Oasis Care Homes, LLC

Based on record review and interview, the manager failed to ensure a caregiver provided evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113, for one of two caregivers sampled. Findings include: 1 . A review of E3's personnel file revealed a TB signs and symptoms screening and a negative TB skin test. However, documentation of a second negative TB skin test was not available for review at the time of inspection. 2 . In an exit interview, the findings were discussed with E4 and no additional information was provided.

Based on record review and interview, the manager failed to ensure a resident provided evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113. Findings include: 1 . A review of R2's medical record revealed documentation of an x-ray indicating freedom from infectious tuberculosis. However, a skin test or a blood test was not available for review at the time of inspection. 2 . In an exit interview, the findings were discussed with E4 and no additional information was provided.

Based on observation and interview, the manager failed to ensure that poisonous or toxic materials stored by the assisted living facility were maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and were inaccessible to residents. The deficient practice posed a risk to physical health and safety of residents. Findings Include: 1. During an environmental inspection of the facility with E1, the Compliance Officers observed a bottle of "Great Value Glass Cleaner" stored under the kitchen sink in an unlocked cabinet. 2. In an exit interview, the findings were reviewed with E1, and no additional information was provided.

Based on documentation review, observation, and interview, the manager failed to ensure the means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort, controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if staff were unaware of the egress of a resident from the facility. Findings include: 1. A review of Department documentation revealed the facility was authorized to provide directed care services. 2. The Compliance Officer observed the front door was equipped with an alarm to alert employees of egress; however, the alarm was not activated at the time of inspection. 3. In an interview, E1 acknowledged the alarm was turned off and there was no means of exiting the facility that controlled or alerted employees of the egress of the resident.

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 three personnel sampled. The deficient practice posed a health and safety risk for residents. Findings Include: 1. A review of the facility's policy's and procedures revealed a policy titled "Policy On: ARS 36-40.01: Health Care Institutions; Fall Prevention and Fall Recovery; Training Programs(ref: SB1373)" which documented Fall Prevention and Fall Recovery training to be completed during initial orientation and then annually. 2. A review of E3's personnel record revealed no documentation was available verifying completion of fall prevention and fall recovery training. 3. In an interview, E4 acknowledged the health care institution did not administer a training program for all staff regarding fall prevention and fall recovery that included initial training and continued competency training.

Based on documentation review, record review, and interview, the manager failed to ensure a caregiver's or assistant caregiver's skills and knowledge are verified and documented before the caregiver or assistant caregiver provided physical health services or behavioral health services and according to policies and procedures for two of three personnel sampled. The deficient practice posed a risk if the employees were unable to meet a resident's needs. Findings include: 1. A review of facility policy and procedures revealed a document titled "Verifying Caregiver's Skills and Knowledge" which stated "The manager will interview and assess the caregiver and test on caregiver skills using an assessment sheet." 2. A review of E2's and E3's personnel records revealed no documentation verifying a caregiver's or assistant caregiver's skills and knowledge. 3. A review of the facility's employee schedule for October 2024 revealed E2 providing services the following dates from 8:00AM to 8:00AM: - October 1 - October 2, 2024; - October 7 - October 11, 2024; - October 14 - October 25, 2024; - October 28 - October 31, 2024. Services were provided from 8:00AM to 4:00PM on the following dates: - October 3 - October 4, 2024. 4. A review of the facility's employee schedule for October 2024 revealed E3 providing services the following dates from 8:00AM to 8:00AM: - October 1 - October 15, 2024; - October 17, 2024; - October 22 - October 31, 2024. Services were provided from 9:00AM to 9:00AM on the following date: - October 23, 2024. 5. In an interview, E4 acknowledged E2's and E3's skills and knowledge were not verified and documented before E2 and E3 provided physical health services.