Lita Caring Home

Based on record review, and interview, the manager failed to ensure a caregiver's skills and knowledge were verified and documented before providing physical health services, and according to policies and procedures for two of two personnel members sampled. The deficient practice, posed a risk to the health and safety of residents if a caregiver was unable to meet the needs of residents. Findings include: 1. A review of E2's personnel record (hired on February 22, 2015), did not reveal documented evidence E2's skills and knowledge had been verified. 2. A review of E3's personnel record, (hired on January 30, 2020), did not reveal documented evidence E3's skills and knowledge had been verified. 3. In an interview, E1 acknowledged E2's and E3's personnel records did not reveal documented evidence E2's and E3's skills and knowledge had been verified before providing physical health services or behavioral health services to residents.

Based on record review and interview, the manager failed to ensure a resident provided evidence of freedom from infectious tuberculosis before or within seven calendar days after the resident's date of occupancy, and as specified in R9-10-113, for two of two residents sampled. Findings include: 1. A review of R1's medical record (admitted in 2022) did not reveal evidence of freedom from TB, dated before or within seven calendar days after the resident's date of occupancy, and as specified in R9-10-113. 2. A review of R2's medical record (admitted in 2023), did not reveal evidence of freedom from TB, dated before or within seven calendar days after the resident's date of occupancy, and as specified in R9-10-113. 3. In an interview, E1 acknowledged R1's and R2's medical records did not reveal evidence of freedom from TB, dated before or within seven calendar days after the resident's date of occupancy, and as specified in R9-10-113.

Based on record review and interview, the manager failed to ensure a resident had a written service plan that was completed no later than 14 days after the resident's date of acceptance for one of two residents sampled. The deficient practiced posed a risk to the health and safety of residents if a service plan was not completed, detailing how the resident's needs would be met. Findings include:. 1. A review of R2's medical record (admitted in 2023), revealed an incomplete service plan. Therefore, the service plan was not completed no later than 14 days after the resident's date of acceptance. 2. In an interview, E1 acknowledged R2's medical record did not reveal a completed service plan, which was completed no later than 14 days after the resident's date of acceptance..

Based on documentation review, 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 for pneumonia according to A.R.S. \'a7 36-406(1)(d) for one of three sampled residents. Findings include: According to A.R.S. 36-406(1)(d) 1. The Department shall: (d) Require as a condition of licensure that nursing care institutions and assisted living facilities make vaccinations for influenza and pneumonia available to residents on site on a yearly basis. 2. A review of R1's medical record did not reveal documented evidence of an offer for a vaccination for influenza and pneumonia to R1. 3. In an interview, E1 acknowledged R1's medical record did not reveal evidence of an offer for a vaccination for influenza and pneumonia to R1, according to A.R.S. 36-406(1)(d).