Assisted Living at the Woodridge, Inc..

“Based on documentation review and interview, the manager failed to ensure that policies and procedures were established and documented to protect the health and safety of a resident that covered how a caregiver would respond to a resident’s sudden, intense, or out-of-control behavior to prevent harm to the resident or another individual. The deficient practice posed a risk as policies and procedures reinforce and clarify standards expected of employees. Findings include: 1. A review of facility documentation revealed no policies and procedures that covered how a caregiver would respond to a resident’s sudden, intense, or out-of-control behavior to prevent harm to the resident or another individual. 2. In an interview, findings were reviewed with E2, and no additional information was provided.”

“Based on the record review and interview, the manager failed to ensure that the healthcare institution administered a training program for all staff regarding fall prevention and fall recovery, which included both initial training and continued competency training for two of the three personnel sampled. The deficient practice posed a health and safety risk for residents.   Findings include:   1.     A review of E2’s personnel records revealed documentation of Fall Prevention and Fall Recovery Training for 2024. However, no documentation of Initial Fall Prevention and Fall Recovery for 2025 was available for review. Based on E2’s hire date, this document is required.     2.    A review of E3’s personnel records revealed documentation of Fall Prevention and Fall Recovery Training for 2025. However, no documentation of Initial Fall Prevention and Fall Recovery for 2024 was available for review. Based on E3’s hire date, this document is required.   3.      In an interview, E2 acknowledged that the facility failed to administer a training program for staff regarding fall prevention and fall recovery that included Initial training.”

“Based on documentation review, observation, record review, and interview, the governing authority failed to ensure compliance with A.R.S. § 36-411 for one of the three personnel sampled. The deficient practice posed a risk if E2 were a danger to a vulnerable population. Findings include:  1. A.R.S. § 36-411(C)(2) states, "Each residential care institution, nursing care institution, and home health agency shall make documented, good faith efforts to: 2. Verify the current status of a person’s fingerprint clearance card." 2. During the on-site compliance inspection, the Compliance Officers observed E2 at the facility, providing services to residents. 3. A review of E2's personnel record revealed documentation of a valid FPCC dated before E2's hire date. However, the records did not include documentation of the facility's verification of E2's FPCC. 4. In an interview, E2 acknowledged that E2's FPCC cards were not verified, and the governing authority failed to ensure compliance with A.R.S. § 36-411(C)(2).”

“Based on observation and interview, the manager failed to ensure there was a current toxicology reference guide that was available for use by personnel members. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. The Compliance Officer requested the current toxicology reference guide. However, the toxicology reference guide was not provided to the department for review.  2. In an interview, E2 acknowledged that the facility did not have a toxicology reference guide available for use by personnel members.”