Nicolette Assisted Living Home.

“Based on record review and interview, the health care institution failed to administer a training program regarding fall prevention and fall recovery, for three of three personnel members sampled. The deficient practice posed a risk as organized instruction and information related to resident care and safety was not implemented. Findings include: 1. Arizona Revised Statutes (A.R.S.) \'a7 36-420.01. states: "A. Each health care institution shall develop and administer a training program for all staff regarding fall prevention and fall recovery. The training program shall include initial training and continued competency training in fall prevention and fall recovery. A health care institution may use information and training materials from the department's Arizona falls prevention coalition in developing the training program." 2. A review of E1's personnel record revealed a fall prevention and Fall recovery training certificate dated August 7, 2023. 3. A review of E2's and E3's personnel record revealed a fall prevention and fall recovery training certificate dated September 5, 2023. 4. In an interview, E1 acknowledged fall prevention and fall recovery was to be a continued competency training program. E1 also acknowledged there were no fall prevention and fall recovery training for 2024 at the time of the inspection.”

“Based on observation, record review, documentation review, and interview, the manager failed to ensure medication stored by the assisted living facility was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage. The deficient practice posed a risk to residents who were unable to self-administer medications. Findings include: 1. The Compliance Officer observed three pills and an Albuterol Sulfate HFA inhaler 200m on R1's night stand. 2. A review of R1's medical record revealed a service plan dated September 20, 2024. The service plan stated "Medications are locked at all times," and "Staff controls, secures and administers meds." 3. The Compliance Officer observed Mucus Relief 1200mg in the closet of R4's room. 4. A review of R4's medical record revealed a service plan dated July 31, 2024. The service plan stated "Medications are locked at all times," and "Staff controls, secures and administers meds." 5. A review of the facility's policy and procedures revealed a policy titled "Part III- Receiving storing, Inventorying, Tracking and Dispensing Medication" that stated "2. Medication will be locked in the medication storage area." 6. In an interview, E1 acknowledged R1 and R4 received medication administration. E1 acknowledged medications were not stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage. This is a repeat deficiency from the compliance inspection conducted August 1, 2023.”

“Based on documentation review, record review, and interview, the health care institution failed to implement tuberculosis (TB) infection control activities including annually providing 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. A review of E1's personnel record revealed a certificate of attendance for "Annual Tuberculosis Risk Education," dated August 7, 2023. However, current training and education related to recognizing the signs and symptoms of TB was not available. 2. A review of E2's and E3's personnel record revealed a certificate of attendance for "Annual Tuberculosis Risk Education," dated September 5, 2023. However, current training and education related to recognizing the signs and symptoms of TB was not available. 3. In an interview, E1 acknowledged current training and education related to recognizing the signs and symptoms of TB was not available for E1, E2, and E3.”