Foothills Adult Care Home

Based on record review and interview, the manager failed to ensure that for one of seven sampled resident who were unable to ambulate even with assistance, the resident's primary care provider (PCP) or other medical practitioner signed a determination stating that the resident's needs were being met. This determination was to be completed on or within 30 days before acceptance and at least once every six months throughout the duration of the resident's condition to determine if the resident's needs could be met. That was based upon a current resident examination and the assisted living facility's scope of services which posed a health and safety risk. The facility is licensed to provided directed care services. Findings include: 1. In an interview, E2 reported that R1 was unable to ambulate even with assistance since accepted to the facility. 2. Review of R1's medical record found no documented determination completed at the time of acceptance or within 30 days before acceptance by R1's PCP or medical practitioner. The determination should have been based on a current examination of the resident, the facility's scope of services, and included a statement that the resident's needs could be met by the facility. 3. In R1's medical record there was a determination completed six days after R1 was accepted to the facility. There was documentation from the resident or the representative dated the day R1 was accepted to the facility requesting to reside at the facility although unable to ambulate. 4. In an interview, E1 acknowledged there was no documentation of the required determination completed at the time of acceptance or within 30 days prior to acceptance. Technical assistance was provided during the compliance inspection conducted on October 13, 2022,