Jocelyn Turner Adult Foster Care Home

Based on record review, documentation review, and interview, the health care institution failed to ensure a training program for all staff regarding fall prevention and fall recovery, which included initial training and continued competency, was implemented. Findings include: 1. A review of E1’s personnel record revealed evidence of documentation indicating E1 had received ongoing training in fall prevention and fall recovery in May 2024. However, evidence of documentation indicating E1 had received additional training in fall prevention and fall recovery since May 2024 was unavailable for review. 2. A review of facility documentation revealed training materials related to fall prevention and fall recovery. However, evidence of a formal training program for all staff, which included initial training and continued competency training in fall prevention and fall recovery, was unavailable for review. 3. In an interview, E1 acknowledged they had not developed a fall prevention and fall recovery training program as required, per A.R.S. § 36-420.01.

Based on record review and interview, the chief administrative officer failed to implement tuberculosis (TB) infection control activities, including annual training and education related to recognizing the signs and symptoms of TB. Findings include: 1. A review of E1's personnel record revealed evidence of documentation of annual training in recognizing signs and symptoms of TB in May 2024. However, evidence of documentation of training between June 2024 and August 5, 2025, was unavailable for review. 2. In an interview, E1 acknowledged they had not received training in recognizing the signs and symptoms of TB annually as required.

Based on documentation review and interview, the manager failed to ensure a disaster plan was reviewed at least once every 12 months. Findings include: 1. A review of facility documentation revealed a disaster plan that was last reviewed in May 2024. Evidence of documentation indicating the disaster plan had been reviewed between June 2024 and August 5, 2025, was unavailable for review. The disaster plan identified “The Knights Inn” as the primary location residents would be evacuated to in case of a disaster, and included a phone number for the facility. However, a call placed to the phone number revealed it was no longer in service. 2. In an interview, E1 reported they had not reviewed their disaster plan since May 2024. E1 acknowledged the phone number for The Knights Inn was no longer working, and agreed the disaster plan needed to be reviewed and made current.

Based on record review and interview, the manager failed to ensure a resident's medical record contained documentation of notification of the resident of the availability of vaccination influenza (flu) and pneumonia were offered every 12 months, for two of two residents sampled. Findings include: 1. A review of R1's (admitted February 2015) and R2's (admitted September 2018) medical record revealed documentation of notification the flu vaccine. However, evidence of documentation of the availability of the pneumonia vaccine was offered or received was unavailable for review. 2. In an interview E1 acknowledged R1's and R2's medical record did not contain evidence of documentation of the availability of the pneumonia vaccine being offered.

Based on documentation review and interview, the manager failed to ensure a disaster drill for employees was conducted on each shift at least once every three months and documented. Findings include: 1. A review of facility staffing schedules revealed the facility has one 24 hour shift. 2. A review of facility documentation revealed documentation of disaster drills for employees conducted on July 31, 2022, January 30, 2023 and July 30, 2023. However, evidence of documentation of disaster drills for employees conducted in October 2022, January 2023 or April 2023 was not available for review. 3. In an interview E1 acknowledged a disaster drill for employees was not conducted on each shift at least once every three months and documented as required.

Based on observation and interview, the manager failed to ensure that poisonous or toxic materials were stored in a locked area and inaccessible to residents. Findings include: 1. During a tour of the facility, the Compliance Officer observed a plastic storage unit on the back patio, next to the sliding glass door. The storage unit was equipped with a hasp on each door, which overlapped so as to secure the doors with a locking mechanism. However, no locking mechanism was in place and the Compliance Officer was able to open the unit with little effort. Inside, the Compliance Officer observed two bottles of "Super Miracle Bubbles" typically used to entertain children. next to the bottles of bubbles was a bottle of "Jasco Paint Thinner," which was marked, "DANGER! HARMFUL OR FATAL IF SWALLOWED. EYE AND SKIN IRRITANT. COMBUSTIBLE." 2. In an interview E1 acknowledged that the paint thinner was not kept in a locked area, inaccessible to residents. E1 denied knowledge of the chemical being in the storage unit and removed the paint thinner and placed it inside a locked cabinet.