Flowers Assisted Living Home 2

Based on documentation review and interview, the manager failed to ensure documentation was maintained of the caregivers and assistant caregivers working each day, including the hours worked by each. The deficient practice posed a risk if there was no documented schedule to ensure shifts and tasks were covered. Findings include: 1. A review of facility documentation revealed no documented work schedule available for review for the months of March, April, and May 2024. 2. In an interview, E1 reported there were no work schedules available for review for March, April, or May 2024.

Based on observation, record review, and interview, the manager failed to ensure at least one manager or caregiver was present at the home when a resident was on the premises. The deficient practice posed a risk as no qualified staff were present to ensure the health and safety of residents. Findings include: 1. The Compliance Officer arrived to the facility at 2:24 PM and observed E2 answered the door. E2 was the only staff member present on the facility premises, along with O1, a visiting hospice employee. E1 arrived to the facility approximately 40 minutes later. 2. A review of facility personnel records revealed no personnel record for E2 available for review at the time of the inspection. 3. In an interview, E1 reported E2 was a contracted housekeeper and there was no record for E2 available for review.

Based on record review and interview, the manager failed to ensure a resident's medical record contained all required documents in Arizona Administrative Code (A.A.C.) R9-10-811(C)(1)-(24). Findings include: 1. A review of R6's medical record revealed multiple documents. However, the majority of the documents were blank. R6's medical record did not contain the following: -The date of admission; -Documentation of R6's needs required in A.A.C. R9-10-807(B); -R6's signed residency agreement and any amendments; -R6's service plan and updates; -Documentation of assisted living services provided to R6; -A medication order from a medical practitioner for each medication administered to R6 or for which R6 received assistance in the self-administration of the medication; and -Documentation of R6's orientation to exits from the assisted living facility required in A.A.C. R9-10-818(B). 2. In an interview, R6 reported moving into the facility two months ago. 3. In an interview, E1 reported R6 moved into the facility a week ago. E1 reviewed and acknowledged there was no additional information avalible for review in R6's record.

Based on observation and interview, the administrator failed to ensure a resident bedroom was not used as a passageway to a common area, another sleeping area, or common bathroom unless written consent was obtained from the resident or the resident's representative. The deficient practice posed a risk of violating a resident's right to privacy. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer walked through a bathroom to access the facility's activity room. The activity room contained R1's and R2's beds. The activity room contained also contained a second entrance only accessible from the facility's back yard. 2. A review of Department documentation revealed the room containing R1's and R2's beds was not approved as a bedroom. 3. In an interview, E1 reported R1 and R2 were temporarily relocated to the activity room due to temperature concerns in their assigned bedroom.