Ahwatukee Comfort Care, LLC.

“Based on documentation review and interview, the manager failed to ensure that policies and procedures were established, documented, and implemented to protect the health and safety of a resident. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident.     Findings include:     1. Review of the facility's Policies and Procedures revealed no policy for the general or specific whereabouts of a resident.     2. In an interview, E2 acknowledged that that policies and procedures were not established, documented, and implemented.”

“Based on documentation review, observation, and interview, the manager failed to ensure there was a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort which provided access to an outside area which monitored or alerted employees of the egress of a resident from the facility.   Findings include:     1. Review of Department documentation revealed the facility was licensed for directed level of care.      2. The Compliance Officer observed a door in R2’s room, leading to the backyard, which did not have any monitoring or alerts to alert employees of the egress of a resident from the facility.     3. In an interview, E2 acknowledged there was a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort which provided access to an outside area which did not monitor or alert employees of the egress of a resident from the facility.”

“Based on observation and interview, the manager failed to ensure medication was stored in a separate locked room, closet, cabinet, or self-contained unit. 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, the Compliance Officer observed the following in an unlocked refrigerator: -Trulicity 1.5 MG/0.5 ML; -Lorazepam con 2 mg/mL 0.25ML (0.5MG) per syringe quantity 5; -Morphine 20 mg/ml 0.25ML (0.5MG) per syringe quantity 20; -Lantus Solostar Pen INJ 3ML 10 unit; -Ondansetron TAB 4MG ODT.   2. In an interview, E2 acknowledged medication was unlocked and accessible to residents.”

“Based on observation and interview, the manager failed to ensure that toxic materials stored by the facility were stored in a locked area and inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident.     Findings include:     1. During the environmental inspection of the facility, the Compliance Officer observed one bag of "Finish Powerball dishwasher tabs" and a bottle of "Ajax" in an unlocked kitchen cabinet. The cabinet did have a locking device however, it was not working at the time.      2. In an interview, E2 acknowledged that the poisonous or toxic materials were accessible to residents and stored unlocked.”