Camelback Residential Assisted Living, LLC.

“Based on record review, documentation review, and interview, the health care institution's chief administrative officer failed to implement tuberculosis (TB) infection control activities, which included annually assessing the health care institution's risk of exposure to infectious TB. The deficient practice posed a potential infection risk to residents. Findings include: 1. A review of the facility’s documentation revealed no annual assessment of the facility's TB risk assessment.   2. In an interview, E1 acknowledged that an assessment of the health care institution's risk of exposure to infectious TB was not conducted, but that E1 remembers what the assessment was and looked like. 3. In an exit interview, the findings were reviewed with E1, and no additional information was provided. 4. Technical Assistance was provided regarding this rule during the compliance inspection conducted on March 10, 2025.”

“Based on observation, documentation review, and interview, the manager failed to ensure that medication was stored in a separate locked, self-contained unit used only for medication storage. The deficient practice posed a risk to residents who were not prescribed the accessible medication. Findings include: 1. During the environmental inspection of the facility with E1, the Compliance Officer observed a medication storage cart located in the E1's office with the keys stored in the lock. 2. The Compliance Officer observed the following items stored in the side shelf of the refrigerator located in the kitchen area adjacent to the common resident area. The refrigerator was unlocked and accessible at the time of inspection: "Latanoprost Ophthalmic Solution 125 mcg." and "Latanoprost 0.005% Eye Drops 2.5ML." 3. A review of the facility’s policies and procedures, titled ‘Keys,' reviewed and signed, stated: "To maintain a secure environment, the Manager is responsible for training the staff and enforcing our policy on keys. Only those people authorized by this policy may have keys. Procedure: If rooms lock resident may be issued individual room keys and may lock their private area, staff must have access at all times. Other areas of the facility may have restricted access as stated below: "Area: Offices. Whom: Manager/Licensee. Area: Med Cabinets/Carts Narc lock box. Whom: Caregivers as assigned, Manager." 4. In an exit interview, findings were reviewed with E1, and no additional information was provided.”

“Based on observation and interview, the manager failed to ensure the posting of the current phone numbers of: the unit in the Department responsible for licensing and monitoring the assisted living facility, Adult Protective Services in the Department of Economic Security, the State Long-Term Care Ombudsman, and the Arizona Center for Disability Law; and the location at which a copy of the most recent Department inspection report and any plan of correction resulting from the Department inspection may be viewed were conspicuously posted. Findings include: 1. In observation, the facility did not have the required telephone numbers posted for the Department, Adult Protective Services, the State Long-Term Care Ombudsman, and the Arizona Center for Disability Law. The facility also did not have posted the location of the recent Department inspection report and plan of correction for viewing. 2. During an interview, E1 and E2 acknowledged the required telephone numbers were not posted and the location of the Department's inspection report and plan of correction was also not posted.”

“Based on documentation review, record review, and interview, for one of two residents reviewed, the manager failed to ensure a resident provided documentation of freedom from infectious tuberculosis (TB) as specified in R9-10-113. The deficient practice posed a potential TB exposure risk to residents and staff.   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. In record review, R1's medical record included documentation of a screening and risk assessment (not completed timely); however, did not include documentation of a TB skin test or blood test showing freedom from TB. Based on R1's date of acceptance, this documentation was required. 3. During an interview, E1 acknowledged R1's medical record did not include documentation of freedom from infectious TB.”

“Based on record review and interview, for two of two residents reviewed, the manager failed to ensure before or at the time of acceptance of an individual, the individual submitted documentation, signed and dated by a Physician, Registered nurse practitioner, Registered nurse, or Physician Assistant, which included whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints. The deficient practice posed a safety risk, if residents were not appropriately assessed on acceptance.   Findings include:   1. In record review, the medical records for R1 and R2 (received directed care services) did not include the required documentation, signed and dated by a Physician, Registered Nurse Practitioner, Registered Nurse or Physician's Assistant, which included whether the resident required continuous medical services, continuous or intermittent nursing services, or restraints. Based on the resident's date of acceptance, this documentation was required.    2. During an interview, E1 acknowledged the residents' records did not include the signed and dated documentation to indicate whether the resident required continuous medical services, continuous or intermittent nursing services, or restraints.”