Scottsdale Foothills Assisted Living.

“Based on documentation review, record review, and interview, the manager failed to ensure that if a manager had a reasonable basis, according to A.R.S. § 46-454, to believe abuse, neglect or exploitation had occurred on the premises the manager documented the immediate action to stop the suspected abuse, neglect, or exploitation and the report of the suspected abuse, neglect, or exploitation to a peace officer or to the adult protective services central intake unit. The deficient practice posed a risk as the Department was unable to assess if there was an immediate health and safety concern for residents who resided in the assisted living facility. Findings include: 1. A.R.S. § 46-454. stated, "Duty to report abuse, neglect and exploitation of vulnerable adults; duty to make medical records available; violation; classification A. A health professional...or other person who has responsibility for the care of a vulnerable adult and who has a reasonable basis to believe that abuse, neglect or exploitation of the adult has occurred shall immediately report or cause reports to be made of such reasonable basis to a peace officer or to the adult protective services central intake unit...All of the above reports shall be made immediately by telephone or online. B. If an individual listed in subsection A of this section is an employee or agent of a health care institution as defined in section 36-401 and the health care institution's procedures require that all suspected abuse, neglect and exploitation be reported to adult protective services as required by law, the individual is deemed to have complied with the requirements of subsection A of this section by reporting or causing a report to be made to the health care institution in accordance with the health care institution's procedures."  2. In an interview, E1 revealed they had knowledge of an incident of possible abuse or neglect that occurred involving R2 on March 16, 2026, however, no documentation of the immediate action to stop the suspected abuse, neglect, or exploitation and the report of the suspected abuse, neglect, or exploitation to a peace officer or to the adult protective services central intake unit was available for review. 3. In an interview, E1 reported the staff member (E2) involved with R2's incident was no longer employed at the facility, however, there was no documentation of E2's termination from the facility. E1 also reported that E1 did not report it to a peace officer or to the adult protective services central intake unit upon knowledge of the related incident. 4. 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 a caregiver provided documentation of completing a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers (NCIA Board), for one of two caregivers sampled. The deficient practice posed a risk if the individual was not qualified to provide the required services. Findings include: 1. A review of E2's personnel record revealed E2 was hired as a caregiver and had a caregiver training certificate from Platinum Training Services, LLC (ALTP #0152) dated June 20, 2013.  2. A review of the NCIA Board's website revealed a training program titled Comprehensive Training Services, LLC, when looking up ALTP #0152, not Platinum Training Services, LLC as listed on E2's caregiver training certificate. 3. A review of the azcg.tmutest.com website revealed no documentation of a caregiver training certificate for E2. 4. In an interview, O1, a representative from the NCIA board, stated the following, "..the numbers on the certificate do not match our website. The ALCTP# on the certificate is for a different training program..." 5. In an interview, E1 reported and acknowledged that E2 has been employed at the facility and giving care to residents since November 5, 2022 according to E2's personnel record documentation. 6. In an exit interview, the findings were reviewed with E1 and no additional information or evidence of verification for E2's caregiver certification status was provided.”