Royal Oaks Assisted Living Center

Based on record review and interview, the manager failed to ensure a resident medical record contained documentation of notification of the residents of the availability of vaccination for influenza and pneumonia, according to A.R.S. \'a7 36-406(1)(d), for one of ten residents sampled. The deficient practice posed a potential illness risk to residents. Findings include: 1. A review of R10's medical record revealed documentation of notification of the availability or R10's refusal of vaccination for pneumonia was not available for review. Based on the resident's date of acceptance, this documentation was required. 2. In an interview, E2 acknowledged R10's medical record did not include documentation of notification of the availability or R10's refusal of vaccination for pneumonia.

Based on record review and interview, the manager failed to ensure a resident received orientation to the exits from the assisted living facility and the route to be used when evacuating the assisted living facility within 24 hours after acceptance, for six of ten residents sampled. Findings include: 1. A review of R3's medical record revealed an orientation form signed more than 24 hours after the resident's date of acceptance. 2. A review of R5's medical record revealed an orientation form signed more than 24 hours after the resident's date of acceptance. 3. A review of R7's medical record revealed an orientation form signed more than 24 hours after the resident's date of acceptance. 4. A review of R8's medical record revealed an orientation form signed more than 24 hours after the resident's date of acceptance. 5. A review of R9's medical record revealed an orientation form signed more than 24 hours after the resident's date of acceptance. 6. A review of R10's medical record revealed an orientation form signed more than 24 hours after the resident's date of acceptance. 7. In an interview, E2 acknowledged R3's, R5's, R7's, R8's, R9's, and R10's orientation documentation was not completed showing that they were oriented to the facility's evacuation routes and plans within 24 hours after acceptance. 8. In an interview, E2 explained that E2 misunderstood that residents must be oriented and new documentation signed when residents move from one building to another of the assisted living campus.