Master Care, Inc..

“Based on observation, record review, documentation, and interview, the manager failed to ensure that, before providing assisted living services to a resident, a caregiver provided current documentation of first aid training and cardiopulmonary resuscitation (CPR) training specific to adults, for two of two personnel sampled. The deficient practice posed a risk if an employee was unable to meet a resident's needs during an emergency. Findings include:  1. Upon arrival at the facility, the Compliance Officers were greeted by E2. E2 was alone with four residents.  2. A review of E1's personnel record revealed an expired CPR and First Aid card with an expiration date of April 6, 2026. However, there was no current CPR and First Aid Card.  3. A review of E2's personnel record revealed an expired CPR and First Aid card with an expiration date of April 6, 2026. However, there was no current CPR and First Aid Card. 4. A review of the facility’s March 2026 personnel schedule revealed the following:  E1 worked every Wednesday to Sunday.  E2 worked every Monday to Tuesday.  5. In an interview, E1 acknowledged that E1’s and E2’s CPR cards were expired.  6. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on documentation review, record review, and interview, the manager failed to ensure that a resident provided evidence of freedom from infectious tuberculosis (TB) before or within seven calendar days after the resident's date of occupancy and as specified in R9-10-113, for one of two residents sampled. The deficient practice posed a TB exposure risk to residents.  Findings include: 1. R9-10-113.A states, "If a health care institution is subject to the requirements of this Section, as specified in an Article in this Chapter, the health care institution's chief administrative officer shall ensure that the health care institution establishes, documents, and implements tuberculosis infection control activities that...2. Include: a. For each individual who is employed by the health care institution, provides volunteer services for the health care institution, or is admitted to the health care institution and who is subject to the requirements of this Section, screening, on or before the date specified in the applicable Article of this Chapter, that consists of: i. Assessing risks of prior exposure to infectious tuberculosis, ii. Determining if the individual has signs or symptoms of tuberculosis, and iii. Obtaining documentation of the individual's freedom from infectious tuberculosis according to subsection (B)(1)..."   2. A review of R2's medical record revealed documentation of TB signs and symptoms screening. However, there was no documentation of assessing the risks of prior exposure to infectious TB. Based on R2's admission date, this documentation was required. 3. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on record review, documentation 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 the requirements in R9-10-807.D.1-10, 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 R2’s medical records revealed no documentation of a residency agreement that included the requirements in R9-10-807.D.1-10: 1. The individual’s name; 2. Terms of occupancy, including: a. Date of occupancy or expected date of occupancy, b. Resident responsibilities, and c. Responsibilities of the assisted living facility; 3. A list of the services to be provided by the assisted living facility to the resident; 4. A list of the services available from the assisted living facility at an additional fee or charge; 5. For an assisted living home, whether the manager or a caregiver is awake during nighttime hours; 6. The policy for refunding fees, charges, or deposits; 7. The policy and procedure for a resident to terminate residency, including terminating residency because services were not provided to the resident according to the resident’s service plan; 8. The policy and procedure for an assisted living facility to terminate residency; 9. The complaint process; and 10. The manager’s signature and date signed. 2. In an interview, E1 acknowledged that R2 did not have a residency agreement.  3. In an exit interview, the findings were discussed with E1, 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 documented the level of service the resident was expected to receive for one of two applicable residents reviewed. The deficient practice posed a risk as the service plan did not reinforce and clarify the services to be provided to a resident. Findings include: 1. A.R.S. 36-401 stated, “Personal care services means assistance with activities of daily living that can be performed by persons without professional skills or professional training and includes the coordination or provision of intermittent nursing services and the administration of medications and treatments by a nurse who is licensed pursuant to title 32, chapter 15 or as otherwise provided by law.” 2. A review of R1’s medical record revealed a current service plan dated May 22, 2025, which indicated that R1 received supervisory care services. However, the service plan indicated that R1 receives medication administration from the facility.  3. In an interview, E1 reported that R1 is independent with all activities of daily living; however, the facility manages and administers all of R1’s medication. 4. 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 caregiver or an assistant caregiver documented the services provided to a resident in the resident's medical record, for one of two sampled residents. The deficient practice posed a risk as services could not be verified as provided against a service plan. Findings include: 1. A review of R2’s medical record revealed a current service plan dated March 28, 2026, which indicated that R2 received personal care services. R2 needed assistance and supervision with oral care, nail care, hair care, dressing, bathing, toileting, and transferring.  2. A review of R2’s medical record revealed a document titled “Activities of Daily Living Flowsheet” for April 2026. “Oral care” and “Manicure” were not signed off as being completed. However, the service plan indicated that “oral care requires supervision twice daily and as needed” and “nail care requires assistance, nails checked daily and trimmed as needed.”  3. In an interview, E1 acknowledged that oral care and nail care were not signed off on the “Activities of Daily Living Flowsheet.” 4. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”