Desert Willows Memory Care.

[R432-270-11(8)(a)-(g)] The provider was out of compliance with this rule by not ensuring that resident's admission agreement included a notice that the department has the authority to examine resident records to determine compliance with licensing requirements. During the inspection, 6 resident agreements did not have the aforementioned notice. This non compliance was previously cited on the 9/25/2024, 11/25/2024 and 12/19/2024 inspections. [R432-270-10(2)(a)-(b)] The provider was out of compliance with this rule by not ensuring that each resident received a written description of the residents legal rights upon admission, that included a statement that the resident may file a complaint with the state long-term ombudsman and any other advocacy group concerning resident abuse, neglect, or misappropriation of resident property in the facility. During the inspection, 6 residents admission files were reviewed and did not include aforementioned. This non compliance was previously cited on the 9/25/2024, 11/25/2024, and 12/19/2024 inspections.

[R432-270-10(2)(a)-(b)] The provider was out of compliance with this rule by not ensuring that each resident received a written description of the residents legal rights upon admission, that included a statement that the resident may file a complaint with the state long-term ombudsman and any other advocacy group concerning resident abuse, neglect, or misappropriation of resident property in the facility. During the inspection, 6 residents admission files were reviewed and did not include aforementioned. This non compliance was previously cited on the 9/25/2024 and 11/25/2024 inspections. [R432-270-11(8)(a)-(g)] The provider was out of compliance with this rule by not ensuring that resident's admission agreement included a notice that the department has the authority to examine resident records to determine compliance with licensing requirements. During the inspection, 6 resident agreements did not have the aforementioned notice. This non compliance was previously cited on the 9/25/2024 and 11/25/2024 inspections.

[R432-270-9(1)(a)-(e)] The provider was out of compliance with this rule by not ensuring that qualified direct-care personnel were on the premises 24 hours a day to meet residents needs as determined by the resident's assessment and service plans. During the inspection, the provider did not ensure that qualified direct- are staff were on premises 24 hours a day to meet the needs of the residents. [R432-270-8(1)(a)-(p)] The provider was out of compliance with this rule by not ensuring the administrator: was on the premises enough hours in the business day, and at other times as necessary, to manage and administer the facility; review at least quarterly every injury, accident, and incident to a resident or employee and document appropriate corrective action; maintain a log indicating any significant change in a resident's condition and the facilities action or response; complete an investigation when there was reason to believe a resident had been subjected to abuse, neglect, or exploitation in accordance with Section 62A-3-305, and document appropriate action if the alleged violation was verified and by not conducting and documenting regular inspections of the facility to ensure it was safe from potential hazards. During the inspection, it was discovered that a resident accessed the kitchen through unlocked doors, became trapped in the facility's commercial kitchen freezer and later expired. [R432-270-15(3)(a)-(c)] The provider was out of compliance with this rule by not having a current contract with a registered nurse to provide or supervise nursing services to include: nursing assessment on each resident; general health monitoring of each resident; routine nursing tasks, including those that may be delegated to unlicensed assistive personnel in accordance with Section R156-31B-701. During the inspection, the provider was not able to provide a current contract with a registered nurse to provide and delegate nursing assessment, medication administration delegation, for residents who could not self-medicate or self-direct medication, and general health monitoring of each resident.