Paradise Living Centers Camelback LLC

Based on the record review and interview, the manager failed to ensure that the healthcare institution administered a training program for all staff regarding fall prevention and fall recovery, which included both initial training and continued competency training for one of the three personnel sampled. The deficient practice posed a health and safety risk for residents. Findings include: 1. A review of E3's personnel records revealed no fall prevention and fall recovery training documentation was available for the Compliance Officer to review. 2. In an interview, E1 acknowledged that the facility failed to administer a training program for staff regarding fall prevention and fall recovery.

Based on the record review and interview, the manager failed to ensure a written service plan included the signature and date from the resident or the resident’s representative for one of the two residents reviewed. The deficient practice posed a health and safety risk if the resident or representative did not acknowledge the services to be provided. Findings include: 1. A review of R2's medical record revealed the most recent written service plan for Directed care services dated February 25, 2025. However, this service plan did not include a signature and date from the resident or the resident’s representative. 2. In an interview, E1 acknowledged that R2's service plan did not include a signature and date from the resident or the resident’s representative.

Based on observation, documentation review, and interview, the manager failed to ensure that medication administration policies and procedures were reviewed and approved by a medical practitioner, registered nurse, or pharmacist. Findings include: 1. During the environmental tour, the Compliance Officer observed that the facility provided medication administration services. 2. A review of facility policies and procedures revealed a policy titled "Medication Services.” However, the medication services policy and procedure were not reviewed, signed, and dated by a medical practitioner, registered nurse, or pharmacist. 3. In an interview, E1 acknowledged that the facility's policies and procedures for medication administration were not reviewed and approved by a medical practitioner, registered nurse, or pharmacist

Based on observation and interview, the manager failed to ensure there was a current drug reference guide that was available for use by personnel members. This posed a health and safety risk to the resident if the caregiver was unable to reference a medication a resident was taking. Findings include: 1. During the environmental tour, the Compliance Officer observed that the facility provided medication administration services. 2. The Compliance Officer requested the current drug reference guide, which was not provided for review. 3. In an interview, E1 acknowledged that the facility did not have a drug reference guide available for use by personnel members.

Based on observation and interview, the manager failed to ensure there was a current toxicology reference guide available for use by personnel members. Findings include: 1. During an interview, the Compliance Officer requested to review the facility's current toxicology reference guide. However, the toxicology reference guide was not provided for review. 2. In an interview, E1 acknowledged that the facility did not have a current toxicology reference guide available for use by personnel members.

Based on documentation review and interview, the manager failed to ensure the disaster plan required in subsection (A)(1) was reviewed at least once every 12 months. Findings include: 1. A review of facility documentation revealed no annual disaster plan review was available for review. 2. In an interview, E1 acknowledged that the annual disaster plan review was not available for review.

Based on observation and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were maintained in a locked area inaccessible to residents. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed a bottle of "Great Value Toilet Bowl Cleaner" next to the toilet in the unlocked bathroom near the entryway. 2. In an interview, E2 acknowledged the manager failed to ensure poisonous and toxic materials were maintained in a locked area inaccessible to residents. Technical assistance was provided on this rule during the compliance inspection conducted on June 20, 2022.