Casa de Vida Living LLC.

“Based on record review and interview, the assisted living home failed to maintain a standardized form for each resident that included the information prescribed in A.R.S. § 36-420.04.A.1-9 for one out of two residents sampled. The deficient practice posed a risk if the facility was not prepared in case of an emergency. Findings include: 1. A review of R1's medical record revealed that the standardized form to be used if an emergency responder was contacted did not include a copy of the resident's advance directives. R1's medical record revealed a service plan dated February 18, 2026, that indicated R1 was full code. 2. In an exit interview, the findings were reviewed with E1 and no additional information was provided.”

“Based on interview and documentation review, the health care institution failed to ensure that the facility established, documented, and implemented tuberculosis infection control activities that included annually assessing the health care institution's risk of exposure to infectious tuberculosis. Findings include: 1. A review of the facility's documentation revealed that an annual assessment of the health care institution's risk of exposure to infectious tuberculosis was unavailable. 2. In an exit interview, the findings were reviewed with E1 and no additional information was provided. 3. Technical assistance was provided on this Rukle during the inspection conducted on April 21, 2025.”

“Based on record review and interview, the manager failed to ensure that before or at the time of an individual’s acceptance by an assisted living facility there was a documented residency agreement with the assisted living facility that included a date of occupancy or expected date of occupancy and whether the manager or a caregiver was awake during nighttime hours for one of two residents sampled. The deficient practice posed a risk if the resident was not informed of the terms of residency. Findings include: 1. A review of R1's medical record revealed a residency agreement at the time of admission to the facility, however, the following items were missing: Date of occupancy or expected date of occupancy; and Whether the manager or a caregiver was awake during nighttime hours. 2. In an exit interview, the findings were reviewed with E1 and no additional information was provided.  3. Technical assistance was provided on this rule during the inspection conducted on April 21, 2025.”

“Based on record review and interview, the manager failed to ensure a service plan included a signature and date by the manager, for two of two residents sampled. The deficient practice posed a risk if the service plan was not developed to articulate decisions and agreements. Findings include: 1. A review of R1's medical record revealed a service plan dated February 18, 2026, that did not include a signature from the facility manager. 2. A review of R2's medical record revealed a service plan dated February 23, 2026, that did not include a signature from the facility manager. 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 service plan included documentation of the resident's weight or documentation from a medical practitioner stating weighing the resident was contraindicated, for one resident sampled receiving directed care services. The deficient practice posed a health and safety risk to the residents.   Findings include:   1. Review of R1's medical record revealed a current written service plan for directed care services dated February 18, 2026. This service plan revealed no documentation of R1's weight. In addition, R1's record revealed no documentation of R1's weight or documentation from a medical practitioner stating that weighing R1 was contraindicated. 2. In an exit interview, the findings were reviewed with E1 and no additional information was provided.”

“Based on observation and interview, the manager failed to ensure that oxygen containers were secured in an upright position. The deficient practice posed a potential explosion or leak of a compressed gas. Findings include: 1. During an environmental inspection of the facility, the Compliance Officer observed two oxygen tanks in the bedroom of R2 that were standing in an upright position, however, neither oxygen tank was properly secured. 2. In an exit interview, the findings were reviewed with E1 and no additional information was provided.”

“Based on record review, observation, and interview, the manager failed to ensure a medication was administered in compliance with a medication order, for one of two residents reviewed. The deficient practice posed a risk if the resident experienced a change in condition due to improper administration of medication. Findings include:    1. Review of R1's medical record revealed a signed medication order dated April 15, 2025. This medication order stated "Protonix 40mg PO Q day".   2. Review of R1's medical record revealed an April 2025 medication administration record (MAR). This MAR stated "Pantrapazole 40mg Take 1 tab daily" and indicated one tab was administered at 8 am on April 17th and 18th.   3. During an observation of R1's medications, Protonix 40mg was observed.   4. In an interview, E1 reported the medication was not administered after the 18th and acknowledged R1’s medication was not administered in compliance with the available medication order.”