Bee Hive Homes of Arrowhead

Based on documentation review and interview, the manager failed to ensure when a resident had an accident, emergency, or injury that resulted in the resident needing medical services, a caregiver or an assistant caregiver documented the names of individuals who observed the accident, emergency, or injury, and documented any action taken to prevent the accident, emergency, or injury from occurring in the future. The deficient practice posed a risk if the facility did not take steps to ensure the health and safety of a resident. Findings include: 1. A review of facility documentation revealed an incident report dated December 17, 2023. The report revealed R2 was in a reclining chair and fell after R2 tried to get up and walk away. The report indicated R2's hospice nurse was notified and ordered x-rays. Additionally, the report stated, "Late entry dec 20 [December 20, 2023] Possible fx [fracture to the] right hip right shoulder fx [fracture]." However, the report did not include the names of individuals who observed the accident, and the report did not document any action taken to prevent the accident from occurring in the future. 2. A review of facility policies and procedures (P&P) revealed a P&P titled, "Incident Reports". However, the P&P did not include a procedure on documenting and collecting information required in Arizona Administrative Code (A.A.C.) R9-10-818(D)(2). 3. In an interview, E1 and E4 acknowledged a caregiver or an assistant caregiver did not document the names of individuals who observed the accident, emergency, or injury, and did not document any action taken to prevent the accident, emergency, or injury from occurring in the future.