Ibransie Loving Care Home

Based on record review and interview, the manager failed to ensure a caregiver provided a resident with the assisted living services in the resident's service plan, for three of three residents sampled. The deficient practice posed a risk as residents did not receive the expected services. Findings include: A.R.S. \'a7 36-401(39) "Personal care services" means assistance with activities of daily living that can be performed by persons without professional skills or professional training and includes the coordination or provision of intermittent nursing services and the administration of medications and treatments by a nurse who is licensed pursuant to title 32, chapter 15 or as otherwise provided by law. 1. A review of R1's medical record revealed a service plan dated in May 2023 for personal care services. The service plan stated R1 was to receive assistance in activities of daily living for the following services: -Nail care: Check fingernails daily and clean as needed, trim as needed; and -Incontinent check: Change undergarment and change if soiled, Apply skin barrier. 2. A review of R1's activities of daily living (ADL) sheet dated in August 2023 revealed documentation to indicate R1 received assistance with the above mentioned services according to R1's service plan was not available for review. 3. A review of R2's medical record revealed a service plan dated in February 2023 for personal care services. The service plan stated R2 was to receive assistance in activities of daily living for the following services: -Nail care: Check fingernails daily and clean as needed, trim as needed; and -Incontinent check: Check every hour, Apply skin barrier 4. A review of R2's ADL sheet dated in August 2023 revealed documentation to indicate R2 received assistance with the above mentioned services according to R2's service plan was not available for review. 5. A review of R3's medical record revealed a service plan dated in July 2023 for personal care services. The service plan stated R3 was to receive assistance in activities of daily living for the following services: -Nail care: Check fingernails daily and clean as needed, trim as needed; and -Incontinent check: Check every hour, Change undergarment and cleanse if soiled. 6. A review of R3's ADL sheet dated in August 2023 revealed documentation to indicate R3 received assistance with the above mentioned services according to R3's service plan was not available for review. 7. In a joint interview, E1 and E2 acknowledged a caregiver had not provided R1, R2, and R3 with the assisted living services in the resident's service plans.