Mesa Adult Care Home II.

“Based on observation and interview, the manager failed to ensure a resident was not subjected to a restraint. The deficient practice posed a health and safety risk to the resident. Findings include: 1. R9-10-101.199 defines "Restraint" as any physical or chemical method of restricting a patient's freedom of movement, physical activity, or access to the patient's own body. 2. A review of R1's medical record revealed a service plan for directed care services dated September 8, 2025. This service plan reported that R1 was "bed-bound" and "does not walk." 3. During an environmental inspection of the facility, the Compliance Officer observed R1 lying in bed with a half bedrail positioned on the top half of the bed, and a Geri Chair was moved up against the bed near the foot of the bed. The other side of the bed was pushed up against the wall. 4.In an interview, E1 and E4 acknowledged R1 had been subjected to restraints. 5. In an exit interview, the findings were reviewed with E1 and E4, and no additional information was provided. This is a repeat deficiency from the compliance inspection conducted on July 25, 2023.”

“Based on record review and interview, the manager retained a resident who was confined to a bed or chair without meeting the requirements of R9-10-814(B)(2)(b)(iii), for two of two residents sampled. The deficient practice posed a risk if the facility was unable to meet a resident's needs. Findings include:     1. R9-10-814(B)(2)(b)(iii) states, "A manager of an assisted living facility authorized to provide personal care services may accept or retain a resident who is confined to a bed or chair because of an inability to ambulate even with assistance if: the resident's primary care provider... examines the resident... at least once every six months throughout the duration of the resident's condition; reviews the assisted living facility's scope of services; and signs and dates a determination stating that the resident's needs can be met by the assisted living facility..."   2. A review of R1's service plan (dated September 8, 2025) revealed R1 received directed care services and was confined to a bed or chair. 3. A review of R1's medical record revealed documentation of the determination required dated October 3, 2024. However, additional documentation signed by R1's primary care provider was not available for review. 4. A review of R2's service plan (dated July 29, 2025) revealed R2 received directed care services and was confined to a bed or chair. 5. A review of R2's medical record revealed documentation of the determination required dated January 7, 2025. However, additional documentation signed by R2's primary care provider was not available for review. 6. In an exit interview, the findings were reviewed with E1 and E4 and no additional information was provided.”

“Based on record review and interview, for two of two residents reviewed, the manager failed to ensure the service plan, for a resident receiving directed care services, included documentation of the resident's weight. The deficient practice posed a risk if the facility was unable to meet a resident's needs. Findings include: 1. A review of R1's medical record revealed a service plan dated September 8, 2025. However, the service plan did not include documentation of R1's weight. 2. A review of R2's medical record revealed a service plan dated July 29, 2025. However, the service plan did not include documentation of R2's weight. 3. In an exit interview, the findings were reviewed with E1 and E4 and no additional information was provided.”