Magda's Family Home Care LLC.

“Based on documentation review, record review, and interview, the manager failed to ensure that a personnel record for each employee included continued competency training in fall prevention and fall recovery for two of three employees sampled. The deficient practice posed a risk as the caregiver received no organized instruction or information related to physical health services provided to residents. Findings Include: 1. A review of facility documents revealed no documentation of a training program for all staff regarding fall prevention and fall recovery.  2. A review of E2’s personnel record revealed fall prevention and fall recovery training completed on August 10, 2024. No other current documentation was available for review. 3. A review of E3’s personnel record revealed fall prevention and fall recovery training completed on August 10, 2024. No other current documentation was available for review. 4. In an exit interview, the findings were reviewed with E3, and no additional information was provided. 5. This is a repeat deficiency from the inspection conducted on December 1, 2023.”

“Based on record review and interview, the assisted living home failed to maintain a standardized form for each resident that includes the information prescribed in A.R.S. § 36-420.04.A.1-9 for two 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 there was a standardized form to be used if an emergency responder was contacted, however, the form was missing the following information: Whether the resident receives medication services and, if the resident has provided this information to the assisted living center or assisted living home, a list of all the resident's prescription and over-the-counter medications, their dosages and how frequently they are administered; The name, address and telephone number of the resident's current pharmacy; A list of any known allergies to any medications, additives, preservatives or materials like latex or adhesive; The name and contact information for the resident's primary care physician and power of attorney or authorized representative. The point-of-contact information for the assisted living center or assisted living home, as well as the telephone number, if available, cell phone number and email address; Basic information about the resident's physical and mental conditions and basic medical history; A copy of the resident's health insurance portability and accountability act release authorizing a receiving hospital to communicate with the assisted living center or assisted living home to plan for the resident's discharge; and A copy of the resident's advance directives, if any, on file at the assisted living center or assisted living home.  2. A review of R2's medical record revealed there was a standardized form to be used if an emergency responder was contacted, however, the form was missing the following information: Whether the resident receives medication services and, if the resident has provided this information to the assisted living center or assisted living home, a list of all the resident's prescription and over-the-counter medications, their dosages and how frequently they are administered; A list of any known allergies to any medications, additives, preservatives or materials like latex or adhesive; The point-of-contact information for the assisted living center or assisted living home, as well as the telephone number, if available, cell phone number and email address; A copy of the resident's health insurance portability and accountability act release authorizing a receiving hospital to communicate with the assisted living center or assisted living home to plan for the resident's discharge; and A copy of the resident's health insurance portability and accountability act release authorizing a receiving hospital to communicate with the assisted living center or assisted living home to plan for the resident's discharge. 3. In an exit interview, the findings were reviewed with E3 and no additional information was provided.”

“Based on interview, record review, and documentation review, the health care institution failed to ensure that the health care institution implemented tuberculosis (TB) infection control activities that included annually providing training and education related to recognizing the signs and symptoms of TB and annually assessing the health care institution's risk of exposure to infectious TB. The deficient practice posed a TB exposure risk. Findings include: 1. In an interview, E3 reported that the facility conducted the annual training for TB infection control. 2. A review of E2's and E3's personnel records revealed no documentation of training and education related to recognizing the signs and symptoms of TB. Based on E2 and E3's dates of hire, this documentation was required. 3. A review of the facility's documentation revealed that documentation of annually assessing the health care institution's risk of exposure to infectious TB was not available. 4. In an exit interview, the findings were reviewed with E3, and no additional information was provided.”

“Based on documentation review, record review, and interview, the manager failed to ensure compliance with A.R.S. § 36-411, for one of three employees sampled. The deficient practice posed a risk if the employee was a danger to a vulnerable population. Findings include: 1. A review of A.R.S. § 36-411 states " Each residential care institution, nursing care institution and home health agency shall make documented, good faith efforts to: 1. Contact previous employers to obtain information or recommendations that may be relevant to a person's fitness to work in a residential care institution, nursing care institution or home health agency." 2. A review of E1's personnel record revealed no documentation of contact to E1's previous employers to obtain information or recommendations that may be relevant to E1's fitness to work in a residential care institution, nursing care institution or home health agency. 3. In an exit interview, the findings were reviewed with E3 and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure that a resident had a service plan that was reviewed and updated at least once every six months for a resident receiving personal care services for one of two residents sampled. Findings include: 1. A review of R2's medical record revealed a service plan dated July 10, 2025. The service plan indicated R2 received personal care services. A service plan after July 10, 2025 was not available for review. 2. In an exit interview, the findings were reviewed with E3 and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure that the caregiver documented the services provided in a resident’s medical record according to the resident’s service plan for two out of two residents sampled. The deficient practice posed a risk as services could not be verified as provided against a service plan. Findings include: 1. A review of R1’s medical record revealed a service plan, which included the following: Shampoo, two times a week; Comb hair daily; 2. A review of R1’s activities of daily living sheet for the month of April 2025 revealed the following: No documentation of shampoo service during the month; and No documentation of hair care during the month. 3. A review of R2’s medical record revealed a service plan, which included the following: Shampoo, two times a week; and Check pressure areas daily. 4. A review of R2’s activities of daily living sheet for the month of April 2026 revealed the following: No documentation of shampoo service during the month; and No documentation of pressure area checks during the month. 5. In an exit interview, the findings were reviewed with E3. E3 reported that the services were completed but not documented. No further information was provided.”

“Based on interview and record review, the manager failed to ensure that a resident’s medical record contained the date the resident terminated residency. Findings include: 1. In an interview, E3 reported that R1 resided in the facility for approximately one month, left on their own, and that R1's residency was not terminated by the facility. 2. A review of R1's medical record revealed no documentation of the date the resident terminated residency. 3. In an exit interview, the findings were reviewed with E3, and no additional information was provided.”

“Based on observation, record review, and interview, the manager failed to ensure that medication 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 not prescribed the accessible medication. Findings include: 1. During an environmental inspection of the facility, the Compliance Officer observed the following unlocked medications inside of a box within a refrigerator: One - 8oz bottle of Robitussin Cough syrup; Two bottles of a medication with a prescription that states, "Guaifenesin Liq 100/5ML, take 1 tablespoonful 3 times a day as needed for congestion". This medication was written as prescribed for R4. 2. A review of R1 and R2's medical records revealed both residents were receiving directed care services and that R2 was ambulatory. 3. In an exit interview, the findings were reviewed with E3 and no additional information was provided.”

“Based on interview and documentation review, the manager failed to ensure that a disaster drill for employees was conducted on each shift at least once every three months and documented. The deficient practice posed a risk if employees were unable to implement a disaster plan. Findings include: 1. In an interview, E3 reported that there were two shifts: a morning shift at 7am-7pm, and an overnight shift from 7pm-7am. 2. A review of the facility's employee disaster drills revealed a drill conducted as follows: September 1, 2025 - on the morning shift December 1, 2025 - on the morning shift March 1, 2026 - no shift was identified 3. In an exit interview, the findings were reviewed with E3, and no additional information was provided. 4. This is a repeat deficiency from the inspection conducted on December 1, 2023.”

“Based on documentation review, observation, and interview, the manager failed to ensure that the premises were cleaned and, if applicable, disinfected according to policies and procedures. Findings include: 1. A review of the facility's documentation revealed a policy titled, "Housekeeper" that contained the following verbiage, "Housekeepers must provide service to ensure clean, sanitary, orderly and satisfying surroundings for the residents, employees and the public...b. Housekeepers promote sanitary conditions which prevent the spread of contamination and odors..." 2. During the inspection, the Compliance Officer observed an unpleasant odor in the facility that gave the appearance of unclean conditions. 3. In an interview, the findings were reviewed with E3, and no additional information was provided.”

“Based on documentation review and interview, the manager failed to ensure that a pest control program that complied with A.A.C. R3-8201(C)(4) was implemented and documented. Findings include: 1. A review of the facility's documentation revealed there was no pest control program implemented at the facility. 2. During an environmental inspection of the facility, the Compliance Officer observed many flies in the facility in the living room and landing on the residents' heads and faces.  3. In an exit interview, the findings were reviewed with E3 and no additional information was provided.”

“Based on observation and interview, the manager failed to ensure that 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 risk to residents who were not prescribed the accessible medication. Findings include: 1. During an environmental inspection of the facility, the Compliance Officer observed an unlocked cabinet in a bathroom used by residents. The following items were observed in the cabinet: Lysol all purpose cleaner; Poligrip denture adhesive cream; and Fixodent denture adhesive powder. 2. In an exit interview, the findings were reviewed with E3 and no additional information was provided.”

“Based on documentation review, record review, and interview, the manager failed to ensure the health care institution developed and administered a training program for all staff regarding fall prevention and fall recovery that included initial training and continued competency training. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. Review of facility documents revealed no documentation of a training program for all staff regarding fall prevention and fall recovery. 2. Review of E1's personnel record revealed E1 worked as a caregiver and had a hire date of February 1, 2021. The personnel record did not include documentation that showed E1 completed fall prevention and fall recovery training. 3. Review of E2's personnel record revealed E2 worked as a caregiver and had a hire date of February 1, 2021. The personnel record did not include documentation that showed E2 completed fall prevention and fall recovery training. 4. Review of E3's personnel record revealed E3 worked as the manager and had a hire date of November 15, 2020. The personnel record did not include documentation that showed E3 completed fall prevention and fall recovery training. 5. In an interview, E1 and E2 acknowledged documentation was not available that showed E1, E2, and E3 had completed initial training and continued competency training for fall prevention and fall recovery.”

“Based on documentation review, record review, and interview, the manager failed to ensure policies and procedures were implemented that covered in-service education, for three of three employees reviewed. The deficient practice posed a risk as the caregiver received no organized instruction or information related to physical health services provided to residents. Findings include: 1. Review of the facility's policies and procedures revealed a policy titled "Employee Orientation and Ongoing Training" that stated "....The manager/owner of the facility shall ensure that each caregiver and manager completes a minimum of 6 hours of Supervisory and Personal Care and another 6 hours of Directed/Behavioral care related topics of ongoing training every 12 months from the starting date of employment." 2. Review of E1's personnel record revealed E1 worked as a caregiver and had a hire date of February 1, 2021. The personnel record revealed no documentation of completing in-service education February 1, 2022 to January 31, 2023. 3. Review of E2's personnel record revealed E2 worked as a caregiver and had a hire date of February 1, 2021. The personnel record revealed no documentation of completing in-service education February 1, 2022 to January 31, 2023. 4. Review of E3's personnel record revealed E3 worked as the manager and had a hire date of November 15, 2020. The personnel record revealed no documentation of completing in-service education November 15, 2022 to November 14, 2023. 5. In an interview, E1 and E2 acknowledged E1's, E2's, and E3's personnel records did not include documentation of completing 12 hours of in-service education, as required by the facility's policies and procedures.”

“Based on record review and interview, the manager failed to ensure a resident had a written service plan signed and dated by the resident or resident's representative and the manager, for two of two residents reviewed. The deficient practice posed a health and safety risk if the required individual did not acknowledge the services that were to be provided. Findings include: 1. Review of R1's medical record revealed written service plans dated December 15, 2022 and June 15, 2023. However, these service plans did not include a signature and date by the resident or resident's representative and the manager. 2. Review of R2's medical record revealed a written service plan dated August 8, 2023. However, this service plan did not include a signature and date by the manager. 3. In an interview, E1 and E2 acknowledged R1's and R2's service plans were not signed and dated by the required individuals.”

“Based on documentation review, record review, and interview, the manager failed to ensure a resident medical record contained documentation of notification of the resident of the availability of vaccination for influenza (flu) and pneumonia, according to A.R.S. \'a7 36-406(1)(d), to one of one resident reviewed. The deficient practice posed a potential illness risk to residents. Findings include: 1. A.R.S. \'a7 36-406(1)(d) states "The department shall: Require as a condition of licensure that nursing care institutions and assisted living facilities make vaccinations for influenza and pneumonia available to residents on site on a yearly basis. The department shall prescribe the manner by which the institutions and facilities shall document compliance with this subdivision, including documenting residents who refuse to be immunized. The department shall not impose a violation on a licensee for not making a vaccination available if there is a shortage of that vaccination in this state as determined by the director." 2. Review of R1's medical record revealed R1 refused the flu and pneumonia vaccinations December 8, 2020. However, current documentation was not available that showed the flu and pneumonia vaccinations were offered or received. Based on R1's acceptance date, this documentation was required. 3. In an interview, E1 and E2 acknowledged R1's medical record did not include current documentation that showed the flu and pneumonia vaccinations were offered or received.”

“Based on record review and interview, the manager failed to ensure the facility did not accept or retain a resident who was confined to a bed or chair because of an inability to ambulate even with assistance, unless the facility obtained a written determination from a medical practitioner, every six months, that stated the resident's needs could be met by the facility and the resident's needs were within the facility's scope of services, for one of one resident reviewed who was confined to a bed or chair. The deficient practice posed a risk if the facility was unable to meet a resident's needs. Findings include: 1. Review of R1's medical record revealed a current written service plan dated June 15, 2023. This service plan stated "Non-Ambulatory". 2. Review of R1's medical record revealed a written determination from R1's medical practitioner signed and dated December 8, 2020. However, documentation was not available that stated R1's needs could be met by the facility and R1's needs were within the facility's scope of services, at least once every six months. 3. In an interview, E1 reported R1 was unable to ambulate even with assistance since acceptance and E1 and E2 acknowledged R1's medical practitioner did not provide a written determination at least once every six months.”

“Based on documentation review and interview, the manager failed to ensure the facility's disaster plan was reviewed at least once every 12 months. The deficient practice posed a risk as a disaster plan reinforces and clarifies standards expected of employees. Findings include: 1. Review of the facility's policy and procedure revealed a policy titled "Disaster Relocation Plan." A document titled "Annual Disaster Plan Review" revealed the disaster plan was last reviewed April 5, 2021. 2. In an interview, E1 and E2 acknowledged the facility's disaster plan was not reviewed at least once every 12 months.”

“Based on documentation review and interview, the manager failed to ensure an employee disaster drill was conducted on each shift at least once every three months and documented. The deficient practice posed a risk if employees were unable to implement the disaster plan. Findings include: 1. Review of the November 2023 personnel schedule revealed one 24 hour shift. 2. Review of the facility's employee disaster drills revealed the most current disaster drill conducted June 1, 2023. No other employee disaster drills were available after June 1, 2023. 3. In an interview, E1 and E2 acknowledged the employee disaster drills were not conducted on each shift at least once every three months.”