Ordinary Lifestyles IV

Based on record review and interview, the manager failed to ensure that one of one sample personnel record contained evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113. Findings include: 1. The record for E3 (Caregiver) contained documentation indicating that one TB test was administered within the 12 months prior to the date of hire. No other TB test documentation conducted within the past 12 months was found in the record. Based on the employee's date of hire this documentation would be required. 2. During an interview, E1 acknowledged that the employee worked more than eight hours per week and the documentation did not reflect that the employee record contained evidence of freedom from TB as specified in R9-10-113, prior to providing services to residents.

Based on observation and interview, the manager failed to ensure that the hot water temperature in areas of the assisted living facility used by residents was maintained between 95\'ba F and 120\'ba F. Findings include: 1. The temperature of the hot water found in the common resident bathroom located next to the living room was 125\'ba F. 2. During an interview, E1 acknowledged the hot water temperature located in an area used by residents was not maintained between 95\'ba F and 120\'ba F.

Based on record review and interview, the manager failed to ensure that the health care institution implemented tuberculosis infection control activities that included annually providing training and education related to recognizing the signs and symptoms of tuberculosis (TB) to individuals employed by the health care institution. Findings include: 1. Review of the record for E1 failed to reveal documentation indicating that annual training related to recognizing the signs and symptoms of TB had been completed. No TB training documentation was available for review. 2. During an interview, E1 acknowledge that the required documentation was not available.

Based on documentation review and interview, the manager failed to ensure that the health care institution established, documented, and implemented tuberculosis infection control activities that included annually assessing the health care institution's risk of exposure to infectious tuberculosis. Findings include: 1. Review of facility documentation failed to reveal an annual assessment of the health care institution's risk of exposure to infectious tuberculosis. 2. During an interview, E1 acknowledged that the required documentation was not available for review.

Based on record review and interview the health care institution failed to develop and administer a training program for all staff regarding fall prevention and fall recovery as required in A.R.S. \'a7 36-420.01. Findings include: 1. Review of the record for E3 (hired November 4, 2015), failed to reveal that fall prevention and fall recovery training had been conducted annually. Documentation indicated that the last traing had been conducted on October 21, 2021. 2. During an interview, E1 indicated that training for fall prevention and fall recovery had not been conducted as required in A.R.S.36-420.01.

Based on record review and interview, the manager failed to ensure that one of three sample resident records contained documentation of notification to the resident of the availability of vaccinations for influenza and pneumonia. Findings include: 1. The record belonging to R1 contained no documentation indicating that the resident had been notified of the availability of either the influenza or pneumonia vaccination on a yearly basis. No additional documentation indicating when the resident had been offered, refused or received either vaccination, was available for review. Based on the resident's date of acceptance, this documentation was required. 2. During an interview, E4 acknowledged that the vaccinations had been made available to the resident on a yearly basis however, the record did not contain the required documentation.

Based on documentation review and interview, the manager failed to ensure that the disaster plan was reviewed at least once every 12 months. Findings include: 1. Review of facility disaster plan review documentation indicated that the last review was conducted on December 31, 2020. 2. During an interview, E4 acknowledged that the documentation failed to reflect that a review had been conducted at least once every 12 months.

Based on documentation review and interview, the manager failed to ensure that the assisted living home smoke detectors were tested at least once a month. Findings include: 1. Twelve months of smoke detector test documentation was requested. No documentation was available for review for the following dates: July - December, 2022. 2. During an interview, E1 stated "I can't find the documentation. I'm sure we did the checks."

Based on documentation review and interview, the manager failed to ensure that one of three pets that was allowed in the facility was licensed consistent with local ordinances. Findings include: 1. Documentation for O2, a dog allowed in the facility, failed to reflect that the dog was licensed. 2. During a telephone interview with the local authority it was determined that the dog required a license. 3. During an interview, E4 acknowledged that facility documentation failed to indicate the dog had a current license.

Based on documentation review and interview, the manager failed to ensure that one of three pets that reside at the facility were vaccinated against rabies. Findings include: 1. Documentation for O1, a dog observed in the facility, indicated that the dog's rabies vaccination expired on June 22, 2023. 2. During an interview, E1 acknowledged the documentation available for review failed to reflect the pet was currently vaccinated against rabies.