Solana Senior Living

Based on record review and interview, the manager failed to ensure a resident had a service plan that was established and documented that was signed and dated by the manager, for one of three sampled residents. Findings include: 1. A review of R1's medical record revealed a service plan dated August 2025. However, the service plan was not signed by the manager. 2. In an interview, when the Compliance Officer showed E1 the unsigned service plan, E1 acknowledged the plan was not signed.

Based on documentation review and interview, the manager failed to ensure a disaster drill for employees was conducted on each shift at least once every three months and documented. The deficient practice posed a risk if employees were unable to implement a disaster plan. Findings include: 1. A review of the facility's work schedule revealed the facility had two shifts: 6:00 am - 6:00 pm and 6:00 pm - 6:00 am. 2. A review of facility documentation revealed a disaster drill conducted on each shift in January 2025, April 2025, and July 2025. However, no documentation of disaster drills after July 2025 was provided for review. 3. In an exit interview, the findings were reviewed with E2, and no additional information was provided.

Based on documentation review, interview, and record review, the assisted living home failed to maintain a standardized form for each resident that included the information prescribed in Arizona Revised Statute (A.R.S.) § 36-420.04(A)(1) through (9) for one of two sampled residents. The deficient practice posed a risk if the emergency responder was not aware of critical health information for a resident. Findings include: 1. A.R.S. 36-420.04.A states, "A. An assisted living center or assisted living home that contacts an emergency responder on behalf of a resident shall provide to the emergency responder a written document that includes all of the following: 1. The reason or reasons the emergency responder was requested on behalf of the resident. 2. Whether the resident receives medication services and, if the resident has provided this information to the assisted living center or assisted living home, a list of all the resident's prescription and over-the-counter medications, their dosages and how frequently they are administered. 3. The name, address and telephone number of the resident's current pharmacy. 4. A list of any known allergies to any medications, additives, preservatives or materials like latex or adhesive. 5. The name and contact information for the resident's primary care physician and power of attorney or authorized representative. 6. Basic information about the resident's physical and mental conditions and basic medical history, such as having diabetes or a pacemaker or experiencing frequent falls or cardiovascular and cerebrovascular events, as well as dates of recent episodes, if known. 7. The point-of-contact information for the assisted living center or assisted living home, including the telephone number, if available, cell phone number and email address. A point of contact must be available to respond to questions regarding the information provided twenty-four hours a day, seven days a week. 8. A copy of the resident's health insurance portability and accountability act release authorizing a receiving hospital to communicate with the assisted living center or assisted living home to plan for the resident's discharge. This paragraph does not preclude a resident from revoking the resident's health insurance portability and accountability act release authorization. 9. A copy of the resident's advance directives, if any, on file at the assisted living center or assisted living home. This paragraph does not preclude a resident from revoking or modifying the resident's advance directives." 2. A review of R3's medical record revealed a standardized form that failed to include a copy of the resident's health insurance portability and accountability act (HIPAA) release. 3. In an exit interview, the findings were reviewed with E1 and E2, and no additional information was provided.