Citrus Manor Assisted Living, LLC.

“Based on documentation review, record review, and interview, the manager failed to ensure compliance with A.R.S. § 36-411 based on one of three records sampled. The deficient practice posed a risk if the employee was a danger to a vulnerable population. Findings include: 1. A.R.S. § 36-411 states, "A... as a condition of licensure or continued licensure of a residential care institution, a nursing care institution or a home health agency and as a condition of employment in a residential care institution, a nursing care institution or a home health agency, employees and owners of residential care institutions, nursing care institutions or home health agencies or contracted persons or volunteers who provide medical services, nursing services, behavioral health services, health-related services, home health services or supportive services and who have not been subject to the fingerprinting requirements of a health professional's regulatory board pursuant to title 32 shall have valid fingerprint clearance cards that are issued pursuant to title 41, chapter 12, article 3.1 or shall apply for a fingerprint clearance card within twenty working days of employment or beginning volunteer work..." 2. A review of E3's personnel record revealed E3 worked as a caregiver and had a hire date of May 9, 2025. The personnel record revealed a fingerprint clearance card with an expiration date of October 22, 2025. 3. A review of the Department of Public Safety (DPS) fingerprint clearance card database revealed no information was found or yielded in the search. 4. A review of the facility's March 2026 work schedule revealed E3 was scheduled to work during the month of March. 5. In an interview, O1 made call attempts and spoke with E1 and E3 to obtain a valid fingerprint clearance card for E3 with no information being provided to the Compliance Officer before the inspection concluded. 6. In an exit interview, findings were reviewed with O1 and no additional information was provided.”

“Based on documentation review, record review, and interview, the governing authority failed to ensure the health, safety, or welfare of a resident was not placed at risk of harm. The deficient practice posed a risk as the resident's whereabouts were unknown. Findings included: 1. A review of Department records revealed [R2] was found wandering the streets. Someone found [R2] took [R2] to the Fire Department. [R2] was taken back to the facility. The facility was unaware of [R2] leaving the facility.  2. A review of R2's medical record revealed an "Unusual Occurrence Report" dated February 23, 2026 at 10:04 am. The report stated "Resident eloped from facility..called 911..." 3. A review of R2's medical record revealed documentation showing R2 had a diagnosis of "Alzheimer's Disease". Additionally, R2's medical record revealed a service plan dated January 21, 2026, that stated "Wandering at times" and "Cognitive Skills for Daily Decision Making - Severely impaired". 4. In an exit interview, E1 acknowledged R2 eloped from the facility, and no additional information was provided.”

“Based on record review and interview, the health care institution failed to implement tuberculosis (TB) infection control activities that included annual training and education related to recognizing the signs and symptoms of TB to individuals employed by the health care institution. The deficient practice posed a risk as the caregiver received no organized instruction or information related to TB surveillance.    Findings include: 1. Review of E1's personnel record revealed that there was no annual continuing education training for recognizing the signs and symptoms of TB. 2. Review of E2's personnel record revealed that there was no annual continuing education training for recognizing the signs and symptoms of TB. 3. In an exit interview, the findings were discussed with E2 and no additional information was provided. 4. Technical assistance was provided on this Rule during the inspection conducted on August 3, 2022, and this is a repeat deficiency from the inspection conducted on September 5, 2023.”