Aspire Transitional Care
ASPIRE TRANSITIONAL CARE in FLAGSTAFF, AZ — inspection on August 21, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
cognitive impairment
Review of the Facility Investigation report received December 3, 2024, revealed that Resident # 59 alleged to her son that a server (Staff # 7) had transferred her from the wheelchair to the bed by the waist. It also revealed that Resident # 59's son claimed abuse.
The Facility investigation did not indicate that police, APS, or ombudsman had been contacted. An interview with Staff # 7 on August 20, 2025 at 3:02 p.m., revealed that if a resident indicated that they have been abused or neglected Staff # 7 would immediately make sure resident is safe and notify the charge nurse.
From there the charge nurse would make notifications to Director of Nursing (DON/Staff # 29) and Administrator (ED/Staff # 14).An interview with CNA Staff # 56 on August 20, 2025 at 2:26 p.m., revealed that if a resident indicated they were abused or neglected, Staff # 56 would report allegation to her nurse and assist in keeping resident safe. An interview with Director of Social Services Staff # 17 on August 20, 2025 at 2:37 p.m., revealed that if a resident makes an allegation of abuse or neglect Staff # 17 would notify ED (Staff # 14) and DON (Staff # 29).
Staff # 17 revealed that she has called APS for residents but not in allegations of abuse in facility, that is done by ED Staff # 14 or DON Staff # 29. An interview of ED (Staff # 14) on August 21, 2025 at 9:09 a.m. revealed that if a resident claimed to be abused or neglected, he would make sure resident is safe and start the investigation within 2 hours. ED (Staff # 14) revealed that the initial notification of abuse for Resident # 57 would be late if it came in along with the 5-day investigation. ED (Staff # 14) also revealed that APS and Ombudsman were not contacted for Residents # 57, 58, and 59, and police were not contacted for Resident # 57 and 59, during their investigations. A Policy and Procedure titled, Abuse, Neglect, and Exploitation reviewed on January 11, 2025, revealed that anyone with knowledge or concerns about the care of a resident in the facility must report suspected abuse to the Facility administrator, abuse agency hotline, or file a complaint with the state survey agency and adult protective services.
The Policy also revealed that when abuse, neglect or exploitation is suspected the Administrator or designee should contact the state agency and the local Ombudsman office to report the alleged abuse. In the event the facility staff or administration reasonably suspect a crime has been committed against the resident such individual is required to report such suspicion to the relevant state agency and one or more local enforcement agencies immediately (but not later than 2 hours after forming the suspicion if the events that lead to the suspicion result in serious bodily injury,) or not later than 24 hours if the events lead to the suspicion do not result in bodily injury.
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