PARADISE VALLEY RESIDENTIAL CARE HOME

Official classification

Type B

Official code

87465(a)(6)

Regulation authority

CCR

What the official deficiency says

(6) When requested by the prescribing physician or the Department, a record of dosages of medications which are centrally stored shall be maintained by the facility. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, record review, the licensee did not comply with the section cited above in 2 out of 2 persons centrally stored medication record showed some of the medications were not recorded on the facility log which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/15/2025 Plan of Correction Licensee agrees to update the Centrally Stored Medication Records for every resident and submit to the plan of correction to CCL by due date 10/15/2025.

Official classification

Type A

Official code

87465

Regulation authority

CCR

What the official deficiency says

87466 Observation of the Resident The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional & social functioning & that appropriate assistance is provided when such observation reveals unmet needs... & brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement has not been met as evidence by: Based on interviews and record review the licensee failed to update R1’s care plan and medical assessment addressing mental and behavioral changes noticed since 3/19/24. Also, the facility staff did not seek medical attention after observing R1’s bruising and complaints of pain, which poses an immediate risk to the health and safety of the residents in care.

Official plan of correction

Licensee to ensure resident’s physician and their responsible parties are always informed of any changes in resident’s condition and care needs. Licensee will develop a procedure that it will be attached to the facility plan of operation indicating how the facility will ensure that resident’s physician and their responsible parties will be informed of any changes in resident’s condition and care needs by POC due date. Failure to seek medical care resulted in violation causing injury to person in care $500 immediate civil penalty issued.

Deadline recorded: Jan 22, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87555(b)(26)

Regulation authority

CCR

What the official deficiency says

(b) The following food service requirements shall apply: (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's/House Supervisor observation, interview and record review, the licensee did not comply with the section cited above by not having a enough supply of fruits and vegetables which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 10/30/2024 Plan of Correction The facility agrees to submit pictures of replenished food supply in a sufficient amount for residents in care. Submit copy of food receipt as well. Submit how Licensee is ensuring food supply will be sufficient in the future. Plan of correction due 10/30/24.

Official classification

Type B

Official code

1569.695(c)

Regulation authority

HSC

What the official deficiency says

(c) A facility shall conduct a drill at least quarterly for each shift. The type of emergency covered in a drill shall vary from quarter to quarter, taking into account different emergency scenarios. An actual evacuation of residents is not required during a drill. While a facility may provide an opportunity for residents to participate in a drill, it shall not require any resident participation. Documentation of the drills shall include the date, the type of emergency covered by the drill, and the names of staff participating in the drill. This requirement is not met as evidenced by: Deficient Practice Statement Based on LPA's/House Supervisor observation, interview and record review, the licensee did not comply with the section cited above by not conducting/documenting a disastir drill within the last quarter, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/08/2024 Plan of Correction Licensee agrees to conduct and document disaster drills every 3 months on all shifts with all direct care staff. Licensee agrees to conduct a disaster drill on all shifts with all direct care staff and submit proof to CCL by POC due date 11/8/24.