The Groves Assisted Living Place LLC-oak.

“Based on record review and interview, the manager failed to ensure a resident's service plan accurately included the amount, type, and frequency of assisted living services being provided to the resident, for one of two sampled residents. Findings include: A review of R2's medical record revealed R2 was admitted more than one year prior to the on-site inspection. A review of R2's medical record revealed a service plan, updated January 6, 2026, for directed care services. The service plan required provision of the following service: "Mobility: Fall Risk Needs Supervision, Walker. Requires positioning: Yes, 2 Hour(s)...." A review of R2's medical record revealed a document titled "ADL Sheet" (ADL) dated February 2026. The ADL documented the services provided to R2. The ADL included a section labeled, "Repositioning every 2 hours, Check box if the resident was repositioned." However, this section had been left blank for each day between February 1 through February 5. In an interview, E1 reported R2 did require repositioning when R2 was admitted to the facility; however, R2 has regained mobility and independence and no longer requires repositioning. E1 reported the caregivers did provide the services required by R2, and the service plan was not accurate at the time of the inspection as R2 no longer required the repositioning service listed in the service plan. In an exit interview with E1, the findings were reviewed and no additional information was provided.”

“A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.”

“A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when updated, is signed and dated by: a. The resident or resident's representative;”

“Based on record review, documentation review, and interview, the governing authority failed to ensure compliance with A.R.S. \'a7 36-411, for two of two personnel records reviewed. A.R.S. \'a7 36-411 states: "A. Except as provided in subsection F of this section, as a condition of licensure or continued licensure of a residential care institution, a nursing care institution or a home health agency and as a condition of employment in a residential care institution, a nursing care institution or a home health agency, employees and owners of residential care institutions, nursing care institutions or home health agencies, contracted persons of residential care institutions, nursing care institutions or home health agencies or volunteers of residential care institutions, nursing care institutions or home health agencies who provide medical services, nursing services, behavioral health services, health-related services, home health services or direct supportive services and who have not been subject to the fingerprinting requirements of a health professional's regulatory board pursuant to title 32 shall have a valid fingerprint clearance card that is issued pursuant to title 41, chapter 12, article 3.1 or shall apply for a fingerprint clearance card within twenty working days after employment or beginning volunteer work or contracted work. B. A health professional who has complied with the fingerprinting requirements of the health professional's regulatory board as a condition of licensure or certification pursuant to title 32 is not required to submit an additional set of fingerprints to the department of public safety pursuant to this section. C. Each residential care institution, nursing care institution and home health agency shall make documented, good faith efforts to: 1. Contact previous employers to obtain information or recommendations that may be relevant to a person's fitness to work in a residential care institution, nursing care institution or home health agency. 2. Verify the current status of a person's fingerprint clearance card. 3. Beginning January 1, 2025, verify that a potential employee is not on the adult protective services registry pursuant to section 46-459. If a potential employee is found to be on the adult protective services registry, the residential care institution, nursing care institution or home health agency may not hire the potential employee. 4. On or before March 31, 2025, verify that each employee is not on the adult protective services registry pursuant to section 46-459. If an employee is found to be on the adult protective services registry, the residential care institution, nursing care institution or home health agency shall take action to terminate the employment of that employee. 5. Beginning March 31, 2025, annually reverify that each employee is not on the adult protective services registry pursuant to section 46-459. D. An employee, an owner, a contracted person or a volunteer or a facility on behalf of the employee, the owner, the contracted person or the volunteer shall submit a completed application that is provided by the department of public safety within twenty days after the date the person begins work or volunteer service. E. Except as provided in subsection F of this section, a residential care institution, nursing care institution or home health agency shall not allow an employee to continue employment or a volunteer or contracted person to continue to provide medical services, nursing services, behavioral health services, health-related services, home health services or direct supportive services if the person has been denied a fingerprint clearance card pursuant to title 41, chapter 12, article 3.1, has been denied approval pursuant to this section before May 7, 2001 or has had a fingerprint clearance card suspended or revoked. F. An employee, volunteer or contractor of a residential care institution, nursing care institution or home health agency who is eligible pursuant to section 41-1758.07, subsection C to petition the board of fingerprinting for a good cause exception and who provides documentation of having applied for a good cause exception pursuant to section 41-619.55 but who has not yet received a decision is exempt from the fingerprinting requirements of this section if the person provides medical services, nursing services, behavioral health services, health-related services, home health services or direct supportive services to residents or patients while under the direct visual supervision of an owner or employee who has a valid fingerprint clearance card. G. If a person's employment record contains a six-month or longer time frame during which the person was not employed by any employer, a completed application with a new set of fingerprints shall be submitted to the department of public safety. H. For the purposes of this section: 1. "Direct supportive services": (a) Means services other than home health services that provide direct individual care and that are not provided in a common area of a health care institution, including: (i) Assistance with ambulating, bathing, toileting, grooming, eating and getting in and out of a bed or chair. (ii) Assistance with self-administration of medication. (iii) Janitorial, maintenance, housekeeping or other services provided in a resident's room. (iv) Transportation services, including van services. (b) Does not include services provided by persons contracted directly by a resident or the resident's family in a health care institution. 2. "Direct visual supervision" means continuous visual oversight of the supervised person that does not require the supervisor to be in a superior organizational role to the person being supervised. 3. "Home health services" has the same meaning prescribed in section 36-151." Findings include: 1. A review of E2's personnel record revealed E2 had been hired as an assistant caregiver in July of 2022. 2. A review of E2's personnel record revealed an application which included a section to list prior employers. However, this section of the application had not been filled out correctly and an employment record was not available for review. Additionally, documentation of good faith attempts to contact E2's prior employers was not available for review, and verification of the current status of E2's fingerprint clearance card was not available for review. 3. A review of E3's personnel record revealed a valid fingerprint clearance card. However, documentation of verification of the current status of E3's fingerprint clearance card was not available for review. 4. In an interview, E1 acknowledged the personnel records provided for E2 and E3 did not include documentation of compliance with all section of ARS \'a7 36-411.”

“Based on record review and interview, the manager failed to ensure a resident's written service plan was signed and dated by the resident or resident's representative when initially developed and when updated, for one of two residents sampled. Findings include: 1. A review of R1's medical record revealed service plans dated November 11, 2024, for directed care services. However, the service plan was not signed and dated by R1 or R1's representative, and documentation of attempts to obtain a representative signature on the service plan was not available for review. 2. In an interview, E1 acknowledged the service plan provided for R1 had not been signed and dated by R1 or their representative when the service plan was updated.”