Bee Hive Homes

Based on record review and interview, the chief administrative officer failed to implement tuberculosis (TB) infection control activities, including annual training and education related to recognizing the signs and symptoms of TB, for two of three employees sampled. Findings include: 1. A review of E2's personnel record revealed E2 was hired as a caregiver on January 13, 2026. Further review revealed evidence of documentation of a negative skin test for TB, dated January 14, 2026, as well as a baseline assessment for signs and symptoms of TB, and risk of exposure to TB, also dated January 14, 2026. However, evidence of documentation of a second negative skin test was unavailable for review. 2. A review of facility time cards revealed E2 worked at the facility on January 16 – 19, 2026, and on January 22 – 26, 2026. 3. A review of E4’s personnel record revealed E4 was hired as a housekeeper on July 4, 2023. E4’s personnel record included documentation indicating E4 received training in recognizing signs and symptoms of TB in 2024. However, evidence of documentation indicating E4 received annual training in recognizing signs and symptoms of TB in 2025 was unavailable for review. 4. In an exit interview, the findings were reviewed with E1, and no additional information was provided. Technical assistance was provided regarding R9-10-113 during a compliance inspection conducted on May 9, 2024.

Based on record review and interview, for two of three employees sampled, who provided direct supportive services to residents, the Governing Authority failed to ensure compliance with A.R.S. § 36-411 by failing to make good faith efforts to contact previous employers, in order to obtain information relevant to a person’s fitness to work in a residential care institution. Findings include: 1. A review of E3’s personnel record revealed E3 was hired as a caregiver on January 1, 2026. Further review revealed a job application which identified two previous employers of E3. However, evidence of good faith efforts to contact either of the identified employers was unavailable for review. 2. A review of E4’s personnel record revealed E4 was hired as a housekeeper on July 4, 2023. Further review revealed a job application which identified one previous employer of E4. However, evidence of good faith efforts to contact E4’s employer was unavailable for review. 3. In an exit interview, the findings were reviewed with E1, and no additional information was provided.

Based on record review and interview, the manager failed to ensure a caregiver documented the services provided in the resident's medical record for one of two residents sampled. Findings include: 1. A review of R1's medical record revealed a current service plan describing the services provided by the facility staff. The plan included a section titled “Sensory Assistive Devices,” which indicated “Hearing aids caregivers are to change the battery once a week in the morning…At night time, …caregivers are to ensure that the battery compartment is open to ensure it does not drain battery.” 2. A review of R1’s medical record revealed a document used for tracking the services provided to R1. However, evidence of documentation to indicate R1 was receiving the service described for R1’s hearing aids was unavailable for review. Further review of R1’s medical record revealed a medication administration record (MAR) for January 2026, which included a section titled “Replace the Hearing Aids Battery.” However, evidence of documentation indicating R1’s hearing aid batteries were ever changed was unavailable for review. 3. In an exit interview, the findings were reviewed with E1, and no additional information was provided.

Based on record review and interview, the manager failed to ensure that for one of three sampled residents who were unable to ambulate even with assistance, the residents' primary care provider (PCP) or other medical practitioner signed a determination stating that the residents' needs were being met. This determination was to be completed at the time of acceptance or onset and at least once every six months throughout the duration of the residents' condition to determine if the resident's needs could be met based upon a current resident examination and the assisted living facility's scope of services. This deficiency posed a health and safety risk. The facility is licensed to provided directed care services. Findings include: 1. During an interview, E1 reported that R3 had been unable to ambulate even with assistance since returning from the hospital a few weeks ago. 2. Review of R3's medical record contained no documented determinations from a medical practitioner at the time of the onset and updated at least every six months throughout the duration of the resident's condition. This determination should have been based on a current resident's examination and the facility's scope of services that the resident's needs could be met. R3's service plan stated the resident required personal care services. 3. In an interview, E1 acknowledged there was no documented determinations completed as required for R3 who was unable to ambulate even with assistance. This is a repeat deficiency from the compliance inspection conducted on March 21, 2023.

Based on observation and interview, the manager failed to ensure that soiled linens stored by the assisted living facility was stored in a closed container which posed a health risk. Findings included: 1. During a tour of the facility, E1 and the compliance officers observed in the facility's laundry room there was an uncovered bin over-flowing with soiled linen and clothing sitting near the facility's washer. The caregiver on duty reported that the clothes needed washing. 2. In an interview, E1 acknowledged the facility was storing uncovered soiled linen which could pose a health risk.