GARDENS CARE SENIOR LIVING SCOTTSDALE

<p>Based on record review and interview, the manager failed to ensure a caregiver documented the services provided in the resident's medical record, for one of three resident sampled.</p><p><br></p><p><br></p><p><br></p><p>Findings include:</p><p><br></p><p><br></p><p><br></p><p>1 . A review of R1's medical record revealed a "Task Administration Record." The "Task Administration Record" included the following services:</p><p>-Oral Care-Partial Assistance;</p><p>-Toileting-Full Assistance; and</p><p>-Dressing-Full Assistance.</p><p>However, the services were not documented as administered on the following dates:</p><p>-Oral Care (PM) on September 3, 2025 and September 21, 2025;</p><p>-Toileting (AM) on September 22, 2025; Toileting (PM) on September 3, 2025 and September 21, 2025; </p><p>-Toileting (NOC) on September 3, 2025; September 4, 2025; September 18, 2025; and September 22, 2025; and</p><p>-Dressing (PM) on September 3, 2025 and September 21, 2025.</p><p><br></p><p><br></p><p><br></p><p>2 . In an exit interview, the findings were discussed with E1 and no additional information was provided.</p>

<p>Based on documentation review and interview, the governing authority failed to ensure the health, safety, or welfare of a resident was not placed at risk of harm. The deficient practice posed a risk to the physical health and safety of a resident.</p><p><br></p><p><br></p><p>Findings Include:</p><p><br></p><p>1. A review of facility documentation revealed an incident report regarding R2 dated July 2, 2025. The incident report stated “Resident stated had a fall during night, pressed pendant no assistance provided by CG. Resident lifted [self] from the floor and went to her bed, resident stated they hit their right shoulder area on counter. “</p><p><br></p><p>2. In an interview, E1 reported that when the day staff came into the facility on July 02, 2025, the staff ran a report of all the calls from the pendants from the residents. When the staff was reviewing the call report, they noticed that several calls had gone unanswered. E1 reported there were two caregivers on staff for the night shift, who were E4 and E6. The first caregiver, E4 on the night staff, reported that they had not answered the call from the resident due to the walkie-talkie not being charged, and the second caregiver reported they had not been given a walkie-talkie.</p><p><br></p><p>3. In an interview, E1 reported that both night caregivers were suspended and taken off the schedule immediately for further investigation. E1 acknowledged E4 and E6 had put the health, safety, or welfare of residents at risk of harm.</p>

<p>Based on documentation review and interview, the manager failed to ensure a resident was treated with dignity, respect, and consideration. The deficient practice posed a risk of injury and violated a resident's rights.</p><p><br></p><p>Findings Include:</p><p><br></p><p>1. A review of facility documentation revealed an incident report for R2 dated July 2, 2025. The incident report stated “Resident stated had a fall during night, pressed pendant no assistance provided by CG. Resident lifted [self] from the floor and went to her bed, resident stated they hit their right shoulder area on counter. “</p><p><br></p><p>2. In an interview, E1 reported that when the day staff came into the facility on July 02, 2025, the staff ran a report of all the calls from the pendants from the residents. When the staff was reviewing the call report, they noticed that several calls had gone unanswered. E1 reported there were two caregivers on staff for the night shift, who were E4 and E6. The first caregiver, E4 on the night staff, reported that they had not answered the call from the resident due to the walkie-talkie not being charged, and the second caregiver reported they had not been given a walkie-talkie.</p><p><br></p><p>3. In an interview, E1 reported that both night caregivers were suspended and taken off the schedule immediately for further investigation. E1 acknowledged that E4 and E6 had not treated the residents with dignity, respect, and consideration.</p>