Life Care Center of Paradise Valley

Inspectors wroteBased on observation, interviews, review of clinical record, and review of facility policy and procedure, the facility failed to ensure a comprehensive care plan was implemented for one of three sampled residents (#25) to ensure safe mobility during a functional transfer. The deficient practice could result in injury to a resident, or failure to honor a resident's preference.-

Inspectors wroteBased on clinical record review, staff interviews, facility documentation, and policies and procedures, the facility failed to protect the rights of one resident (#51) to be free from physical abuse from facility staff. The deficient practice could result in appropriate action not taken and further abuse of residents.

Inspectors wroteBased on facility observations, resident and staff interviews, and review of the clinical record and facility policy, the facility failed to ensure that medications were stored securely and were not left unattended at residents' bedsides for two of 28 sampled residents (#53 and #40) or on top of the medication cart. The deficient practice could result in unauthorized access to medications, medication errors, misuse, allergic reactions, adverse drug effects or other harm. Findings Include: -Regarding Resident #53: Resident #53 was admitted to the facility on [DATE], with a diagnosis including: chronic obstructive pulmonary disease with (acute) exacerbation, atrial fibrillation, and pneumonia. A Care Plan initiated on January 12, 2026, revealed a focus for a physician's order for unsupervised self-administration of the following medications: [...]

Inspectors wroteBased on clinical record review, observation, and staff interviews, the facility failed to ensure appropriate infection control practices were implemented for 1 of 5 sampled residents (#136) regarding following contact precautions. The universe was 28 residents. The deficient practice could result in a spread of preventable illness to residents and staff.

Inspectors wroteBased on observations, interviews, facility documentation and policy, the facility failed to ensure that a mechanical lift for resident transfer, was cleaned and disinfected according to professional standards. The deficient practice could result in the spread of infection and resident illness.

Inspectors wroteBased on clinical record review, staff interviews, observation of current practice, and review of the facility's policies, the facility failed to ensure one resident #77, was free from verbal and/or physical abuse from a family member. The deficient practice could result in residents experiencing emotional and mental trauma from the abuse.

Inspectors wroteBased on review of clinical record review, resident/staff interviews the facility documentation and policy review, failed to ensure a discharge planning based on the assessed needs and goals was in place for one resident (#49). The deficient practice could result in the delay of the resident transfer/discharge to the facility of choice.

Inspectors wroteBased on clinical record review, resident and staff interviews, and facility policy review, the facility failed to ensure one resident (#25) was treated with dignity and respect by a visitor. The deficient practice has the potential for additional residents to be treated with a lack of dignity and respect. The facility census was 89, and the resident sample was 18.

Inspectors wroteBased on clinical record review, staff interviews, facility documentation and policy review, the facility failed to ensure one resident's (#3) choice regarding advance directives and orders were accurately reflected in the medical record. The deficient practice could result in resident's choices noted being followed. The resident census was 89 and the sample was 18.

Inspectors wroteBased on clinical record review, observations, staff interviews, and policy, the facility failed to ensure that a care plan intervention for monitoring medication side effects related to use of an antianxiety medication was implemented for one resident (#60). The deficient practice could result in the resident not receiving the care and services to meet their needs.

Inspectors wroteBased on clinical record review, observations, staff interviews, and policy, the facility failed to ensure that a care plan was revised to include resident-specific nutritional goals for one resident (#76). The deficient practice could result the resident not being involved and not able to make decisions about their care and needs.

Inspectors wroteBased on review of clinical records and policy, observations, and staff interviews the facility failed to ensure one oxygen-dependent resident (#49) did not have an empty oxygen tank while in use. The deficient practice could result in scaling down of services, provided by the facility, that do not align with the highest practicability of care.

Inspectors wroteBased on personnel file review, staff interviews, facility policy review and Center for Medicare and Medicaid Services (CMS) guideline, the facility failed to ensure that the occupational therapist (OT/staff #88) had a valid Cardiopulmonary Resuscitation (CPR) and first aid certifications. The deficient practice could result in staff not being knowledgeable of how to prvide emergency care to residents.

Inspectors wroteBased on clinical record review, staff interviews, and policy reviews, the facility failed to ensure there was adequate monitoring for side effects related to the use of a psychotropic medication for one resident (#60). The census was 89. The deficient practice could result in residents being at risk for unidentified adverse reactions related to the use of the medication.

Inspectors wroteBased on clinical record reviews, facility and hospital documentation, staff interviews and policy review, the facility failed to ensure that two residents (#17, 10) was free from verbal abuse.

Inspectors wroteBased on clinical record review, staff interviews, and facility policy and procedures, the facility failed to ensure one resident (# 8) was free from verbal abuse. The deficient practice may result in psychosocial harm as a result of un-averting or intervening communication that may lead to verbal abuse.

Inspectors wroteBased on review of clinical records and policy, observations, and staff interviews the facility failed to ensure transmission-based precautions, particularly enhanced barrier precautions, signage and personal protective equipment were in-place to help prevent development or transmission of infections. The deficient practice could result in development or transmission of infections within the facility.

Inspectors wroteBased on clinical record review, staff interviews and contract review, the facility failed to ensure one resident (#369) received treatment and care in accordance with professional standards of practice. The facility failed to ensure communication was provided to the family when the resident had a change of condition. This failure has the potential for confusion between resident's family and the facility.

Inspectors wroteBased on clinical record review, staff interviews, facility documentation, policies and procedures, the facility failed to ensure that one resident (#520) was free from abuse of another. The deficient practice could result in other residents being abused.

Inspectors wroteBased on clinical record review, staff interviews and policy review, the facility failed to ensure that two resident's (#525, #535) care plans were updated and revised as needed.

Inspectors wroteBased on clinical record review, staff interviews and review of facility policy and procedure, the facility failed to ensure that one resident (#333) was provided with floor mat for fall prevention and implementation of the care plan. The deficient practice could result in preventable accidents such as falls.

Inspectors wroteBased on staff interviews and review of facility documentation, policy, and procedures, the state regulation on record retention, and the State Agency (SA) complaint tracking system, the facility failed to ensure that medical record for one resident (#1) was retained as required by State law. The deficient pratice could result in pertinent clinical information not accessible.

Inspectors wroteBased on clinical record reviews, staff interviews, and review of facility policies and practices, the facility failed to ensure that physician ordered medications were not misappropriated for 10 residents (#7, #43, #44, #49, #65, #74, #75, #87, #93 and #94). The deficient practice could result in residents not having adequate supplies of medications to meet their medical needs. The sample size was 14.

Inspectors wroteBased on clinical record review, review of facility investigative documentation, and a review of the facility's policies and procedures, the facility failed to protect one resident (#91) from staff verbal abuse. The deficient practice could result in an unsafe resident environment.

Inspectors wroteBased on a review of facility policy's, the facility failed to implement their policies on abuse for one resident (#91) and on misappropriation of property for 10 residents (#7, #43, #44, #49, #65, #74, #75, #87, #93 and #94). Failure of development and implementation of these policies could cause continued verbal abuse towards all residents of the facility and cause residents to not have adequate supplies of medications to meet their medical needs.