Emerine Hills Adult Care Home.

“Based on documentation review and interview, the governing authority failed to administer a training program for all staff regarding fall prevention and fall recovery. Findings include: 1. A review of E4's personnel record revealed documentation of fall prevention and fall recovery training was not available for review. 2. In an interview, E1 acknowledged E4's personnel record did not include documentation of a fall prevention and fall recovery training.”

“Based on record review and interview, the manager failed to ensure a resident provided documentation of freedom from infectious tuberculosis (TB) as specified in R9-10-113, for two of two residents sampled. Findings include: 1. R9-10-113.A states "If a health care institution is subject to the requirements of this Section, as specified in an Article in this Chapter, the health care institution's chief administrative officer shall ensure that the health care institution establishes, documents, and implements tuberculosis infection control activities that...2. Include: a. For each individual who is employed by the health care institution, provides volunteer services for the health care institution, or is admitted to the health care institution and who is subject to the requirements of this Section, screening, on or before the date specified in the applicable Article of this Chapter, that consists of: i. Assessing risks of prior exposure to infectious tuberculosis, ii. Determining if the individual has signs or symptoms of tuberculosis, and iii. Obtaining documentation of the individual's freedom from infectious tuberculosis according to subsection (B)(1)..." 2. A review of R1's medical record revealed documentation of R1's freedom from infectious TB was not available for review. R1's medical record included a negative Mantoux skin test, however, documentation of an assessment of R1 risks of prior exposure to infectious tuberculosis and a determination if R1 had signs or symptoms of tuberculosis, were not available for review. 3. A review of R2's medical record revealed documentation of R2's freedom from infectious TB was not available for review. R2's medical record included a negative Mantoux skin test, however, documentation of an assessment of R2 risks of prior exposure to infectious tuberculosis and a determination if R2 had signs or symptoms of tuberculosis, were not available for review. 4. In an interview, E1 acknowledged completed documentation of R1's and R2's freedom from infectious TB had not been provided for review”

“Based on record review and interview, the manager failed to ensure a documented residency agreement included the signature of the resident, the resident's representative, the resident's legal guardian, or another individual designated to make health care decisions, and date signed, for one of two sampled residents. Findings include: 1. Arizona Administrative Code (A.A.C.) R9-10-101(214) states "Signature" means: "a. A handwritten or stamped representation of an individual's name or a symbol intended to represent an individual's name, or b. An electronic signature." 2. A review of R1's medical record revealed a residency agreement. However, this residency agreement did not include the signature of the resident, the resident's representative, the resident's legal guardian, or another individual designated to make health care decisions, and date signed. 3. In an interview, E1 acknowledged R1's residency agreement did not include the required signature.”