Mirabella at Asu

Violation cited

Violation cited

Based on clinical record, facility documents, staff interviews and facility policy, the facility failed to ensure that an allegation of abuse was reported to the appropriate state agencies for 3 residents (#65, #164, and #167). Findings include: -Resident #65 was admitted on September 9, 2023 with diagnoses of Aphasia following Cerebral Infarction, and need for assistance with personal care. A Minimum Data Set (MDS) dated 9/11/2023 included that the staff had assessed the resident as severely impaired to make decisions regarding daily life and that the resident had a memory problem An interview was conducted on 11/29/23 at 10:58 a.m. with a social services worker (staff #1) who said that he had walked into the room to ask the resident's daughter some questions and that he saw the resident's private caregiver standing next to her. This staff said that the therapist walking into the room, and that he saw the caregiver lean in and yells in the resident's face that therapy was here and when she did not respond the caregivers' response was to shake her awake. This staff said that the gut reaction was it was forceful and after that another employee asked this staff about the caregiver because she wasn't following some rules. This staff said that it clicked then that this incident was probably abusive and that he asked management to tell him what he needed to do. This staff said that management said that he should report it to Adult Protective Services (APS) and that he did. However, no evidence was provided that this allegation was reported to all the required state agencies and that a thorough investigation was completed. -Resident #164 was admitted on 6/27/2023 with diagnoses of dementia and altered mental status. A care plan included that this resident is a wanderer and that the resident is confused and disoriented An alert note dated 7/3/2023 included that "Patient was witnessed entering into another patient room. When this nurse attempted to redirect the patient, he became aggressive and refused to leave the other patient's room. He approached the other patient in bed, and wanted to hold her hand, telling her he wanted to take her to a dance. A second staff member was called into the room to assist with redirecting this patient. After several attempted, he left the room. The patient laying in bed reports being frightened and feels unsafe." However, no evidence was provided that this allegation was reported to all the required state agencies and that a thorough investigation was completed. -Resident #167 was admitted on 7/4/23 with diagnoses of muscle weakness and cognitive communication deficit. An Admission MDS dated 10/4/23 included that this resident was severely cognitively impaired and required partial to moderate assistance with toileting hygiene and bathing. A progress note dated 10/19/23 included "The following report was received by Adult Protective Services Central Intake Unit: Mirabella at ASU- At approx. 12:20 PM, CNA ..., ran into my

Based on clinical record, facility documents, staff interviews and facility policy, the facility failed to ensure that an allegation of abuse was reported to the appropriate state agencies for 3 residents (#65, #164, and #167). Findings include: -Resident #65 was admitted on September 9, 2023 with diagnoses of Aphasia following Cerebral Infarction, and need for assistance with personal care. A Minimum Data Set (MDS) dated 9/11/2023 included that the staff had assessed the resident as severely impaired to make decisions regarding daily life and that the resident had a memory problem An interview was conducted on 11/29/23 at 10:58 a.m. with a social services worker (staff #1) who said that he had walked into the room to ask the resident's daughter some questions and that he saw the resident's private caregiver standing next to her. This staff said that the therapist walking into the room, and that he saw the caregiver lean in and yells in the resident's face that therapy was here and when she did not respond the caregivers' response was to shake her awake. This staff said that the gut reaction was it was forceful and after that another employee asked this staff about the caregiver because she wasn't following some rules. This staff said that it clicked then that this incident was probably abusive and that he asked management to tell him what he needed to do. This staff said that management said that he should report it to Adult Protective Services (APS) and that he did. However, no evidence was provided that this allegation was reported to all the required state agencies and that a thorough investigation was completed. -Resident #164 was admitted on 6/27/2023 with diagnoses of dementia and altered mental status. A care plan included that this resident is a wanderer and that the resident is confused and disoriented An alert note dated 7/3/2023 included that "Patient was witnessed entering into another patient room. When this nurse attempted to redirect the patient, he became aggressive and refused to leave the other patient's room. He approached the other patient in bed, and wanted to hold her hand, telling her he wanted to take her to a dance. A second staff member was called into the room to assist with redirecting this patient. After several attempted, he left the room. The patient laying in bed reports being frightened and feels unsafe." However, no evidence was provided that this allegation was reported to all the required state agencies and that a thorough investigation was completed. -Resident #167 was admitted on 7/4/23 with diagnoses of muscle weakness and cognitive communication deficit. An Admission MDS dated 10/4/23 included that this resident was severely cognitively impaired and required partial to moderate assistance with toileting hygiene and bathing. A progress note dated 10/19/23 included "The following report was received by Adult Protective Services Central Intake Unit: Mirabella at ASU- At approx. 12:20 PM, CNA ..., ran into my