Foothills Vista Adult Care Home LLC.

“Based on record review, documentation review, and interview, the health care institution failed to ensure a training program for all staff regarding fall prevention and fall recovery, which included initial training and continued competency, was implemented.     Findings include:      1. A review of E2’s personnel record revealed E2 was hired as manager on May 31, 2024. Further review revealed evidence of documentation indicating E2 had received initial training in fall prevention and fall recovery was unavailable for review.     2. A review of facility documentation revealed a fall prevention and fall recovery program, which required all staff to receive initial training in fall prevention and fall recovery.      3. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on documentation review, record review, and interview, the assisted living facility failed to maintain a copy of the documentation provided to an emergency responder for one of two residents sampled for whom an emergency responder had been contacted.       Findings include:       1. A review of facility documentation revealed two separate incident reports, filed between July 1, 2025, and December 31, 2025, in which emergency responders had been contacted, responded to the facility, and then transported two separate residents, R3 and R4, to a hospital.        2. According to the incident report involving R3's need for emergency medical services, the caregiver provided emergency responders with “…all info to medics (med list, health care POA info, emergency responder/evac res. transfer form)”. The report also indicated “no copies were made...".       3. A request was made to view the documentation provided to the emergency responders as required by ARS 36-420.04.D, for both R3 and R4. The facility was unable to produce a copy of the materials provided to emergency responders regarding R3, while copies of the required materials regarding R4 were made available.       4. In an interview, E1 acknowledged copies required by A.R.S. 36-420.04.D, regarding R3, had not been made at the time emergency medical services had been contacted on R3’s behalf.       5. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”