Silverado Senior Living-sierra Vista

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not supervise the resident according to their needs. Resident sustained unexplained scratches their back. Staff did not administer medication as prescribed. Staff allowed the resident to be malodorous. Staff left the resident soiled. Facility did not provide a refund.

Licensing Program Analyst (LPA) Nune Margaryan conducted a subsequent unannounced complaint visit to deliver finding to the above-mentioned allegations. LPA met with Selene Rangel-Gutierez. LPA explained the reason for the visit. The investigation consisted of the following: During the initial visit, on 09/23/25 LPA Nune Margaryan obtained copies of Staff & Residents rosters, interviewed Administrator, Staff 1 (S1) - Staff 5 (S5), Resident 2 (R2) - Resident 8 (R8) and requested Resident 1's (R1) file. LPA reviewed and collected documents related to R1. LPA was unable to interview R1. R1 was moved from the facility on 09/10/25. Continue 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 30, 2026 · control 28-AS-20250917141609

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff do not meet incontinence care needs of residents. Staff do not dispense medications as prescribed.

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced complaint investigation to investigate the above allegations. LPA met with Selene Rangel, DHS (Director of Health Services) and explained the purpose of the visit. During this visit, LPA obtained a copy of the Resident and Staff rosters, obtained copies of relevant documentation, interviewed Staff 1 (S1) - Staff 7 (S7), Resident 1 (R1) - Resident 8 (R8). LPA also conducted a facility tour included med rooms. Continue 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 30, 2025 · control 28-AS-20250924093048

Allegation investigated: Staff do not keep the facility clean and sanitary. Staff do not ensure that pets in the facility are managed and receive approrpriate care

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced 10 day complaint visit to investigate the allegations listed above. Upon arriving at the facility, LPA met with Administrator Vida Gwinn and Rangel-Gutierrez Selene DHS (Director of Health Care Services) who assisted with the visit. The reason for the visit was explained. The investigation consisted of the following: LPA Margaryan inspected the facility including dining areas and common areas, obtained a copy of the staff roster, residents roster, reviewed and obtain documentation relevant to this investigation and interviewed Administrator, DHS( Director of Health Services) , Staff 1 to Staff 3 (S1 to S3) and Resident 1 to Resident 7 ( R1 to R7). Continue 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jun 20, 2025 · control 28-AS-20250613122057

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff did not report changes in a resident's medical condition to their physician, resulting in hospitalization. Facility did not follow correct reporting requirements.

Licensing Program Analyst (LPA) Angelica Rea conducted an initial complaint visit in response to the allegations listed above. LPA met with RN/Director of Health Services, Selene Rangel, who assisted with today's visit. Regarding the allegation that : Facility staff did not report changes in resident #1's medical condition to their physician, resulting in hospitalization. The investigation consisted of review of resident #1's file, and interview(s) with staff #1, and staff #2. The investigation revealed the following: resident #1 has lived at the facility since 9/29/23. Review of resident #1's file indicates that resident #1 is regularly seen by their physician. LPA observed detailed progress notes for resident #1 for the period of 12/31/23 - 1/20/24. Staff interviewed stated that resident #1 was observed by staff on1/2/24, and noted to have cough and congestion. Staff reported this to resident #1's physician, and resident #1 was seen by their physician on 1/2/24. Resident #1's physicithe state’s words, verbatim · CDSS document, Feb 1, 2024 · control 28-AS-20240124130220

Allegation investigated: Staff are not ensuring residents are receiving their phone calls. Facility is not ensuring adequate staffing.

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced 10 day complaint visit to investigate the allegations listed above. Upon arriving at the facility, LPA met Rangel-Gutierrez Selene DHS who assisted with the visit. The reason for the visit was explained. The investigation consisted of the following: LPA Margaryan toured the facility, obtained a copies of the staff roster, residents roster. LPA Margaryan also obtained copies of documents pertaining to Resident#1 (R1) including notes from staff in regards to R1's phone calls. LPA interviewed Staff#1 - Staff #5 (S #1 - S #5) and Resident #1 - Resident #6 (R #1 - R #6). Cont. 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 24, 2023 · control 28-AS-20231019092218

Allegation investigated: Staff did not adequately supervise resident resulting in resident falling. Resident is dehydrated.

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced 10 day complaint visit to investigate the allegations listed above. Upon arriving at the facility, LPA met Rangel-Gutierrez Selene DHS who assisted with the visit. Shortly after Administrator Almavida Gwinn arrived. The reason for the visit was explained. The investigation consisted of the following: LPA Margaryan toured the facility, obtained a copies of the staff roster, residents roster LPA Margaryan also obtained copies of documents pertaining to Resident#1 (R1) including: Residency Agreement, Admission Record, Identification and Emergency Information, Preplacement Appraisal Information, Resident Appraisal, Physician's Report, Physician Order Review, Neurological Observation Results, Vital Signs Trend, Unusual Incident/Injury Report (SIR) dated 10/05/23. Interviews were conducted with 5 staff (S1 - S5) , 6 residents (R1 - R6) and 1 Family member (F1) Cont. 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 19, 2023 · control 28-AS-20231013083953