Paradise Living Centers Camelback LLC.

“Based on documentation review, record review, and interview, the manager failed to ensure that a resident provided evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113, for two of two residents 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 R1's medical record revealed no documentation of a risk assessment of prior exposure to infectious TB or a determination if R1 had signs or symptoms of TB. Based on R1's date of acceptance, this documentation was required. 3. A review of R2's medical record revealed no documentation of a risk assessment of prior exposure to infectious TB or a determination if R2 had signs or symptoms of TB. Based on R2's date of acceptance, this documentation was required. 4. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure a resident or resident's representative received a complete written copy of the requirements in subsection (B) and the resident rights in subsection (C) at the time of admission, for one of two sampled residents. The deficient practice posed a risk if the resident was not informed of their rights. Findings include: 1. A review of R2's medical record revealed no documentation to indicate R2 or R2's representative received a complete written copy of the requirements in subsection (B) and the resident rights in subsection (C). 2. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on observation, record review, and interview, the manager failed to ensure that a resident or resident's representative consented to photographs of the resident before the resident was photographed, for one of two residents sampled.  Findings include:  1. During an environmental tour of the facility, the Compliance Officers observed cameras used in the facility to monitor residents' whereabouts.  2. A review of R2's medical record did not contain a photographic consent form signed by the resident or the resident's representative.  3. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure a resident's medical record contained documentation of the resident's orientation to exits from the assisted living facility, for one of two sampled residents. The deficient practice posed a risk if a resident was unaware of the evacuation path to be used in an emergency. Findings include: 1. A review of R2's medical record revealed a document titled "Resident Emergency Orientation." However, the document did not include a signature of receipt by the resident or resident's representative. 2. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on the record review and interview, the manager failed to ensure that the healthcare institution administered a training program for all staff regarding fall prevention and fall recovery, which included both initial training and continued competency training for one of the three personnel sampled. The deficient practice posed a health and safety risk for residents.   Findings include:   1. A review of E3's personnel records revealed no fall prevention and fall recovery training documentation was available for the Compliance Officer to review.   2. In an interview, E1 acknowledged that the facility failed to administer a training program for staff regarding fall prevention and fall recovery.”

“Based on the record review and interview, the manager failed to ensure a written service plan included the signature and date from the resident or the resident’s representative for one of the two residents reviewed. The deficient practice posed a health and safety risk if the resident or representative did not acknowledge the services to be provided. Findings include: 1.   A review of R2's medical record revealed the most recent written service plan for Directed care services dated February 25, 2025. However, this service plan did not include a signature and date from the resident or the resident’s representative. 2.  In an interview, E1 acknowledged that R2's service plan did not include a signature and date from the resident or the resident’s representative.”

“Based on observation, documentation review, and interview, the manager failed to ensure that medication administration policies and procedures were reviewed and approved by a medical practitioner, registered nurse, or pharmacist.   Findings include:   1. During the environmental tour, the Compliance Officer observed that the facility provided medication administration services.   2. A review of facility policies and procedures revealed a policy titled "Medication Services.” However, the medication services policy and procedure were not reviewed, signed, and dated by a medical practitioner, registered nurse, or pharmacist.   3. In an interview, E1 acknowledged that the facility's policies and procedures for medication administration were not reviewed and approved by a medical practitioner, registered nurse, or pharmacist”

“Based on observation and interview, the manager failed to ensure there was a current drug reference guide that was available for use by personnel members. This posed a health and safety risk to the resident if the caregiver was unable to reference a medication a resident was taking.   Findings include:   1. During the environmental tour, the Compliance Officer observed that the facility provided medication administration services.   2. The Compliance Officer requested the current drug reference guide, which was not provided for review.   3. In an interview, E1 acknowledged that the facility did not have a drug reference guide available for use by personnel members.”

“Based on observation and interview, the manager failed to ensure there was a current toxicology reference guide available for use by personnel members.   Findings include: 1.     During an interview, the Compliance Officer requested to review the facility's current toxicology reference guide. However, the toxicology reference guide was not provided for review.   2.     In an interview, E1 acknowledged that the facility did not have a current toxicology reference guide available for use by personnel members.”

“Based on documentation review and interview, the manager failed to ensure the disaster plan required in subsection (A)(1) was reviewed at least once every 12 months.   Findings include:   1. A review of facility documentation revealed no annual disaster plan review was available for review.    2. In an interview, E1 acknowledged that the annual disaster plan review was not available for review.”

“Based on observation and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were maintained in a locked area inaccessible to residents. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed a bottle of "Great Value Toilet Bowl Cleaner" next to the toilet in the unlocked bathroom near the entryway. 2. In an interview, E2 acknowledged the manager failed to ensure poisonous and toxic materials were maintained in a locked area inaccessible to residents. Technical assistance was provided on this rule during the compliance inspection conducted on June 20, 2022.”