The Enclave at Anthem Senior Living.

“Based on documentation review and interview, the assisted living center failed to provide a written document which covered A.R.S § 36-420.04.A.1-9, when the assisted living center contacted an emergency responder on behalf of the resident, for one of one resident sampled. Findings include: 1 . A review of R1's medical record revealed an incident where R1 was sent to the hospital by the facility on October 16, 2025. However, documentation of a written document presented to emergency medical services (EMS) that included all items covered under A.R.S § 36-420.04.A.1-9 was not available for review. 2 . In an exit interview with E1 and E2, the finding was discussed and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure the health, safety, or welfare of a resident was not placed at risk of harm. The deficient practice posed a risk to health and safety. Findings include: 1. Review of R1’s medical record revealed a note dated February 18, 2026. This note indicated R1's POA was upset about a man going into R1's apartment. E1 reported the "man" was an independent living resident who came to the Assisted Living dining room for meals and activities. The note further reported “went to speak with the resident...reported O1 walked R1 back to the apartment from the dining room and O1 offered to open the door..R1 reported O1 asked what R1 was doing and R1 answered just watching the Olympics...R1 stated there was a "nurse" in the apartment taking vitals signs." 2. In an interview with E2, the Compliance Officer asked who the "nurse" reference in the note was. E2 stated, "Some nurse comes in to see R1 and takes vitals. The family has hired the nurse, and we don't know what company or what all they do." 3. In an interview with R1 and R1's POA, it was revealed that R1 was transported to the Hospital in October 2025 for difficulty breathing and then later transferred to a rehabilitation facility. R1's POA reported R1 coming back to the facility at the end of November 2025 and was told by the Rehabilitation facility that Medicare would cover for a nurse to check on R1 routinely with no cost to the facility or for the family. R1's POA provided a folder that was near R1's nightstand that contained the name of the company, which was Meridian Health Care Providers, Inc., that provides some oversight, along with staff names and numbers on the front of the folder. The folder contained several documents and a start date of service of December 2025. 4. In an interview with R1, R1 reported not inviting the "man" into the apartment and was a little nervous as jewelry was in the bathroom. R1 reported the "man" did not touch but did make inappropriate gestures and grunts. 5. In an interview with O2, O2 reported that when they arrived at R1's apartment, the door was locked, which was not common. O2 reported "a man" opened the door. O2 indicated upon entry into the apartment, O2 noticed R1 was in the recliner. When asked who "the man" was, R1 indicated "he followed me in and locked the door." O2 reported "the man" was asked to leave, and when O2 walked "the man" out of the apartment, a family member saw "the man" and stated, "we have been looking all over for about an hour". 6. In an exit interview conducted on March 6, 2026, with E1 and E2, the findings were reviewed, and no additional information was provided.”

“Based on observation, record review, and interview, the manager failed to ensure a resident’s medical record contained the name, address, and contact individual, including contact information, of the home health agency or hospice service agency and any information provided by the home health agency or hospice service agency. Findings include: 1. Based on observation, the Compliance Officer observed a folder that was near R1's nightstand that contained the name of the company of Meridian Health Care Providers, Inc. There was a label on the front cover that identified the Administrator, Director of Clinical Services, Nurse, and Physical Therapist. The paperwork inside the folder showed the service start date in December 2025. 2. A review of R1's medical record contained a service plan dated January 2026 for personal care services. However, the service plan did not identify any of the above-mentioned information, nor did any documents in the resident record. 3. In an interview with E2, E2 reported knowing of a nurse who comes in routinely to check R1's vital signs but stated "We don't know the name of the company or what all they do." 4. In an exit interview conducted on March 6, 2026, with E1 and E2, the findings were reviewed, and no additional information was provided.”