Hillside Assisted Living LLC.

“Based on documentation review, observation, and interview, the governing authority failed to notify the Department according to A.R.S. § 36-425(I), which required immediate notification to the Department in writing, identifying the name and qualifications of the new manager when there was a change in the manager.   Findings include: 1. A.R.S. § 36-425(I) states "A health care institution shall immediately notify the department in writing when there is a change of the chief administrative officer..."   2. A review of Department records indicated that E4 was the manager of the facility.   3. At the time of the inspection, the Compliance Officer observed E1's manager's certificate posted on the wall in the common area.   4. During an interview, E1 reported that E1's starting date was approximately February 5, 2025. E1 reported that E4's last date at the facility was approximately February 2, 2025. E1 reported that E1 was not aware E1 was to notify the Department of the change in manager.”

“Based on record review and interview, the manager failed to ensure there was a documented residency agreement with the facility for one of two records reviewed.    Findings include:   1. During a review of R1's medical record, the record lacked documentation of a residency agreement for R1.   2. In an interview, E1 acknowledged a facility residency agreement for R1 was not available for review.”

“Based on record review and interview, the manager failed to ensure a resident received orientation to the exits from the assisted living facility and the route to be used when evacuating the assisted living facility within 24 hours of acceptance, for two of two residents sampled. The deficient practice posed a health and safety risk if the resident needed to exit the facility in an emergency.    Findings include:   1. A review of R1’s and R2's medical records revealed documentation of the residents’ orientation to the exits and routes of evacuation from the assisted living facility in an emergency was not available for review at the time of inspection. Based on R1’s and R2's date of acceptance, this documentation was required.    2. In an interview, E1 acknowledged R1's and R2’s medical records did not contain documentation of R1's and R2’s orientation to exits and routes of evacuation from the assisted living facility in an emergency, at the time of the inspection.”

“Based on observation and interview, the manager failed to ensure the premises were free from a condition or situation that may cause a resident or other individual to suffer physical injury. The deficient practice posed a health and safety risk to the residents.  Findings include: 1. The Compliance Officer observed ambulatory residents on the premises. 2. During the environmental inspection with E1, the Compliance Officer observed the wooden door plate in the hallway bathroom, protruding upward, exposing 4 nails, posing a tripping hazard. 3. In an interview, E1 acknowledged the door plate was not attached to the floor and the premises were not free from a condition or situation that may cause a resident or other individual to suffer physical injury.”

“Based on record review and interview, the health care institution failed to administer a training program for all staff regarding fall prevention and fall recovery that included initial training. The deficient practice posed a risk as organized instruction and information related to resident care and safety were not implemented.   Findings include: 1. A review of E1's personnel record revealed a date of hire of February 2025. E1's record did not include initial training in fall prevention and fall recovery. 2. A review of E2's personnel record revealed a date of hire of February 2025. E2's record did not include initial training in fall prevention and fall recovery. 3. In an interview, E1 acknowledged documentation was not available that showed E1 and E2 had completed initial training in fall prevention and fall recovery.”