Infinite Care in Gilbert

Based on observation and interview, the manager failed to ensure medication was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage. The deficient practice posed a risk to residents who were unable to self-administer medications. Findings include: 1. During an environmental tour of the facility, the Compliance Officer observed resident medication stored in an unlocked cabinet within a storage room. However, the door to the room was unlocked at the time of inspection. 2. In an interview, E1 acknowledged medication was not stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage. This is a repeat citation from the on-site compliance inspection conducted on August 23, 2022.

Based on documentation review, record review, and interview, the manager failed to ensure the health care institution administered a training program for all staff regarding fall prevention and fall recovery that included initial training and continued competency training for one of two personnel sampled. The deficient practice posed a health and safety risk for residents. Findings include: 1. A review of the facility's policies and procedures revealed a policy titled, "Fall Prevention and Recovery." The policy stated, "Employee Training ... a) Falls in the Elderly will be included in the orientation of a new employees for awareness ... b)All new caregivers will have a training on fall prevention one month after hire date." 2. A review of E2's personnel record revealed continued education training on Fall Prevention dated June 26, 2024. However no documentation of fall recovery training was available for Compliance Officer review. 3. In an interview, E1 acknowledged documentation of fall recovery training was not available for review for E2. This is a repeat citation from the on-site compliance inspection conducted on August 23, 2022.

Based on record review and interview, the manager failed to ensure a service plan included documentation of the resident's weight or documentation from a medical practitioner stating weighing the resident was contraindicated, for one of one residents sampled receiving directed care services. The deficient practice posed a health and safety risk to the residents. Findings include: 1. A review of R2's medical record revealed R2 received directed care services. 2. A review of R2's service plan dated August 1, 2024 revealed no documentation of R2's weight. In addition, R2's medical record revealed no documentation from a medical practitioner stating weighing R2 was contraindicated. 3. In an interview, E1 acknowledged R2's service plan did not include documentation of R2's weight and documentation was not available in R2's medical record from a medical practitioner stating weighing R2 was contraindicated.

Based on record review, observation, documentation review, and interview, the manager failed to ensure that there was a means of exiting the facility that controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1. A review of R2's medical record revealed R2 received directed care services. 2. During an environmental tour of the facility, the Compliance Officer observed the front door, sliding back door to the patio, and the door to garage were equipped with an alarm to alert employees of egress; however the alarms were not turned on at the time of inspection. 3. A review of the facility's policies and procedures revealed a policy titled, "Awareness of the General/Specific Whereabouts of a Resident in the Facility." The policy stated, "D. The facility will be equipped with cameras and an alarm system in strategic places that would alert the caregivers of the resident's presence and whereabouts and prevent the residents from leaving the facility without their knowledge. The side door leading to the patio and the door in the master bedroom will be equipped with a security lock to prevent the resident from exiting without the caregiver's knowledge." 4. In an interview, E1 acknowledged that the facility provided directed care services, and did not contain a way to control or alert employees of the egress of a resident from the facility on all exits.