Greenfield Assisted Living Home, LLC

Based on documentation review, record review, and interview, the manager failed to ensure a medical record was maintained for one former resident according to A.R.S. Title 12, Chapter 13, Article 7.1. The deficient practice posed a risk as required information could not be verified for the sampled resident. Findings include: 1. A.R.S. \'a7 12, Chapter 13, Article 7.1 states, "Unless otherwise required by statute or by federal law, a health care provider shall retain the original or copies of a patient's medical records as follows: 1. If the patient is an adult, for at least six years after the last date the adult patient received medical or health care services from that provider." 2. The Compliance Officer requested R4's record for review. However, R4's medical record was not provided. 3. In an interview, E1 reported R4's medical record was unavailable for review at the time of the survey.

Based on observation and interview, the manager failed to ensure toxic materials stored by the facility were stored in a locked area and inaccessible to residents. The deficient practice posed a risk to the physical health and safety of residents with access to the materials. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed OdoBan Disinfectant spray, Lysol disinfectant spray, Windex, and an opened container of Clorox disinfecting wipes in an unlocked cabinet under the sink in the kitchen. 2. In an interview, E2 acknowledged toxic materials stored by the facility were not stored in a locked area and inaccessible to residents.

Based on documentation review, record review, and interview, the manager failed to ensure a personnel record for each employee included documentation of the individual's completed orientation, for one of three personnel records sampled. The deficient practice posed a risk if the employees were unable to meet residents' needs. Findings include: 1. A review of the facility's documentation revealed a policy and procedure titled "Employee Orientation and CEU's" (continuing education units). The procedure stated, "...2. Ensure the new employees are provided with training on the items listed on the New Employee Orientation form before they begin their regular job duties..." 2. A review of E3's personnel record revealed E3 was hired as an assistant caregiver June 2024. Further review revealed a document titled "Employee Orientation." However, the document was blank. 3. In an interview, E1 acknowledged E3's personnel record did not include documentation of E3's completed orientation required by policies and procedures.