Sonoran Foothills Assisted Living LLC

Based on record review, documentation review and interview, the manager failed to ensure that the service plan for a resident receiving directed care services included documentation of the resident’s weight, or documentation from a medical practitioner stating that weighing the resident is contraindicated. The deficient practice posed a risk to the physical health and safety of a resident. Finding include: 1. A review of R1’s service plan revealed that the resident was receiving Directed care services. There was a spot for the resident’s weight but it was blank. 2, No documented statement from a medical practitioner stating that weighing R1 was contraindicated was provided. 3. A review of the facility's Policies and Procedures revealed a policy titled, "Scope of Services: number 20" which stated, "The manager will delegate employees monthly to take each resident's vital and measure weight , unless there is a doctor's order to measure vitals more often. The facility provides a chair scale for residents unable to stand up safely." 4. In an interview, E2 acknowledged that the manager failed to ensure that a resident's weight was documented on the service plan as required.

Based on documentation review and interview, the manager failed to ensure the facility's disaster plan was reviewed at least once every 12 months. The deficient practice posed a risk as a disaster plan reinforces and clarifies standards expected of employees. Finding include: 1.Review of Department documentation revealed the Facility was licensed March 18, 2024. 2.Review of facility documentation revealed no completed disaster plan reviews 3. The Disaster Plan policy read, "The disaster plan is reviewed and the review is documented at least once every 12 months and includes the date, and time of the disaster plan review, the name of each employee or volunteer participating in the disaster plan review, a critique of the disaster plan review, and if applicable, recommendations for improvement." 4. In an interview, E2 acknowledged that the facility's disaster plan was not reviewed at least once every 12 months.