Parkridge Assisted Living

Based on documentation review, record review, and interview, the manager failed to ensure that a personnel record for each employee or volunteer included documentation of compliance with the requirements in A.R.S. § 36-411. The deficient practice posed a risk as required information could not be verified for personnel. Findings include: 1. A review of A.R.S. § 36-411 revealed the following: "C. Each residential care institution, nursing care institution and home health agency shall make documented, good faith efforts to: 3. Beginning January 1, 2025, verify that a potential employee is not on the adult protective services registry pursuant to section 46-459. If a potential employee is found to be on the adult protective services registry, the residential care institution, nursing care institution or home health agency may not hire the potential employee. 4. On or before March 31, 2025, verify that each employee is not on the adult protective services registry pursuant to section 46-459. If an employee is found to be on the adult protective services registry, the residential care institution, nursing care institution or home health agency shall take action to terminate the employment of that employee." 2. Review of E1's and E4’s personnel records revealed no documentation of an Adult Protected Services (APS) registry check. 3. In an exit interview, the findings were reviewed with E2 and no additional information was provided.

Based on observation and interview, the manager failed to ensure there was a means of exiting the facility for a resident who did not have a key, special knowledge for egress, or the ability to expend increased physical effort that provided access to an outside area that monitored or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1. During an environmental inspection of the facility with E3, the Compliance Officers observed there was an alarm on the sliding door to backyard, however, the alarm was not in working order. 2. During an environmental inspection of the facility with E3, the Compliance Officers observed the sliding door to the backyard was not monitored. 3. In an exit interview, the findings were reviewed with E2 and no additional information was provided.

Based on observation and interview, the manager failed to ensure that foods requiring refrigeration were maintained at 41° F or below. The deficient practice posed a risk for potential food borne illnesses. Findings include: 1. During an environmental inspection of the facility with E3, the Compliance Officers observed two cartons of eggs stored in the pantry. 2. In an interview, E3 reported the eggs had been sitting out in the pantry for over 24 hours. 3. In an exit interview, the findings were reviewed with E2 and no additional information was provided.

Based on observation and interview, the manager failed to ensure that the swimming pool was locked when not in use. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. During an environmental inspection of the facility with E3, the Compliance Officers observed that there was no lock on the pool gate. The pool was not in use during this time. 2. In an exit interview, the findings were reviewed with E2 and no additional information was provided.

Based on observation and interview, the manager failed to ensure that the swimming pool had a life preserver or shepherd’s crook available and accessible in the swimming pool area. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. During an environmental inspection of the facility with E3, the Compliance Officers observed that there was no life preserver or shepherd’s crook available and accessible in the swimming pool area. 2. In an exit interview, the findings were reviewed with E1 and no additional information was provided.

Based on documentation review, record review, and interview, the manager failed to ensure if a manager had a reasonable basis, according to A.R.S. \'a7 46-454, to believe abuse had occurred on the premises, the manager complied with all the requirements, which posed a health and safety risk. Findings include: 1. A.R.S. \'a7 46-454. stated, "Duty to report abuse, neglect and exploitation of vulnerable adults; duty to make medical records available; violation; classification A. A health professional...or other person who has responsibility for the care of a vulnerable adult and who has a reasonable basis to believe that abuse, neglect or exploitation of the adult has occurred shall immediately report or cause reports to be made of such reasonable basis to a peace officer or to the adult protective services central intake unit...All of the above reports shall be made immediately by telephone or online. B. If an individual listed in subsection A of this section is an employee or agent of a health care institution as defined in section 36-401 and the health care institution's procedures require that all suspected abuse, neglect and exploitation be reported to adult protective services as required by law, the individual is deemed to have complied with the requirements of subsection A of this section by reporting or causing a report to be made to the health care institution in accordance with the health care institution's procedures." 2. Review of Department documentation revealed an alleged incident that occurred on September 28, 2023. This incident alleged R3 was inappropriately touched in the shower by a male caregiver. 3. Review of R3's medical record revealed a document titled "Incidents Log" dated September 29, 2023. This document stated "...Management immediately took action by informing the POA regarding the incident. The management team immediately put the caregiver is question on leave while they investigated the reported incident. The resident was also questioned by the facility nurse..." 4. In an interview, E1 reported E4 was the caregiver involved in the incident and E4 had been terminated. 5. Review of R3's medical record revealed no documentation of reporting this incident to Adult Protective Services (APS) or the police. Additionally, documentation was not available that showed documentation of the suspected abuse or the investigation of the suspected abuse. 6. Review of R3's medical record revealed a document titled "Incidents Log" dated September 29, 2023. This document stated "...The manager spoke to the POA and the POA reported that while (POA) took the resident shopping, the resident reported that (R3) got into an argument with another resident over the TV remote and the resident touched (R3's) breast. The management closed the case based on the conflicting reports provided by the resident." 7. Review of R3's medical record revealed no documentation of reporting this incident to APS or the police. Additionally, documentation was not

Based on record review and interview, the manager failed to ensure a personnel record was maintained for at least 24 months after the last date of providing services for one former employee. Findings include: 1. Review of R3's medical record revealed a document titled "Incidents Log" dated September 29, 2023. This document stated "...Management immediately took action by informing the POA regarding the incident. The management team immediately put the caregiver is question on leave while they investigated the reported incident. The resident was also questioned by the facility nurse..." 2. In an interview, E1 reported E4 was the caregiver involved in the incident and E4 had been terminated. 3. Review of the personnel records revealed no record for E4. 4. In an interview, E1 reported E4's personnel record was not available.