Asante Adult Care Home.

“Based on observation, record review, and interview, the governing authority failed to ensure the health, safety, or welfare of the residents was not placed at risk of harm. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1 . When the Compliance Officer arrived at the facility at approximately 9:30 AM, the Compliance Officer observed only E2 and E3 on the premises. 2 . In an interview, E3 reported that E3 was called to help the facility with cooking and was not a caregiver. 3 . A review of E2's personnel record revealed that E2 was an assistant caregiver. 4 . In an exit interview, the findings were discussed with E5 and no additional information was provided.”

“Based on observation, documentation review, record review, and interview, the manager failed to ensure a manager failed to designate, in writing, a caregiver who was present on the assisted living facility's premises and accountable for the assisted living facility when the manager was not present on the assisted living facility's premises. The deficient practice posed a risk as no individual was designated to act on behalf of the governing authority in the onsite management of the assisted living facility. Findings include: 1 . When the Compliance Officer arrived at the facility at approximately 9:30 AM, the Compliance Officer observed only E2 and E3 on the premises. 2 . A review of facility documentation revealed a document titled "Delegation of Manager's Authority." However, the documentation did not include either E2 or E3. 3 . In an interview, E3 reported that E3 was called to help the facility with cooking and was not a caregiver. 4 . A review of E2's personnel record revealed that E2 was an assistant caregiver. 5 . In an exit interview, the findings were discussed with E5, and no additional information was provided. This is an uncorrected deficiency from the compliance inspection conducted on May 4, 2026.”

“Based on documentation review and interview, the manager failed to provide a written notification to the Department of a resident's elopement within 24 hours of the elopement being discovered. Findings include: 1 . A review of facility documentation revealed an incident report dated May 10, 2026. The documentation reported that R1 eloped from the facility. 2 . In an interview, E4 reported written notification of elopement had not been sent to the department, and requested the department's email to send notification. 3 . In an exit interview, the findings were discussed with E5 and no additional information was provided.”

“Based on observation, documentation review, record review, and interview, the manager failed to ensure that an assistant caregiver interacted with residents under the supervision of a manager or caregiver. Findings include: 1 . A.R.S 36-401 defines supervision as "directly overseeing and inspecting the act of accomplishing a function or activity." 2 . When the Compliance Officer arrived at the facility at approximately 9:30 AM, the Compliance Officer observed that only E2 and E3 were working at the facility. 3 . During an inspection conducted at the facility, the Compliance Officer observed E2 assisting residents without supervision. 4 . A review of E2's personnel record revealed that E2 was an assistant caregiver and did not have a caregiver certification. 5 . In an interview, E3 reported E3 was just a cook and could not provide a valid caregiver certification. 6 . The Compliance Officer observed E5 enter the facility at approximately 11:30 AM and verified E5's caregiver certification as valid. 7 . In an exit interview, the findings were discussed with E5, and no additional information was provided. This is an uncorrected deficiency from the compliance inspection conducted on May 4, 2026.”

“Based on documentation review and interview, the manager failed to ensure a plan was implemented to ensure that the manager or a caregiver was available as back-up to provide assisted living services to a resident if the manager or a caregiver assigned to work was not available or not able to provide the required assisted living services. Findings include: 1 . A review of facility documentation revealed a policy titled "Staffing and Record Keeping." The policy stated, "If notice is not able to be provided or a circumstance occurs where a staff member must leave the facility, upon notification, the manager is responsible to cover the shift. If the manager is not available, the following staffing agencies are to be contacted to cover the shift: Golden Heart… or Staff On Site…” 2 . In an interview, E3 reported that E3 was called to assist the facility. However, E3 was called to cook, had no documentation of a caregiver certificate, and was not from Golden Heart or Staff On Site. 3 . In an exit interview, the findings were discussed with E5, and no additional information was provided.”

“Based on observation, record review and interview, the manager failed to ensure at least the manager or a caregiver was present at the assisted living home when a resident was present in the assisted living home. The deficient practice posed a risk as no qualified employee was present to meet a resident's needs. Findings include: 1 . When the Compliance Officer arrived at the facility at approximately 9:30 AM, the Compliance Officer observed only E2 and E3 on the premises with seven residents. 2 . In an interview, E3 reported that E3 was called to help the facility with cooking and was not a caregiver. 3 . A review of E2's personnel record revealed that E2 was an assistant caregiver. 4 . In an exit interview, the findings were discussed with E5, and no additional information was provided.”

“Based on observation, documentation review, record review, and interview, the manager failed to designate, in writing, a caregiver who was present on the assisted living facility's premises and accountable for the assisted living facility when the manager was not present on the assisted living facility's premises. The deficient practice posed a risk as no individual was designated to act on behalf of the governing authority in the on-site management of the assisted living facility. Findings include: 1 . When the Compliance Officer arrived at the facility at approximately 9:15 AM, the Compliance Officer observed only E2, a caregiver, and E3, an assistant caregiver, on the premises. 2 . A review of facility documentation revealed a document titled "Delegation of Manager's Authority." However, the documentation did not include E2. 3 . In an interview, E2 reported E2 just started working at the facility 5 days prior, and could add their name to the designee form if needed. 4 . A review of E2's personnel record revealed that documentation of a completed "Delegation of Manager's Authority" listing E2 as a designee was not available for review at the time of inspection. 5 . In an exit interview, the findings were discussed with E2, and no additional information was provided.”

“Based on observation and interview, the manager failed to ensure that there was a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort that controls or alerts employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident. Findings include: 1.  During the environmental inspection of the facility, the Compliance Officers observed a door labeled “Employees Only” which led to the garage that was unlocked and had no alarm. The door had a key lock; however, it was not locked at the time of the survey. 2. In an interview, E2 and E3 acknowledged that there was a means of exiting the facility to the garage, which did not control or alert employees of the egress of a resident from the facility.”

“Based on observation 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 unable to self-administer medications. Findings include: 1. During the facility tour, the compliance officers observed that cabinets containing residents' medications were equipped with magnetic locks. However, the key for the magnetic locks was kept on the side of the refrigerator, next to the cabinet. The Compliance Officers were able to access the key and open the medication cabinet. 2. In an interview, E2 acknowledged that 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. E2 reported that they will move the release device out of sight from others.”

“Based on observation, documentation review, and interview, the manager failed to ensure that poisonous or toxic materials stored by the assisted living facility were maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications, and were inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident. Findings include: 1. During an environmental inspection of the facility with E2 and E3, the Compliance Officers observed a door labeled “Laundry Room” that was locked with the key hanging on the door frame. The room was accessible to residents and the room contained the following toxic chemicals: Laundry detergent; Liquid bleach; Multi-purpose cleaner; and Disinfectant spray. 2.  A review of the facility’s Policies and Procedures revealed a policy titled “Emergency, Safety and Environmental Standards” which stated, “Access to Laundry Services: Residents DO NOT HAVE access to the laundry room. The facility staff provides laundry service to residents”. 3.  In an interview, E2 acknowledged the aforementioned poisonous or toxic materials were not maintained in a locked area and inaccessible to residents.”