R & D Marathon Assisted Living Home V LLC

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: Oct 30, 2025. 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: Oct 31, 2025. 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: Oct 30, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-806.A.7. Personnel A. A manager shall ensure that: 7. Documentation is maintained for at least 12 months after the last date on the documentation of the caregivers and assistant caregivers working each day, including the hours worked by each;

Provider-listed correction date: Oct 30, 2025. 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: Nov 1, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-806.A.9. Personnel A. A manager shall ensure that: 9. Before providing assisted living services to a resident, a caregiver or an assistant caregiver receives orientation that is specific to the duties to be performed by the caregiver or assistant caregiver; and

Provider-listed correction date: Nov 1, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-806.B.3. Personnel B. A manager of an assisted living home shall ensure that: 3. As part of the policies and procedures required in R9-10-803(C)(1)(h), a plan is established, documented, and implemented to ensure that the manager or a caregiver is available as back-up to provide assisted living services to a resident if the manager or a caregiver assigned to work is not available or not able to provide the required assisted living services; and

Provider-listed correction date: Oct 31, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-806.B.4.a-b. Personnel B. A manager of an assisted living home shall ensure that: 4. At least the manager or a caregiver is present at an assisted living home when a resident is present in the assisted living home and: a. Except for nighttime hours, the manager or caregiver is awake; and b. If the manager or caregiver is not awake during nighttime hours: i. The manager or caregiver can hear and respond to a resident needing assistance; and ii. If the assisted living home is authorized to provide directed care services, policies and procedures are developed, documented, and implemented to establish a process for checking on a resident receiving directed care services during nighttime hours to ensure the resident’s health and safety.

Provider-listed correction date: Oct 31, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-807.B.1.a-b. Residency and Residency Agreements B. A manager shall ensure that before or at the time of acceptance of an individual, the individual submits documentation that is dated within 90 calendar days before the individual is accepted by an assisted living facility and: 1. If an individual is requesting or is expected to receive supervisory care services, personal care services, or directed care services: a. Includes whether the individual requires: i. Continuous medical services, ii. Continuous or intermittent nursing services, or iii. Restraints; and b. Is dated and signed by a: i. Physician, ii. Registered nurse practitioner, iii. Registered nurse, or iv. Physician assistant; and

Provider-listed correction date: Nov 2, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-807.D.10. Residency and Residency Agreements D. Before or at the time of an individual’s acceptance by an assisted living facility, a manager shall ensure that there is a documented residency agreement with the assisted living facility that includes: 10. The manager’s signature and date signed.

Provider-listed correction date: Oct 31, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-807.E.1-4. Residency and Residency Agreements E. Before or within five working days after a resident’s acceptance by an assisted living facility, a manager shall obtain on the documented agreement, required in subsection (D), the signature of one of the following individuals: 1. The resident, 2. The resident’s representative, 3. The resident’s legal guardian, or 4. Another individual who has been designated by the individual under A.R.S. § 36-3221 to make health care decisions on the individual’s behalf.

Provider-listed correction date: Oct 31, 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 31, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-810.B.1. Resident Rights B. A manager shall ensure that: 1. A resident is treated with dignity, respect, and consideration;

Provider-listed correction date: Oct 30, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-810.B.3.b. Resident Rights B. A manager shall ensure that: 3. A resident or the resident’s representative: b. Consents to photographs of the resident before the resident is photographed, except that a resident may be photographed when accepted as a resident by an assisted living facility for identification and administrative purposes;

Provider-listed correction date: Oct 31, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-811.A.2.a-c. Medical Records A. A manager shall ensure that: 2. An entry in a resident’s medical record is: a. Only recorded by an individual authorized by policies and procedures to make the entry; b. Dated, legible, and authenticated; and c. Not changed to make the initial entry illegible;

Provider-listed correction date: Oct 31, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-811.C.12. Medical Records C. A manager shall ensure that a resident’s medical record contains: 12. A medication order from a medical practitioner for each medication that is administered to the resident or for which the resident receives assistance in the self-administration of the medication;

Provider-listed correction date: Oct 31, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-811.C.13.a. Medical Records C. A manager shall ensure that a resident’s medical record contains: 13. Documentation of medication administered to the resident or for which the resident received assistance in the self-administration of medication that includes: a. The date and time of administration or assistance;

Provider-listed correction date: Oct 30, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-811.C.13.b. Medical Records C. A manager shall ensure that a resident’s medical record contains: 13. Documentation of medication administered to the resident or for which the resident received assistance in the self-administration of medication that includes: b. The name, strength, dosage, and route of administration;

Provider-listed correction date: Oct 30, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-811.C.13.c. Medical Records C. A manager shall ensure that a resident’s medical record contains: 13. Documentation of medication administered to the resident or for which the resident received assistance in the self-administration of medication that includes: c. The name and signature of the individual administering or providing assistance in the self-administration of medication; and

Provider-listed correction date: Oct 30, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-815.C.6.a-b. Directed Care Services C. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving directed care services includes: 6. Documentation: a. Of the resident’s weight, or b. From a medical practitioner stating that weighing the resident is contraindicated;

Provider-listed correction date: Nov 1, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-817.B.3.a-c. Medication Services B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: a. Is administered by an individual under the direction of a medical practitioner, b. Is administered in compliance with a medication order, and c. Is documented in the resident’s medical record.

Provider-listed correction date: Oct 31, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-818.A.1.a-e. Food Services A. A manager shall ensure that: 1. A food menu: a. Is prepared at least one week in advance, b. Includes the foods to be served each day, c. Is conspicuously posted at least one calendar day before the first meal on the food menu is served, d. Includes any food substitution no later than the morning of the day of meal service with a food substitution, and e. Is maintained for at least 60 calendar days after the last day included in the food menu;

Provider-listed correction date: Oct 31, 2025. 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: Oct 30, 2025. 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: Oct 30, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-819.A.5.a. Emergency and Safety Standards A. A manager shall ensure that: 5. An evacuation drill for employees and residents: a. Is conducted at least once every six months; and

Provider-listed correction date: Nov 2, 2025. 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: Oct 31, 2025. 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: Oct 30, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-821.B.4.a-c. Physical Plant Standards B. A manager shall ensure that: 4. At least one bathroom is accessible from a common area and: a. May be used by residents and visitors; b. Provides privacy when in use; and c. Contains the following: i. At least one working sink with running water, ii. At least one working toilet that flushes and has a seat, iii. Toilet tissue for each toilet, iv. Soap in a dispenser accessible from each sink, v. Paper towels in a dispenser or a mechanical air hand dryer, vi. Lighting, and vii. A window that opens or another means of ventilation;

Provider-listed correction date: Oct 30, 2025. A provider’s plan does not establish agency-confirmed correction.

Cited requirement:R9-10-821.B.4.a-c. Physical Plant Standards B. A manager shall ensure that: 4. At least one bathroom is accessible from a common area and: a. May be used by residents and visitors; b. Provides privacy when in use; and c. Contains the following: i. At least one working sink with running water, ii. At least one working toilet that flushes and has a seat, iii. Toilet tissue for each toilet, iv. Soap in a dispenser accessible from each sink, v. Paper towels in a dispenser or a mechanical air hand dryer, vi. Lighting, and vii. A window that opens or another means of ventilation;

Provider-listed correction date: Oct 30, 2025. A provider’s plan does not establish agency-confirmed correction.