Heritage Court Post Acute of Scottsdale

Violation cited

Violation cited

Violation cited

Violation cited

Violation cited

Violation cited

Violation cited

Violation cited

Violation cited

Violation cited

Violation cited

Violation cited

Violation cited

Based on clinical record review, staff interviews, and review of facility policies and procedures, the facility failed to ensure adequate supervision was provided to one resident (#1) to prevent elopement. Findings included: Resident #1 was admitted to the facility on December 11, 2024 with diagnosis of encephalopathy, dementia, and alzheimer's Disease. A review of record titled LN-Elopement/Wandering Evaluation-V2 dated December 11, 2024 revealed a score of 10.0 indicating resident is high risk. A review of care plan initiated on December 11, 2024 revealed resident at risk for impaired cognitive function/dementia or impaired thought processes related to new environment. The interventions with a revision date of December 30, 2024 included to administer medication as ordered, identify self at each interaction, face when speaking and make eye contact, reduce any distractions- turn off TV, radio, close door etc., use simple, directive sentences, provide with necessary cues- stop and return if agitated, and keep routine consistent and try to provide consistent care givers as much as possible in order to decrease confusion A review of care plan initiated on December 12, 2024 revealed Elopement risk/wanderer related to dementia. The goal included that safety will be maintained through the review date. The interventions with a revised date of December 16, 2024 included 1:1 supervision, document wandering behavior and attempted diversional interventions, identify pattern of wandering: Is wandering purposeful, aimless, or escapist? Is resident looking for something? Does it indicate the need for more exercise? Intervene as appropriate and provide structured activities: toileting, walking inside and outside, provide structured activities: toileting, walking inside and outside, reorientation strategies including signs, pictures and memory boxes. A review of record titled POC Response History Task: Behavior Symptoms dated December 15, 2024 at 15:12 revealed a check mark for wandering. Review of record dated December 15, 2024 revealed "At approximately 1915 it was noted that patient was no longer in her room. Staff conducted a room to room search and searched area around the building. Police were notified at approximately 1930 and a search was initiated. Police found the patient on the corner of Osborn and Miller street and returned her to facility. A head to toe assessment was performed and no injuries were noted". Staff notified the provider and family member, care plan updated and one on one supervision was initiated. Review of MDS (Minimum Data Set) assessment dated December 16, 2024 revealed a Brief Interview for Mental Status (BIMS) score of 3.0 indicating severely impaired cognition, resident has inattention and disorganized thinking behavior continuously present, does not fluctuate, has wandering behavior occured 1 to 3 days, and has an active diagnosis of Anemia, Hypertension, Alzheimer's Disease, and Non-Alzheimer's Dementia. Review of facility docu