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Source: AZ State Licensing Agency
On June 9, 2025, an on-site review of the plan of correction was conducted. The plan of correction was accepted for all citations.
The following deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00208825, AZ00223007, and 00120771 conducted on March 10, 2025:
Based on observation, record review, and interview, the manager failed to ensure that the premises and equipment used at the assisted living facility were free from a condition or situation that may cause a resident or other individual to suffer physical injury. The deficient practice posed a health and safety risk to residents. Findings include: 1. During an environmental tour of the facility, the Compliance Officers observed the following materials stored on the counter in R2's bathroom: Dawn Dish soap: Remedy Essentials Antifungal Cream: and Remedy Clinical Antifungal Powder. 2. A review of R2's service plan revealed R2 received directed care services. 3. In an interview, E1 acknowledged that the premises and equipment used at the assisted living facility were free from a condition or situation that may cause a resident or other individual to suffer physical injury.
Based on observation, record review, and interview, the manager failed to ensure that medication stored by the facility was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage. The deficient practice posed a risk to residents who were unable to self-administer medication. Findings include: 1. During an environmental tour of the facility, the Compliance Officers observed the facility's medication cabinet to be equipped with a lock. However, the lock was not engaged at the time of inspection. 2. During an environmental tour of the facility, the Compliance Officers observed a container of Visine Red Eye Drops stored on the nightstand in R2's bedroom. 3. A review of R2's medical record revealed R2 required directed care services and medication administration. 4. In an interview, E1 acknowledged medication stored by the facility was not maintained in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage.
Based on observation and interview, the manager failed to ensure 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 tour of the facility, the Compliance Officers observed the following foods open and stored in an unrefrigerated kitchen cabinet: Great Value Grape Jelly; and Great Value Soy Sauce. 2. In an interview, E1 acknowledged that the foods requiring refrigeration were not maintained at 41° F or below.
Based on observation and interview, the manager failed to ensure, poisonous or toxic materials were maintained in a locked area and inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. During an environmental tour of the facility, the Compliance Officers observed the following materials stored in an unlocked bottom cabinet under the kitchen sink: Lysol kitchen Pro cleaner; and Great Value Disinfectant Spray. The cabinet was equipped with a lock; however, the lock was not in use at the time of inspection. 2. In an interview, E1 acknowledged the aforementioned poisonous or toxic materials were not maintained in a locked area and inaccessible to residents.
No deficiencies were found during the on-site abbreviated initial follow-up inspection conducted on February 27, 2024.
No deficiencies were found during the on-site initial inspection conducted on December 1, 2023.
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