Golden Senior Living.

“Based on record review and interview, the manager did not ensure a standardized emergency responder patient information form as described in subsection A of this section, was completed and maintained for two of two residents sampled. The deficient practiced posed a risk as required patient information was not prepared in case of an emergency. Findings include: 1. A review of R1's and R2's medical records revealed a packet titled "Special Emergency Resident Medical Record" with documentation of a standardized emergency responder patient information form completed as required by Arizona Revised Statute (A.R.S.) § 36-420.04(A)(1) through (9). However, the following were not included in the documentation: A standardized space to be filled in with the reason or reasons the emergency responder was requested on behalf of the resident; and A copy of the resident's health insurance portability and accountability act release authorizing a receiving hospital to communicate with the assisted living center or assisted living home to plan for the resident's discharge. 2. In an interview, E1 acknowledged the information required in A.R.S. § 36-420.04 was not prepared in a standardized emergency responder patient information form as required.”

“Based on record review and interview, the manager failed to ensure a resident provided evidence of freedom from infectious tuberculosis 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. Findings include: 1. A review of R2's medical record revealed documentation of negative TB blood test from June 2025. However, documentation of a TB screening questionnaire was not available for review at the time of inspection. 2. In an exit interview, the findings were discussed with E1 and no additional information was added.”

“Based on record review and interview, the manager failed to ensure that a resident's medical record contained documentation of notification of the resident of the availability of vaccination for influenza and pneumonia annually for two of two resident's sampled. Findings Include: 1. A review of R1's medical record revealed no documentation of offering the influenza and pneumonia vaccinations since October, 2024. 2. A review of R2's medical record revealed no documentation of offering the influenza and pneumonia vaccinations was available for review. 3. In an interview, E1 acknowledged that there was no documentation of offering the influenza and pneumonia vaccinations to R1 and R2 annually.”

“Based on documentation review and interview, the manager failed to ensure a disaster drill for employees 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 a disaster plan. Findings include: 1. A review of the facility's personnel schedule revealed the facility had two staff shifts.  2. A review of the facility's disaster drill documentation revealed a disaster drill conducted on the following dates and shifts: April 1, 2025 at 10:30AM indicated as the AM shift; and July 25, 2025 at 5:00PM. However, no documentation of disaster drills for each shift every three months was available for review. 3. In an interview, E1 acknowledged a disaster drill for employees was not conducted at least once every three months on each shift and documented.”

“Based on documentation review and interview, the manager failed to ensure that 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. A review of the facility's evacuation drill documentation revealed documentation of evacuation drills conducted on two shifts April 30, 2025. However, documentation of additional drills was not available for review. 2. In an exit interview, the findings were reviewed with E2, and no additional information was provided.”