R & D Marathon Assisted Living Home LLC

Cited requirement:A.R.S. § 36-420.01.A. Health care institutions; fall prevention and fall recovery; training programs; definition A. Each health care institution shall develop and administer a training program for all staff regarding fall prevention and fall recovery. The training program shall include initial training and continued competency training in fall prevention and fall recovery. A health care institution may use information and training materials from the department's Arizona falls prevention coalition in developing the training program.

Provider-listed correction date: Aug 3, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:A.R.S. § 36-420.04.C. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document C. Each assisted living center and assisted living home must maintain a standardized form for each resident that includes the information prescribed in subsection A of this section, except for the information prescribed in subsection A, paragraph 1 of this section, which shall be provided at the time the emergency responder is contacted. Each assisted living center and assisted living home shall periodically update this form for each resident as necessary.

Provider-listed correction date: Aug 1, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-113.A.2.a-f. Tuberculosis Screening A. If a health care institution is subject to the requirements of this Section, as specified in an Article in this Chapter, the health care institution's chief administrative officer shall ensure that the health care institution establishes, documents, and implements tuberculosis infection control activities that: 2. Include: a. For each individual who is employed by the health care institution, provides volunteer services for the health care institution, or is admitted to the health care institution and who is subject to the requirements of this Section, baseline screening, on or before the date specified in the applicable Article of this Chapter, that consists of: i. Assessing risks of prior exposure to infectious tuberculosis, ii. Determining if the individual has signs or symptoms of tuberculosis, and iii. Obtaining documentation of the individual's freedom from infectious tuberculosis according to subsection (B)(1); b. If an individual may have a latent tuberculosis infection, as defined in A.A.C. R9-6-1201: i. Referring the individual for assessment or treatment; and ii. Annually obtaining documentation of the individual's freedom fr…

Provider-listed correction date: Aug 31, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-803.C.3. Administration C. A manager shall ensure that policies and procedures are: 3. Reviewed at least once every three years and updated as needed.

Provider-listed correction date: Aug 1, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-817.A.1.a-g. Medication Services A. A manager shall ensure that: 1. Policies and procedures for medication services include: a. Procedures for preventing, responding to, and reporting a medication error; b. Procedures for responding to and reporting an unexpected reaction to a medication; c. Procedures to ensure that a resident’s medication regimen and method of administration is reviewed by a medical practitioner to ensure the medication regimen meets the resident’s needs; d. Procedures for: i. Documenting, as applicable, medication administration and assistance in the self-administration of medication; and ii. Monitoring a resident who self-administers medication; e. Procedures for assisting a resident in procuring medication; f. If applicable, procedures for providing medication administration or assistance in the self-administration of medication off the premises; and g. Procedures for administering medication to residents receiving memory care services; and

Provider-listed correction date: Jul 31, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-817.B.2.a. Medication Services B. If an assisted living facility provides medication administration, a manager shall ensure that: 2. Policies and procedures for medication administration: a. Are reviewed and approved by a medical practitioner, registered nurse, or pharmacist;

Provider-listed correction date: Jul 31, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-817.B.3.b. Medication Services B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order, and

Provider-listed correction date: Jul 31, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-817.F.1. Medication Services F. When medication is stored by an assisted living facility, a manager shall ensure that: 1. Medication is stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage;

Provider-listed correction date: Jul 31, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-819.A.2. Emergency and Safety Standards A. A manager shall ensure that: 2. The disaster plan required in subsection (A)(1) is reviewed at least once every 12 months;

Provider-listed correction date: Jul 31, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-819.A.4. Emergency and Safety Standards A. A manager shall ensure that: 4. A disaster drill for employees is conducted on each shift at least once every three months and documented;

Provider-listed correction date: Jul 31, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-819.B.1-2. Emergency and Safety Standards B. A manager shall ensure that: 1. A resident receives orientation to the exits from the assisted living facility and the route to be used when evacuating the assisted living facility within 24 hours after the resident’s acceptance by the assisted living facility, and 2. The resident’s orientation is documented.

Provider-listed correction date: Jul 31, 2026. A provider’s plan does not establish agency-confirmed correction.