Arizona Adult Care Home.

“Based on record review and interview, the manager failed to ensure that before or at the time of acceptance of an individual, the individual submitted documentation that was dated within 90 calendar days before the individual was accepted by an assisted living facility and included whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints, and was dated and signed by a medical practitioner of registered nurse. The deficient practice posed a risk if the facility was unable to meet a resident's needs.  Findings include: 1. A review of R1's medical record revealed there was no documentation dated within 90 days of their acceptance date, which included whether R1 required continuous medical services, continuous or intermittent nursing services, or restraints, and was dated and signed by a medical practitioner or registered nurse. Based on R1's acceptance date, this documentation was required.  2. In an exit interview, the findings were reviewed with E1 and no additional information was provided”

“Based on documentation review and interview, the manager failed to ensure that an evacuation drill for employees and residents was conducted once every six months and documented. The deficient practice posed a risk if employees were unable to evacuate the residents in an emergency.   Findings include:   1. A documentation review of the facility’s "Evacuation Drill” revealed that the last evacuation drill was completed on May 3, 2025.   2. A documentation review of the facility's Policies and Procedures manual titled "Fire Safety and Disaster Plan" policy stated, “Employee and resident evacuation drills will be completed every six months.”   3. In an interview, E1 acknowledged that the evacuation drill for employees and residents was not conducted once every six months. 4. In an exit interview, the findings were reviewed with E1, and no additional information was provided. This is a repeat deficiency from the compliance inspection conducted on April 30, 2024.”

“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 April 2024 personnel schedule revealed two shifts; 6am -6pm (day shift) and 6pm - 6am (night shift). 2. Review of the facility's employee disaster drills revealed the most current disaster drill conducted December 1, 2023 on the day shift and night shift. No other employee disaster drills were available after December 1, 2023. 3. In an interview, E2 acknowledged the employee disaster drills were not conducted on each shift at least once every three months.”

“Based on documentation review and interview, the manager failed to ensure an evacuation drill for employees and residents was conducted at least once every six months. The deficient practice posed a risk if employees were unable to implement the evacuation plan. Findings include: 1. Review of the facility's employee and resident evacuation drills revealed the most current drill conducted September 1, 2023. No other employee and resident evacuation drills were available after September 1, 2023. 2. In an interview, E2 acknowledged the employee and resident evacuation drills were not conducted at least once every six months.”