Scottsdale North INC a L

Based on documentation review, record review, and interview, the manager failed to ensure that a resident's medical record contained documentation of the resident's notification of the availability of vaccination for influenza (flu) and pneumonia, according to A.R.S. § 36-406(1)(d), for one of two residents sampled. The deficient practice posed a potential illness risk to residents. Findings include: 1. A.R.S. § 36-406(1)(d) states, "The department shall: Require as a condition of licensure that nursing care institutions and assisted living facilities make vaccinations for influenza and pneumonia available to residents on site on a yearly basis. The department shall prescribe the manner by which the institutions and facilities shall document compliance with this subdivision, including documenting residents who refuse to be immunized. The department shall not impose a violation on a license for not making a vaccination available if there is a shortage of that vaccination in this state as determined by the director." 2. A review of R1's medical record revealed R1 was offered the flu and pneumonia vaccines on August 12, 2023. However, documentation of additional offers was not available for review. 3. In an interview, E1 acknowledged R1's medical record did not contain documentation of R1's notification of the availability of vaccinations according to A.R.S. § 36-406(1)(d).

Based on documentation review, observation, and interview, for a facility authorized to provide directed care services, the manager failed to ensure there was a means of exiting the facility that provided access to an outside area from which a resident could exit to a location at least 30 feet away from the facility and controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if facility staff were unaware of the egress of a resident from the facility. Findings include: 1. A review of Department records revealed the facility was licensed to provide directed care services. 2. During the environmental tour, the Compliance Officer observed a door located in the resident dining area leading to the back porch. However, the door was not secured and the door chime was not activated. 3. During the environmental tour, the Compliance Officer observed multiple doors between the kitchen and living room area, one of the doors leading to the front of the facility and two doors leading to the back porch. However, the doors were not secured and the door chimes were not activated. 4. Throughout the inspection, the Compliance Officer observed residents exiting the facility to the back porch without alerting the employees. 5. In an interview, E1 acknowledged a means of exiting the facility to an outside area allowing a resident to be at least 30 feet away from the facility did not control or alert employees of the egress of a resident from the facility.