The Right Care Assisted Living LLC.

“Based on record review and interview, the manager failed to ensure a written service plan included the signature and date from the resident or representative, for two of two residents sampled. The deficient practice posed a health and safety risk if the resident or representative did not acknowledge the services that were to be provided. Findings include: 1. A review of R1's medical record revealed a written service plan for directed care services dated October 01, 2024. However, the service plan did not include a signature and date from the resident or representative. 2. A review of R2's medical record revealed a written service plan for directed care services dated October 01, 2024. However, the service plan did not include a signature and date from the resident or representative. 3. In an interview, E1 and E4 acknowledged R1's and R2's, service plans did not include a signature and date from the resident or representative.”

“Based on documentation review, observation, and interview, the manager failed to ensure a resident's medical record was protected from loss, damage, or unauthorized use. The deficient practice posed a risk of protected and sensitive resident health information being disclosed without the resident's consent or knowledge. Findings include: 1. A.R.S. \'a7 12-2291(6) "Medical records" means all communications related to a patient's physical or mental health or condition that are recorded in any form or medium and that are maintained for purposes of patient diagnosis or treatment, including medical records that are prepared by a health care provider or by other providers. 2. During the environmental tour, the Compliance Officer observed that medical records for R1, R2, R3, and R4 were stored on a counter top located in a hallway to the right of the front door. The Compliance Officer also observed two ambulatory residents and visitors walking through this hallway to resident rooms multiple times. 3. In an interview, E1 and E4 acknowledged that resident medical records were not protected from loss, damage, or unauthorized use. Technical assistance was provided on this Rule during the compliance inspection conducted April 27, 2023.”

“Based on documentation review, observation, and interview, for a facility authorized to provide directed care services, the manager failed to ensure there was a means of exiting the facility that provided access to an outside area from which a resident could exit to a location at least 30 feet away from the facility and controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1. A review of Department records revealed the facility was licensed to provide directed care services. 2. The Compliance Officer observed two ambulatory residents. 3. During the environmental tour, the Compliance Officer observed the kitchen sliding glass door leading to the backyard. The door leading out to the back yard had a device that was intended to alert employees to the egress of a resident to the outside area. However, the door was not secured and the door chime was not functioning. 4. A review of facility policies and procedures revealed a policy titled "Wandering," the policy stated "5. If alarms are being used on doors and or windows, the caregiver will check them daily for operation and security. a. Alarms that are triggered will be investigated immediately by the caregiver on duty." 5. In an interview, E1 and E4 acknowledged a means of exiting the facility to an outside area did not control or alert employees of the egress of a resident from the facility.”