Pecan Elderly Carehome LLC

Cited requirement:R9-10-806.A.8.a-b. Personnel A. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have more than eight hours per week of direct interaction with residents, provides evidence of freedom from infectious tuberculosis: a. On or before the date the individual begins providing services at or on behalf of the assisted living facility, and b. As specified in R9-10-113;

Provider-listed correction date: Mar 17, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-806.A.10. Personnel A. A manager shall ensure that: 10. Before providing assisted living services to a resident, a manager or caregiver provides current documentation of first aid training and cardiopulmonary resuscitation training certification specific to adults.

Provider-listed correction date: Mar 5, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-808.A.4.b.iii. Service Plans A. Except as required in subsection (B), a manager shall ensure that a resident has a service plan that is established, documented, and implemented that: 4. Is reviewed and updated based on changes in the requirements in subsections (A)(3)(a) through (f): b. As follows: iii. At least once every three months for a resident receiving directed care services; and

Provider-listed correction date: Mar 5, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-816.A.1.a. Memory Care Services A. If an assisted living facility is authorized to provide directed care services, a manager shall ensure that: 1. Policies and procedures for memory care services are established, documented, and implemented to cover the following: a. Skills and knowledge necessary for the personnel member to provide the expected memory care services; b. Interventions used for behavior management; c. Systems to accommodate visitors, staff, and residents who do not need controlled egress; d. The requirements in R9-10-815(C)(8) regarding the prevention of unsafe wandering or exit seeking, which may include the use of tracking systems; e. Promotion of nutrition and hydration care; f. Evacuation and emergency procedures specific to residents receiving memory care services, that include the requirements in R9-10-819(A)(5); g. Prevention techniques of elopement and responding to elopement incidents promptly and effectively; h. Monitoring residents receiving memory care services in outdoor areas on the premises; i. Specialized environmental features to support memory care that include: i. Secure areas to prevent wandering and spaces designed for cognitive stimulatio…

Provider-listed correction date: Mar 17, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-816.C. Memory Care Services C. In addition to the minimum eight hours of initial memory care services training, a manager shall complete a minimum of four hours of memory care services training specific to assisted living facility managers.

Provider-listed correction date: Mar 18, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-819.A.7.a. Emergency and Safety Standards A. A manager shall ensure that: 7. If the assisted living facility is authorized to provide directed care services, an elopement drill for employees: a. Conduct an elopement drill every six months on each shift and document the date, time, and description of each drill; and

Provider-listed correction date: Mar 17, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-806.C.1.a-c. Personnel C. A manager shall ensure that a personnel record for each employee or volunteer: 1. Includes: a. The individual’s name, date of birth, and contact telephone number; b. The individual’s starting date of employment or volunteer service and, if applicable, the ending date; and c. Documentation of: i. The individual’s qualifications, including skills and knowledge applicable to the individual’s job duties; ii. The individual’s education and experience applicable to the individual’s job duties; iii. The individual’s completed orientation and in-service education required by policies and procedures; iv. The individual’s license or certification, if the individual is required to be licensed or certified in this Article or in policies and procedures; v. If the individual is a behavioral health technician, clinical oversight required in R9-10-115; vi. Evidence of freedom from infectious tuberculosis, if required for the individual according to subsection (A)(8); vii. Cardiopulmonary resuscitation training, if required for the individual in this Article or policies and procedures; viii First aid training, if required for the individual in this Article or polici…

Provider-listed correction date: Oct 22, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-808.A.1-5. Service Plans A. Except as required in subsection (B), a manager shall ensure that a resident has a service plan that is established, documented, and implemented that: 1. Is completed no later than 14 calendar days after the resident’s date of acceptance; 2. Is developed with assistance and review from: a. The resident or resident’s representative, b. The manager, and c. Any individual requested by the resident or the resident’s representative; 3. Includes the following: a. A description of the resident’s medical or health problems, including physical, behavioral, cognitive, or functional conditions or impairments; b. The level of service the resident is expected to receive; c. The amount, type, and frequency of assisted living services and ancillary services being provided to the resident, including medication administration or assistance in the self-administration of medication;d. For a resident who requires intermittent nursing services or medication administration, review by a nurse or medical practitioner; e. For a resident who requires behavioral care: i. Any of the following that is necessary to provide assistance with the resident’s psychosocial interactio…

Provider-listed correction date: Oct 22, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-808.A.5.a-d. Service Plans A. Except as required in subsection (B), a manager shall ensure that a resident has a service plan that is established, documented, and implemented that: 5. When initially developed and when updated, is signed and dated by: a. The resident or resident’s representative; b. The manager; c. If a review is required in subsection (A)(3)(d), the nurse or medical practitioner who reviewed the service plan; and d. If a review is required in subsection (A)(3)(e)(ii), the medical practitioner or behavioral health professional who reviewed the service plan.

Provider-listed correction date: Oct 22, 2025. A provider’s plan does not establish agency-confirmed correction.