Caissa Assisted Living Home INC

Based on record review and interview, the assisted living home failed to provide an emergency responder with a written document that included the requirements in A.R.S. 36-420.04.A.1-9 for one of three residents sampled. The deficient practice posed a risk if the emergency responder was not aware of critical health information for the resident. Findings include: 1. A review of R1’s medical records revealed an incident report dated January 23, 2026; however, there was no documentation provided to emergency services using a standardized form that included the following: The reason or reasons the emergency responder was requested on behalf of the resident; Whether the resident receives medication services and, if the resident has provided this information to the assisted living center or assisted living home, a list of all the resident's prescription and over-the-counter medications, their dosages and how frequently they are administered; The name, address and telephone number of the resident's current pharmacy; A list of any known allergies to any medications, additives, preservatives or materials like latex or adhesive; The name and contact information for the resident's primary care physician and power of attorney or authorized representative; Basic information about the resident's physical and mental conditions and basic medical history, such as having diabetes or a pacemaker or experiencing frequent falls or cardiovascular and cerebrovascular events, as well as dates of recent episodes, if known; The point-of-contact information for the assisted living center or assisted living home, including the telephone number, if available, cell phone number and email address. A point of contact must be available to respond to questions regarding the information provided twenty-four hours a day, seven days a week; A copy of the resident's health insurance portability and accountability act release authorizing a receiving hospital to communicate with the assisted living center or assisted living home to plan for the resident's discharge. This paragraph does not preclude a resident from revoking the resident's health insurance portability and accountability act release authorization; A copy of the resident's advance directives, if any, on file at the assisted living center or assisted living home. This paragraph does not preclude a resident from revoking or modifying the resident's advance directives. 2. In an exit interview, findings were reviewed with E1, and no additional information was provided.

Based on record review, documentation review, and interview, the manager failed to ensure before providing assisted living services to a resident, a manager or caregiver provided current documentation of first aid training and cardiopulmonary resuscitation (CPR) training certification specific to adults, for two of two caregivers sampled. The deficient practice posed a risk if an employee was unable to meet a resident's needs during an emergency, accident, or injury. Findings include: 1. A review of E2's personnel record revealed documentation of first aid training and cardiopulmonary resuscitation training certification specific to adults; however, the training expired in May 2023. 2. A review of E3's personnel record revealed documentation of first aid training and cardiopulmonary resuscitation training certification specific to adults; however, the training expired in May 2023. 3. A review of the facility's documentation revealed a staffing schedule dated June 1, 2023-August 14, 2023. The schedule indicated E2 and E3 worked 7:00 a.m-7:00 a.m. on all of those dates. 4. In an interview, E1 acknowledged E2 and E3 did not provide current documentation of first aid training and cardiopulmonary resuscitation training and provided assisted living services residents after the training had expired.