Beverly Assisted Living Home.

“Based on record review and interview, the health care institution failed to ensure training and education related to recognizing the signs and symptoms of tuberculosis (TB) were provided annually to individuals employed by the health care institution, for three of four personnel sampled. The deficient practice posed a potential illness risk to residents.  Findings include:  1. A review of E1's personnel record did not include documentation of completed training on recognizing the signs and symptoms of TB. Based on E1's date of hire, this documentation was required. 2. A review of E2's personnel record did not include documentation of completed training on recognizing the signs and symptoms of TB. Based on E2's date of hire, this documentation was required. 3. A review of E3's personnel record did not include documentation of completed training on recognizing the signs and symptoms of TB. Based on E3's date of hire, this documentation was required. 4. In an interview, E1 acknowledged E1's, E2's, and E3's personnel records did not include documentation of initial and annual training on recognizing the signs and symptoms of TB.”

“Based on documentation review, record review, and interview, the governing authority failed to ensure compliance with A.R.S. § 36-411, for four of four personnel records reviewed. The deficient practice posed a risk if the personnel were a danger to a vulnerable population. Findings include: 1. A.R.S. § 36-411.C states: "C. Owners shall make documented, good faith efforts to: 1. Contact previous employers to obtain information or recommendations that may be relevant to a person's fitness to work in a residential care institution, nursing care institution or home health agency. " 2. A review of E1's, E2's, E3's, and E4's personnel records revealed no documentation showing that the owner had made a good faith effort to contact previous employers to obtain information or recommendations that may be relevant to a person's fitness to work. 3. In an interview, E1 reported that E1 was unaware that references needed to be checked if the experience was not in healthcare. E1 acknowledged that good faith efforts were not completed for E1, E2, E3, and E4.”

“Based on record review and interview, the manager failed to ensure a caregiver provided documentation of completion of a caregiver training program approved by the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers (NCIA Board), for one of four sampled personnel. The deficient practice posed a risk if the employees were not qualified to provide the required services and the Department was provided false or misleading information.   Findings include:    1. A review of E3's personnel record revealed E3 was hired as a caregiver (date of hire unknown). The personnel record contained a caregiver training certificate from "STAMO CONSULTING INC“ (ALTP #0011) dated October 19, 2023. This caregiver training certificate included a trackable certification number.  2. In an interview, E3 stated that they first arrived in Arizona in 2021 and completed caregiver training at a caregiver school, "Platinum Training Services LLC" in Goodyear that same year. E3 was unaware that the certificate was issued in 2013. Additionally, E3 provided an Arizona identification card indicating an issue date of September 10, 2021, which aligns with their arrival in Arizona.  3. A review of the https://azcg.tmutest.com/search website revealed no documentation of a training certificate for E3. However, the website revealed the trackable certification number listed on E3's certificate belonged to E4.     4. In an interview, E1 reported that E3’s certification was not verified upon hire. E1 reported E3 was working at the facility as a caregiver and acknowledged documentation of E3's caregiver certificate was invalid and the Department was provided false or misleading information.”

“Based on documentation review, record review, and interview, the manager failed to ensure that a caregiver received orientation that was specific to the duties to be performed by the caregiver before providing assisted services to a resident, for two of four personnel reviewed. The deficient practice posed a risk if the employees were unable to meet residents’ needs Findings include: 1. A review of the facility's personnel schedule revealed E2 was scheduled to work and provide services at the facility from March 11, 2025, to the present. 2. A review of the facility's personnel schedule revealed E3 was scheduled to work and provide services at the facility from March 1, 2025, to the present. 3. A review of E2's and E3's personnel records did not include documentation of E2's and E3's completed orientation. 4. In an interview, E1 acknowledged E2's and E3's personnel records did not include documentation of completing orientation before E2's and E3's provided services at the facility.”

“Based on record review and interview, the manager failed to ensure a caregiver provided current documentation of cardiopulmonary resuscitation (CPR) training that included a demonstration of the individual's ability to perform CPR, before providing assisted living services, for one of four caregivers sampled. The deficient practice posed a risk if an employee was unable to meet a resident's needs during an emergency.   Findings include:    1. A review of E3's personnel record revealed E3 worked as a caregiver. The personnel record revealed a CPR card that was obtained from "NationalCPRFoundation". 2. In an email exchange, a representative from NationalCPRFoundation, stated "Our courses are online only."   3. In an interview, E1 acknowledged E3 did not have current documentation of CPR training, that included a demonstration of the individual's ability to perform CPR.”

“Based on record review and interview, the manager failed to ensure a personnel record included the individual's starting date of employment, for two of four personnel records sampled.   Findings include:   1. A review of E3's and E4's personnel records revealed no starting dates of employment.   2. In an interview, E1 acknowledged E3's and E4's personnel records did not include the individuals' starting dates of employment.”