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Source: AZ State Licensing Agency
The following deficiencies were found during the on-site investigation of complaint 00152360 conducted on January 15, 2026:
Based on observation and interview the administrator failed to ensure that the premises and its structures were in a clean condition. Findings include: 1 . While on a tour of the facility the Compliance Officer observed the following conditions that were not in a clean condition: A window screen on the ground; Excessive weeds in the backyard. 2 . In an exit interview the findings were reviewed with E1 and no further information was provided.
Based on record review and interview the administrator failed to ensure that a resident's comprehensive assessment was reviewed at least once every three months after the date of the current comprehensive assessment and if there was a significant change in the resident's condition. Findings include: 1 . A review of R1's medical records revealed a comprehensive assessment,-Person Centered Support Plan - that was dated August 27, 2025, however, there was not another assessment completed within 3 months following this assessment. 2 . In an exit interview the findings were reviewed with E1 and no further information was provided.
Based on document review and interview the administrator failed to ensure that a work schedule of each personnel member was developed and maintained at the nursing-supported group home for at least 12 months after the date of the work schedule. Findings include: 1 . A review of facility documents revealed that there was not a staff schedule available at the nursing-supported group home of each personnel member, for the Compliance Officer to review, at the time of inspection. 2 . In an exit interview, E1 reported that each personnel member had their own schedule virtually and acknowledged that there was not a work schedule of each personnel that was maintained at the nursing-supported group home.
No deficiencies were found during the on-site initial inspection conducted on December 3, 2024 and the off-site documentation review completed on January 27, 2025.
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