AVISTA SENIOR LIVING APACHE JUNCTION

Based on record review, documentation review, and interview, the manager failed to ensure a current therapeutic diet manual was available for use by employees. The deficient practice posed a risk if the employees did not have access to the dietary information required to meet a resident's needs. Findings include: 1. A review of R2's medical record revealed a document titled "Medical Practitioner Plan of Care" signed by a medical practitioner dated February 12, 2025, that documented R2 required "minced and moist" textured foods. 2. The Compliance Officer requested the facility's therapeutic diet manual. However, a therapeutic diet manual was not provided for review. 3. In an interview, E1 acknowledged there was not a therapeutic diet manual available for review at the time of the inspection.

Based on record review and interview, the manager failed to ensure that food was prepared in a form to meet the needs of a resident, for one of five residents reviewed. Findings include: 1. A review of R2's medical record revealed a service plan for personal care services dated February 22, 2025. The service plan stated, "...the resident's dining/nutritional needs will be met per resident preference and provider orders..." 2. A review of R2's medical record revealed a document titled "Medical Practitioner Plan of Care" signed by a medical practitioner dated February 12, 2025, that documented R2 required "minced and moist" textured foods. 3. In an interview, E1 reported that R2 was provided chips and cheese and acknowledged that R2 was not provided with a diet in a form to meet R2's needs.