Lodge At 14th Street

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: Mar 13, 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: Apr 1, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-113.A.1-2. 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: 1. Are consistent with recommendations in Tuberculosis Screening, Testing, and Treatment of U.S. Health Care Personnel: Recommendations from the National Tuberculosis Controllers Association and CDC, 2019, published by the U.S. Department of Health and Human Services, Atlanta, GA 30333, available at https://www.cdc.gov/mmwr/volumes/68/wr/mm6819a3.htm, incorporated by reference, on file with the Department, and including no future editions or amendments; and 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, screening, on or before the date specified in the applicable Article of this Chapter, that consists of: i. Assessing risks of prior exp…

Provider-listed correction date: May 4, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-120.F.4.a-c. Opioid Prescribing and Treatment F. For a health care institution where opioids are administered as part of treatment or where a patient is provided assistance in the self-administration of medication for a prescribed opioid, including a health care institution in which an opioid may be prescribed or ordered as part of treatment, a medical director, a manager as defined in R9-10-801, or a provider, as applicable to the health care institution, shall: 4. Except as provided in subsection (H), ensure that an individual authorized by policies and procedures to administer an opioid in treating a patient or to provide assistance in the self-administration of medication for a prescribed opioid: a. Before administering an opioid or providing assistance in the self-administration of medication for a prescribed opioid in compliance with an order as part of the treatment for a patient, identifies the patient's need for the opioid; b. Monitors the patient's response to the opioid; and c. Documents in the patient's medical record: i. An identification of the patient ' s need for the opioid before the opioid was administered or assistance in the self-administration of medicat…

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

Cited requirement:R9-10-804.2.a-b. Quality Management A manager shall ensure that: 2. A documented report is submitted to the governing authority that includes: a. An identification of each concern about the delivery of services related to resident care, and b. Any change made or action taken as a result of the identification of a concern about the delivery of services related to resident care; and

Provider-listed correction date: May 4, 2026. A provider’s plan does not establish agency-confirmed correction.

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: Apr 1, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-807.A.1-2. Residency and Residency Agreements A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis: 1. Before or within seven calendar days after the resident’s date of occupancy, and 2. As specified in R9-10-113

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

Cited requirement:R9-10-816.B. Memory Care Services B. A manager shall ensure that staff obtain a certificate of completion, as specified in R9-10-126, including the minimum eight hours of initial memory care services training within the first 30 days of hire or provide a copy of a certificate of completion, as specified in R9-10-126, obtained within the preceding 12 months from the date of hire. If a staff member or contractor has not worked at an assisted living facility that is licensed to provide directed care services for a period of 12 months, the staff member or contractor must complete the minimum eight hours of initial memory care services training within 30 days after the date of hire, rehire, or returning to work.

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

Cited requirement:R9-10-817.D.1. Medication Services D. A manager shall ensure that: 1. A current drug reference guide is available for use by personnel members, and

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

Cited requirement:R9-10-817.D.2. Medication Services D. A manager shall ensure that: 2. A current toxicology reference guide is available for use by personnel members.

Provider-listed correction date: Apr 3, 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: Apr 1, 2026. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-819.C. Emergency and Safety Standards C. A manager shall ensure that a first-aid kit is maintained in the assisted living facility in a location accessible to caregivers and assistant caregivers.

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

Cited requirement:R9-10-820.A.1.a. Environmental Standards A. A manager shall ensure that: 1. The premises and equipment used at the assisted living facility are: a. Cleaned and, if applicable, disinfected according to policies and procedures designed to prevent, minimize, and control illness or infection; and

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