Rialto House Assisted Living.

“Based on documentation review, record review, and interview, the manager failed to ensure a caregiver provided evidence of freedom from infectious tuberculosis (TB) on or before the date the individual began providing services at the assisted living facility and as specified in R9-10-113, for one of two personnel sampled. The deficient practice posed a potential illness risk to residents. Findings include: 1. R9-10-113.A states, "If a health care institution is subject to the requirements of this Section, as specified in an Article in this Chapter, the health care institution's chief administrative officer shall ensure that the health care institution establishes, documents, and implements tuberculosis infection control activities that...2. Include: a. For each individual who is employed by the health care institution, provides volunteer services for the health care institution, or is admitted to the health care institution and who is subject to the requirements of this Section, screening, on or before the date specified in the applicable Article of this Chapter, that consists of: i. Assessing risks of prior exposure to infectious tuberculosis, ii. Determining if the individual has signs or symptoms of tuberculosis, and iii. Obtaining documentation of the individual's freedom from infectious tuberculosis according to subsection (B)(1)..."    2. A review of the facility’s policies and procedures revealed a policy titled "Tuberculosis Screening 28 A.A.R 1113”. The policy stated, “As part of the facility’s pre-employment or resident’s admission process, any individual previously mentioned should present a documentation of evidence of freedom from Tuberculosis either using a two-step Tuberculin Skin Test (TST) or other TB testing recommended by CDC (Baseline Testing) that should be dated within 12 months of start or admission date.” 3. A review of E5’s personnel record revealed a TB skin test that was more than 12 months old. However, after further review, no additional documentation of a second TB test was revealed. 4. In an exit interview, the findings were discussed with E1 and E2 and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure that the service plan for a resident receiving directed care services included coordination of communications with the resident’s representative, family members, and, if applicable, other individuals identified in the resident’s service plan for one of two residents sampled. Findings include: 1. A review of R1’s medical record revealed a current service plan dated March 9, 2026. The service plan indicated R1 received directed care services. R1’s service plan did not include coordination of communications with the resident’s representative, family members, and, if applicable, other individuals identified in the resident’s service plan. 2. In an exit interview, the findings were discussed with E1 and E2, and no additional information was provided.”