one resident (Resident #10).Â

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