Fairbrook Grove Inc

Cited requirement:A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.

Correction information is not available in the records reviewed.

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

Correction information is not available in the records reviewed.

Cited requirement:J. If a manager has a reasonable basis, according to A.R.S. § 46-454 , to believe abuse, neglect or exploitation has occurred on the premises or while a resident is receiving services from an assisted living facility's manager, caregiver, or assistant caregiver, the manager shall: 1. If applicable, take immediate action to stop the suspected abuse, neglect, or exploitation; 2. Report the suspected abuse, neglect, or exploitation of the resident according to A.R.S. § 46-454; 3. Document: a. The suspected abuse, neglect, or exploitation; b. Any action taken according to subsection (J)(1); and c. The report in subsection (J)(2); 4. Maintain the documentation in subsection (J)(3) for at least 12 months after the date of the report in subsection(J)(2); 5. Initiate an investigation of the suspected abuse, neglect, or exploitation and document the following information within five working days after the report required in subsection (J)(2): a. The dates, times, and description of the suspected abuse, neglect, or exploitation; b. A description of any injury to the resident related to the suspected abuse or neglect and any change to the resident's physical, cognitive, functional, or emotio…

Correction information is not available in the records reviewed.

Cited requirement: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;

Correction information is not available in the records reviewed.

Cited requirement:C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record; and

Correction information is not available in the records reviewed.

Cited requirement:B. A manager shall ensure that: 1. A resident is treated with dignity, respect, and consideration;

Correction information is not available in the records reviewed.

Cited requirement:F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 2. There is a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort that meets one of the following: a. Provides access to an outside area that: i. Allows the resident to be at least 30 feet away from the facility, and ii. Controls or alerts employees of the egress of a resident from the facility;

Correction information is not available in the records reviewed.

Cited requirement:D. A manager shall ensure that: 2. A current toxicology reference guide is available for use by personnel members.

Correction information is not available in the records reviewed.

Cited requirement:B. If the assisted living facility offers therapeutic diets, a manager shall ensure that: 1. A current therapeutic diet manual is available for use by employees, and

Correction information is not available in the records reviewed.

Cited requirement:A. A manager shall ensure that: 6. Hot water temperatures are maintained between 95º F and 120º F in areas of an assisted living facility used by residents;

Correction information is not available in the records reviewed.

Cited requirement:R9-10-110. Modification of a Health Care Institution A. A licensee shall submit a request for approval of a modification of a health care institution when planning to make: 5. A change in the building where a health care institution is located that affects compliance with: b. Physical plant requirements in the specific Article in this Chapter applicable to the health care institution.

Correction information is not available in the records reviewed.

Cited requirement:D. A manager shall ensure that: 4. A resident's sleeping area: b. Is not used as a passageway to a common area, another sleeping area, or common bathroom unless the resident's sleeping area: i. Was used as a passageway to a common area, another sleeping area, or common bathroom before October 1, 2013; and ii. Written consent is obtained from the resident or the resident's representative;

Correction information is not available in the records reviewed.

Cited requirement:D. A manager shall ensure that: 5. If a resident's sleeping area is in a bedroom, the bedroom has: a. For a private bedroom, at least 80 square feet of floor space, not including a closet or bathroom;

Correction information is not available in the records reviewed.