Camellia Assisted Living Home LLC

Based on record review 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 residents sampled. Findings include: 1 . A review of R1's medical record revealed signed medication orders for the following medications: -Metoprolol Tartrate 50 MG, 1 tablet 2 times daily; -Potassium Chloride ER 10 MEQ once a day; and -Trazadone 50 MG once daily. However, the following medications were not documented as administered on the following days: -Metoprolol Tartrate (8 AM) from September 27, 2025 to September 30, 2025; (8 PM) from September 26, 2025 to September 30, 2025; -Potassium Chloride from September 27, 2025 to September 30, 2025; and -Trazodone from September 26, 2025 to September 30, 2025. 2 . In an exit interview, the findings were discussed with E1 and no additional information was provided.

Based on documentation review and interview, the manager failed to ensure pets at the facility were licensed consistent with local ordinances. Findings include: 1 . A review of facility documentation revealed documentation of rabies vaccinations for O1 and O2. However, documentation of licensing from Maricopa county was not available for review at the time of inspection. 2 . In an exit interview, the findings were discussed with E1 and no additional information was provided.