Via Elegante, Sierra Vista Highlands

Based on documentation review, record review, and interview, the manager failed to immediately report suspected abuse according to A.R.S. \'a7 46-454. The deficient practice posed a risk if a report was not made as required to adequately protect residents involved. Findings include: 1. A.R.S. \'a7 46-454(A) stated "...person who has responsibility for the care of a vulnerable adult and who has a reasonable basis to believe that abuse, neglect or exploitation of the adult has occurred shall immediately report or cause reports to be made of such reasonable basis to a peace officer or to the adult protective services central intake unit ... All of the above reports shall be made immediately by telephone or online." 2. R9-10-101.110 stated "Immediate" means without delay. 3. A review of facility documents revealed a document titled "Incident Statement" dated April 25, 2024 and multiple written witness statements. These documents detailed a possible sexual encounter between two residents on April 19, 2024. Based on the level of understanding by R1 and R2, the incident required a report for possible sexual abuse. 4. In an interview, E1 reported an internal investigation was conducted and ongoing, however the incident was not reported to adult protective services (APS) until April 22, 2024. E1 acknowledged the suspected abuse was not reported according to A.R.S. \'a7 46-454.