Inspection Results » Phoenix Mountain Post Acute

Health Inspection on November 9, 2018 ^[1]

1. Pattern: Immediate jeopardy to the resident health or safety

   • Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. (Corrected 2018-12-24)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Develop and implement policies and procedures to prevent abuse, neglect, and theft. (Corrected 2019-02-14)
   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2019-02-14)
   • Ensure each residentÂ’s drug regimen must be free from unnecessary drugs. (Corrected 2018-12-24)
   • Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. (Corrected 2019-02-14)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. (Corrected 2018-12-24)
   • Give the resident's representative the ability to exercise the resident's rights. (Corrected 2018-12-24)
   • Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne (Corrected 2018-12-24)
   • Respond appropriately to all alleged violations. (Corrected 2019-02-14)
   • Ensure that residents are fully informed and understand their health status, care and treatments. (Corrected 2018-12-24)
   • Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (Corrected 2018-12-24)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-02-14)

4. Pattern: No actual harm with potential for minimal harm

   • Let each resident or the resident's legal representative access or purchase copies of all the resident's records. (Corrected 2018-12-24)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2018-12-24)
   • Keep residents' personal and medical records private and confidential. (Corrected 2018-12-24)