Armada Care Homes.

“Based on record review and interview, the manager failed to ensure the assisted living home maintained a standardized form for each resident that included the information prescribed in subsection A of this section for two of two residents reviewed. Findings include: 1. Review of R1's and R2's medical record revealed a document titled "Resident Face Sheet". This document contained some of the information required in subsection A of ARS 36-420.04, however it was missing the following: - The name, address and telephone number of the resident's current pharmacy; -A copy of the resident's health insurance portability and accountability act release authorizing a receiving hospital to communicate with the assisted living center or assisted living home to plan for the resident's discharge. 2. A review of the facility's emergency documentation revealed a form titled "Assisted Living Resident Transfer Checklist." However, the form was blank at the time of review and was not completed for each individual resident. 3. In an interview, E2 reported that the "Resident Face Sheet" document was the documentation meant to comply with ARS 36-420.04, and that other documentation to comply with ARS 36-420.04 had not been prefilled for each resident. E2 acknowledged that the assisted living home did not maintain a standardized form for each resident.”

“Based on record review, observation and interview, the manager failed to ensure the caregiver documented the services provided in the resident's medical record, for one of two residents reviewed. The deficient practice posed a health and safety risk. Findings include: 1. A Review of R2's medical record revealed a current written service plan for directed care services dated December 8, 2024 . This service plan stated the following services were needed: - Hydration: Water is offered to each resident with every meal - Encourage sufficient fluids to prevent dehydration; - Hygiene - Dependent - Daily - PRN; - Nails - Clean and check with showers; and - Skin Care - PRN Lotion - Monitor skin integrity. However, documentation was not available indicating these services were provided. 3. The Compliance Officer observed R2's nails appeared to be cleaned and maintained. 4. During an interview, E2 acknowledged R2's medical records did not include documentation of the services provided.”

“Based on record review, observation and interview, the manager failed to ensure a medication administered to a resident was administered in compliance with a medication order for two of two residents sampled. The deficient practice posed a risk if the resident experienced a change in condition due to improper administration of medication. Findings include: 1. A review of R1's and R2's medical record revealed R1 and R2 received medication administration. 2. A review of R1's medical record revealed a medication list dated June 18, 2024 discontinuing the order for the following medication: - Valsartan-hydroCHLOROthiazide 80-12.5 milligram (MG) Tablet - 1 tablet Orally Once a day. 3. A review of R1's medication administration record (MAR) for December 2024 revealed R1 received the following medication from December 1, 2024 to December 19, 2024: - Hydrochlorothiazide/Valsartan - Take 1 tab 12.5MG/80MG by mouth daily. 4. An observation of R2's medications revealed a bottle of "Eliquis 5 MG Tab" with a fill date of December 2, 2024. A review of the medication revealed a 5 imprinted on one side of the tablet and 894 imprinted on the other side of the tablet. 5. A review of R2's medication organizer revealed one Eliquis 5 MG Tablet prefilled in following days morning medication slots: - Sunday - Monday - Tuesday - Friday - Saturday 6. A review of R2's medical record revealed a medication list signed and dated August 2, 2024. However, Eliquis 5 MG Tab was not included on the orders. 7. A review of R2's medical record revealed a MAR for review. However, Eliquis 5 MG Tab was not documented on the MAR. 8. In an interview. E2 reported that R2 had been administered the prefilled medication including Eliquis 5 MG Tab from the medication organizer on December 18, 2024 and December 19, 2024. E1 reported R2's medication was changed when R2 went to an appointment with family and the order was not provided. E2 acknowledged medication administered to R1 and R2 were not administered in compliance with a medication order.”