Sante of North Scottsdale

In the surveyor’s words

From the most serious findings on record at Sante of North Scottsdale, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF684Sep 13, 2024

  Based on clinical record review, interviews, and policy review, the facility failed to ensure medications were administered as ordered for two of 17 sampled residents (#272 and #277). The deficient practice could result in resident not receiving the required treatment they need. The facility census was 69. Findings include: -Resident #272 was admitted on [DATE] with diagnoses of Covid-19, [NAME]-[NAME] Virus (EBV), Cytomegalovirus (CMV), myelodysplastic syndrome, bone marrow transplant status, and metabolic encephalopathy. A physician order dated 11/16/23 included for Maribavir (antiviral) 200 mg (milligram) give two tablets of twice a day for history of EBV/CMV viremia. […]

• No harm, potential for more than minimal, patternF757Sep 13, 2024

  Based on clinical record review, staff interviews, and facility policy, the facility failed to ensure that opioid medication orders for two residents (Resident #4 and #38) were administered following the physician ordered parameters. The deficient practice could result in inaccurate administration of opioid medication, with the potential of over medicating resident's with opioid medication. Findings include: -Resident #4 was admitted on [DATE] with diagnoses of fibromyalgia and generalized anxiety disorder. A review care plan dated August 9, 2024 revealed the resident had fibromyalgia, arthritis and chronic back pain. Intervention included to administer medications and treatment as ordered. […]

• No harm, potential for more than minimal, patternF758Sep 13, 2024

  Based on clinical record review, staff interviews, and policy review, the facility failed to ensure target behaviors, side effects and effectiveness related to psychotropic medications were monitored for three residents (#42, #1 and #23). The sample size was 6. The deficient practice could result in complications. Findings include: -Resident # 42 was admitted on [DATE] with diagnoses of urinary tract infection (UTI), severe sepsis without septic shock, and acute respiratory failure with hypoxia. A physician order dated September 2, 2024 included for Mirtazapine (antidepressant) 15 mg (milligram), to give 1 tablet by mouth at bedtime for depression as evidenced by verbalization of sadness. […]

• No harm, potential for more than minimal, patternF880Sep 13, 2024

  Based on observation, record review, interviews, and facility policy review, the facility failed to follow infection control standards on enhanced barrier precautions (EBP) for 3 of 3 sampled residents (#23, #26, and #24). The deficient practice could lead to spread of infections. Findings include: -Resident #23 was admitted on [DATE], with diagnoses of urinary tract infection, neuromuscular dysfunction of bladder, retention of urine, Parkinson's Disease without dyskinesia without mention of fluctuations, and dementia. The care plan initiated August 19, 2024 revealed that the resident required enhanced barrier precautions (EBP) due to suprapubic catheter. Interventions included to ensure EBP were followed during high-contact interaction or procedures per facility i.e. […]

• No harm, potential for more than minimal, patternF880Jul 8, 2022

  Based on observations, staff interviews, and facility policy and procedures, the facility failed to ensure that three staff (#118, #200, and #203) maintained infection control standards prior to entering and exiting a resident's room on isolation precautions. The deficient practice could result in the spread of COVID-19 infection. Findings include: -On July 5, 2022 at 8:36 a.m., a PPE (Personal Protective Equipment) cart was observed outside of a resident's room. The PPE cart did not contain any gowns, N95 masks, surgical masks, or eye protection. There was a sign on the wall to the left of the door that said, attention, please see the nurse before entering: gloves, mask and gown required. […]