54 Reports
Inspection Report — Mar 26, 2026
Complaint Investigation
Date: Mar 26, 2026
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On-site complaint investigation of complaints 00156917, 00155731, 00154294, and 00163448 at an Assisted Living Center, conducted 26 March 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00156917, 00155731, 00154294, and 00163448 conducted on March 26, 2026.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 4
Inspection Report — Mar 26, 2026
Date: Mar 26, 2026
Visit Reason
An on-site monitoring inspection was conducted on March 26, 2026, at an Assisted Living Center.
Findings
This inspection resulted in no citations or deficiency findings.
Inspection Report — Mar 9, 2026
Enforcement
Date: Mar 9, 2026
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Civil monetary penalty, action 00155225 (invoice INV-324881), assessed 9 March 2026.
Findings
A $5,010.00 penalty was assessed and paid in full on 9 March 2026.
Report Facts
Penalty amount: 5010
Amount paid: 5010
Amount remaining: 0
Inspection Report — Mar 9, 2026
Complaint Investigation
Date: Mar 9, 2026
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On-site complaint investigation of complaints 00159407, 00158620, 00157193, 00156972, and 0156918 at an Assisted Living Center, conducted 9 March 2026.
Complaint Details
The following deficiencies were found during the on-site investigation of complaint 00159407, 00158620, 00157193, 00156972, and 0156918, conducted on March 9, 2026.
Findings
This inspection resulted in no citations or deficiency findings.
Report Facts
Complaints investigated: 5
Inspection Report — Jan 15, 2026
Enforcement
Date: Jan 15, 2026
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Civil monetary penalty, action 00149470 (invoice INV-314844), assessed 15 January 2026.
Findings
A $1,000.00 penalty was assessed and paid in full on 15 January 2026.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Dec 22, 2025
Enforcement
Date: Dec 22, 2025
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Civil monetary penalty, action 00152724 (invoice INV-314854), assessed for AmarSI Assisted Living.
Findings
A $9000 penalty was assessed and paid in full on 1/22/2026.
Report Facts
Penalty amount: 9000
Amount paid: 9000
Amount remaining: 0
Inspection Report — Dec 12, 2025
Date: Dec 12, 2025
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On-site review of the plan of correction at an Assisted Living Center conducted 12 December 2025.
Findings
This inspection resulted in no citations or deficiency findings.
Inspection Report — Dec 9, 2025
Complaint Investigation
Date: Dec 9, 2025
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On-site complaint investigation of complaint 00150830 at an Assisted Living Center, conducted 9 December 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00150830 conducted on December 9, 2025.
Findings
No deficiencies were found during the inspection.
Inspection Report — Nov 19, 2025
Enforcement
Date: Nov 19, 2025
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Civil monetary penalty, action 00142511 (invoice INV-308973), assessed 19 November 2025.
Findings
A $750.00 penalty was assessed and paid in full on 19 November 2025.
Report Facts
Penalty amount: 750
Amount paid: 750
Amount remaining: 0
Inspection Report — Nov 17, 2025
Date: Nov 17, 2025
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On-site plan of correction review for license AL12139C at Amarsi Assisted Living conducted 17 November 2025, following a prior Notice of Intent to Revoke and a Settlement Agreement.
Findings
The inspection found two deficiencies related to resident rights and medication storage. The facility failed to maintain dignity and respect for residents due to roach infestations and delayed responses to pendant calls, and medication was stored unsecured in a common area.
Deficiencies (2)
R9-10-810 — The manager failed to ensure residents were treated with dignity and respect, evidenced by roach infestations in multiple rooms and delayed responses to pendant calls with wait times up to 68 minutes.
R9-10-817 — The manager failed to ensure medication was stored in a separate locked area, as a medication cart was found unlocked in the dining/kitchen common area, posing a risk to residents.
Report Facts
Deficiencies cited: 2
Inspection Report — Nov 13, 2025
Complaint Investigation
Date: Nov 13, 2025
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On-site complaint investigation of complaints 00150414 and 00150334 at an Assisted Living Center, conducted 13 November 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00150414 and 00150334 conducted on November 13, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Oct 20, 2025
Complaint Investigation
Date: Oct 20, 2025
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On-site complaint investigation of complaint 00148053 at an Assisted Living Center, conducted 20 October 2025.
Complaint Details
On September 21, 2023, the Department issued a Notice of Intent to Revoke for license AL12139C. The Licensee and the Department entered into a Settlement Agreement executed February 7, 2024. On October 20, 2025, an on-site complaint inspection found the Licensee out of compliance with Term #10 of the agreement regarding substantial compliance with applicable laws and rules. The deficiency was found during the investigation of complaint 00148053.
Findings
The inspection found one deficiency involving medication administration not in compliance with a medication order. The facility failed to ensure a medication was administered according to the physician's order, posing a risk to the resident.
Deficiencies (1)
R9-10-817 — The manager failed to ensure a medication was administered in compliance with a medication order for one resident, including administering a discontinued medication and incorrect dosages. This deficient practice posed a risk of harm if the resident experienced a change in condition due to improper medication administration.
Report Facts
Deficiencies cited: 1
Inspection Report — Oct 7, 2025
Complaint Investigation
Date: Oct 7, 2025
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On-site complaint investigation of complaints 00146712 and 00146653 at an Assisted Living Center, conducted 7 October 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00146712 and 00146653 conducted on October 7, 2025.
Findings
No deficiencies were found during this complaint investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Sep 25, 2025
Complaint Investigation
Date: Sep 25, 2025
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On-site complaint investigation of complaints 00146004 and 00146009 at an Assisted Living Center, conducted 25 September 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00146004 and 00146009 conducted on September 25, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Sep 22, 2025
Date: Sep 22, 2025
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On-site inspection of Amarsi Assisted Living conducted 22 September 2025 following a Notice of Intent to Revoke and a Settlement Agreement related to license AL12139C. The inspection reviewed compliance with terms of the agreement and identified deficiencies.
Complaint Details
On September 21, 2023, the Department issued a Notice of Intent to Revoke for license AL12139C. The Licensee and the Department entered into a Settlement Agreement executed February 7, 2024. On June 3, 2025, an on-site complaint inspection found the Licensee out of compliance with Term #10 of the agreement regarding substantial compliance with applicable laws and rules. The deficiencies found during the September 22, 2025 inspection relate to this agreement.
Findings
The inspection found three deficiencies related to resident safety, dignity, and environmental cleanliness, including a sexual harassment allegation, roach infestations, unsanitary conditions, and trip hazards. All deficiencies were repeat citations from prior inspections.
Deficiencies (3)
R9-10-803 — The manager failed to ensure the health, safety, or welfare of a resident, including allowing unwanted sexual advances by staff and a roach infestation in resident rooms posing health and safety risks. A medication organizer was unsecured and flooring was missing creating a trip hazard.
R9-10-810 — The manager failed to ensure a resident was treated with dignity, respect, and consideration, evidenced by unsanitary conditions including roach infestations, stained mattresses, and soiled bathrooms. A resident reported feeling unsafe due to staff harassment.
R9-10-820 — The manager failed to ensure the premises and equipment were cleaned and disinfected according to policies, with debris, litter, and tripping hazards observed in resident rooms. Housekeeping had not serviced a resident's room for over two and a half weeks.
Report Facts
Deficiencies cited: 3
Inspection Report — Sep 22, 2025
Annual Inspection
Date: Sep 22, 2025
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On-site complaint and annual compliance inspection of license AL12139C at Amarsi Assisted Living, conducted 22 September 2025, including complaint 00145502.
Complaint Details
On September 21, 2023, the Department issued a Notice of Intent to Revoke for license AL12139C. The Licensee and Department entered into a Settlement Agreement executed February 7, 2024. On June 3, 2025, an on-site complaint inspection found noncompliance with Term #10 of the agreement regarding substantial compliance. The complaint investigation 00145502 was conducted on September 22, 2025, revealing multiple deficiencies.
Findings
The inspection found 15 deficiencies related to opioid medication documentation, resident safety and welfare, staff qualifications, tuberculosis screening, residency agreements, service plan completeness and updates, resident rights violations including pest infestation and sexual harassment, medical record security, environmental cleanliness, pest control, and physical plant standards. Multiple deficiencies were repeats from prior inspections.
Deficiencies (15)
R9-10-120 — The manager failed to ensure authorized individuals documented residents' need for opioids before administration and monitored the effect of the opioids for two residents without active malignancy or end-of-life conditions.
R9-10-803 — The manager failed to ensure the health, safety, or welfare of residents, including allowing sexual harassment by staff, roach infestation in a resident's room, unlocked medications, and trip hazards in resident units.
R9-10-806 — The manager failed to ensure a caregiver had the qualifications, experience, skills, and knowledge necessary to meet a resident's medical and skin care needs, resulting in unmet needs for a resident with psoriasis.
R9-10-806 — The manager failed to ensure seven employees provided evidence of freedom from infectious tuberculosis as required, posing a TB exposure risk to residents.
R9-10-807 — The manager failed to ensure residency agreements included the manager's signature and date signed before or at the time of acceptance for two residents.
R9-10-808 — The manager failed to ensure a resident's service plan included a description of medical or health problems, such as psoriasis, for one resident.
R9-10-808 — The manager failed to update a resident's service plan within 14 days after a significant change in condition, risking inadequate care.
R9-10-810 — The manager failed to ensure residents were treated with dignity and respect, evidenced by pest infestations, unsanitary conditions, and sexual harassment by staff.
R9-10-811 — The manager failed to ensure safeguards existed to prevent unauthorized access to electronic resident medical records, as a laptop with resident information was left unattended in a common area.
R9-10-814 — The manager failed to ensure a resident's service plan for personal care included skin maintenance to prevent and treat bruises, injuries, pressure sores, and infections.
R9-10-817 — The manager failed to ensure medication was administered in compliance with orders, as a resident received medication without documented blood pressure readings as required.
R9-10-820 — The manager failed to ensure premises and equipment were cleaned and disinfected according to policies, with unsanitary conditions and pest infestations observed.
R9-10-820 — The manager failed to ensure the premises were free from conditions causing physical injury risks, including unlocked medications, missing flooring creating trip hazards, and presence of laundry detergent in resident rooms.
R9-10-820 — The manager failed to implement and maintain an effective pest control program, resulting in ongoing cockroach infestations in resident rooms.
R9-10-821 — The manager failed to ensure each sleeping area had clean linen, with stained or missing bed linens observed in multiple resident rooms.
Report Facts
Deficiencies cited: 15
Complaints investigated: 1
Inspection Report — Sep 18, 2025
Date: Sep 18, 2025
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Off-site desktop review to change the licensed level of care from directed care to personal care at an Assisted Living Center, conducted 18 September 2025.
Findings
This inspection resulted in no citations or deficiency findings.
Inspection Report — Sep 2, 2025
Annual Inspection
Date: Sep 2, 2025
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On-site complaint and monitoring inspection of complaint 00142950 at an Assisted Living Center, conducted 2 September 2025.
Complaint Details
On September 2, 2025, the Department conducted a complaint inspection for license AL12139C related to complaint 00142950. The Licensee was found out of compliance with the Settlement Agreement term requiring substantial compliance with applicable laws and rules. Deficiencies were found during the on-site review and investigation.
Findings
The inspection found three deficiencies related to documentation of services provided and medication administration. The facility failed to properly document services and medication administration, posing risks to residents.
Deficiencies (3)
R9-10-808 — The manager failed to ensure caregivers documented services provided in residents' medical records correctly for all sampled residents, resulting in unverifiable service delivery and misleading information.
R9-10-817 — The manager failed to follow procedures for assisting a resident in procuring medication, resulting in medication not being administered and the resident experiencing pain.
R9-10-817 — The manager failed to ensure medication administered to a resident was documented correctly, posing a risk of improper medication administration and resident harm.
Report Facts
Deficiencies cited: 3
Inspection Report — Aug 22, 2025
Complaint Investigation
Date: Aug 22, 2025
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On-site complaint investigation of complaints 00141744, 00141781, 00141959, and 00141981 at an Assisted Living Center, conducted 22 August 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00141744, 00141781, 00141959, and 00141981 conducted on August 22, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 4
Inspection Report — Aug 18, 2025
Complaint Investigation
Date: Aug 18, 2025
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On-site complaint investigation of complaints 00141176, 00141175, 00141077, and 00140647 at an Assisted Living Center, conducted 18 August 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00141176, 00141175, 00141077, and 00140647 conducted on August 18, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 4
Inspection Report — Aug 6, 2025
Complaint Investigation
Date: Aug 6, 2025
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On-site complaint investigation of complaints 00138651, 00137965, 00137783, 00137527, and 00136232 at an Assisted Living Center, conducted 6 August 2025.
Complaint Details
The following deficiencies were found during the on-site investigation of complaints 00138651, 00137965, 00137783, 00137527, and 00136232 conducted on August 6, 2025.
Findings
The inspection found one deficiency related to the failure to obtain a signed residency agreement for one resident. The resident repeatedly refused to sign the agreement despite multiple attempts by facility staff.
Deficiencies (1)
R9-10-807.E.1-4 — The manager failed to obtain a signed residency agreement within five working days after acceptance for one of five residents reviewed, despite multiple documented attempts and resident refusal to sign.
Report Facts
Deficiencies cited: 1
Inspection Report — Jul 9, 2025
Complaint Investigation
Date: Jul 9, 2025
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On-site complaint investigation of complaints 00135786 and 00135434 at an Assisted Living Center, conducted 9 July 2025.
Complaint Details
On June 3, 2025, the Department conducted an on-site complaint inspection for license AL12139C and found the Licensee to be out of compliance with the Settlement Agreement term requiring substantial compliance with applicable laws and rules. The deficiencies were found during the investigation of complaints 00135786 and 00135434.
Findings
The inspection found three deficiencies related to pest infestation and failure to maintain a safe, clean environment. The facility was out of compliance with the Settlement Agreement terms and posed health and safety risks to residents.
Deficiencies (3)
R9-10-803 — The manager failed to ensure the health, safety, or welfare of a resident when live roaches were observed crawling on the resident's bed, pillows, curtains, dressers, walls, floor, and lamp shade while the resident was present.
R9-10-810 — The manager failed to ensure a resident was treated with dignity, respect, and consideration, as evidenced by the presence of live roaches in the resident's room and acknowledgment by staff that the resident was not treated with dignity.
R9-10-820 — The manager failed to ensure the premises and equipment were cleaned and disinfected according to policies, as live roaches were found in the resident's room despite repeated pest reports, posing a potential illness risk.
Report Facts
Deficiencies cited: 3
Inspection Report — Jun 3, 2025
Complaint Investigation
Date: Jun 3, 2025
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On-site complaint investigation of complaints 00131424, 00108846, and 00108774 at an Assisted Living Center, conducted 3 June 2025.
Complaint Details
On June 3, 2025, the Department conducted an on-site complaint inspection for license AL12139C and found the Licensee out of compliance with the Settlement Agreement Term #10. The inspection addressed complaints 00131424, 00108846, and 00108774.
Findings
The inspection found two deficiencies related to failure to treat residents with dignity and respect and failure to maintain cleanliness and infection control. Observations included roaches, urine on bathroom floors, and dirty laundry in resident rooms.
Deficiencies (2)
R9-10-810 — The manager failed to ensure that a resident was treated with dignity, respect, and consideration, evidenced by roaches in resident rooms, urine odors, and insufficient caregiver staffing.
R9-10-819 — The manager failed to ensure the premises and equipment were cleaned and disinfected according to policies, with findings of roaches, urine on floors, no housekeeping log, and dirty laundry in resident rooms.
Report Facts
Deficiencies cited: 2
Complaints investigated: 3
Inspection Report — Apr 23, 2025
Complaint Investigation
Date: Apr 23, 2025
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On-site complaint investigation of complaint 00127975 at an Assisted Living Center, conducted 23 April 2025.
Complaint Details
The following deficiency was found during the on-site investigation of complaint 00127975 conducted on April 23, 2025.
Findings
The inspection found one deficiency related to environmental cleanliness. The facility premises were not properly cleaned and disinfected, posing a health risk to residents.
Deficiencies (1)
R9-10-819 — The manager failed to ensure the facility premises were cleaned and disinfected, as evidenced by odors of urine and feces, soiled linens in uncovered laundry baskets, uncovered garbage cans with gloves and briefs, and water and feces observed around a resident's bathroom toilet.
Report Facts
Deficiencies cited: 1
Inspection Report — Mar 23, 2025
Complaint Investigation
Date: Mar 23, 2025
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On-site complaint investigation at an Assisted Living Center, conducted 23 March 2025.
Findings
One deficiency was cited related to premises and equipment safety. No evidence text was provided for the deficiency.
Deficiencies (1)
The manager failed to ensure the premises and equipment were free from conditions that may cause physical injury to residents or others.
Report Facts
Deficiencies cited: 1
Inspection Report — Jan 30, 2025
Complaint Investigation
Date: Jan 30, 2025
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On-site complaint investigation of complaints AZ00222774, AZ00222776 and AZ00221863 at an Assisted Living Center, conducted 30 January 2025.
Complaint Details
An on-site investigation of complaint AZ00222774, AZ00222776 and AZ00221863 was conducted on January 30, 2025 and the following deficiency was cited :
Findings
The inspection found one deficiency related to the facility premises posing a potential risk of physical injury to residents. The deficiency was documented and cited accordingly.
Deficiencies (1)
The manager failed to ensure the premises were free from a condition or situation that may cause a resident or other individual to suffer physical injury. This deficient practice posed a potential risk to the health and safety of residents.
Report Facts
Deficiencies cited: 1
Inspection Report — Dec 23, 2024
Complaint Investigation
Date: Dec 23, 2024
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On-site complaint investigation of complaints AZ00220577 and AZ00220836 at an Assisted Living Center, conducted 23 December 2024.
Complaint Details
An on-site investigation of complaints AZ00220577 and AZ00220836 was conducted on December 23, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Nov 27, 2024
Complaint Investigation
Date: Nov 27, 2024
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On-site complaint investigation of complaints AZ00218929, AZ00218875 and AZ00217897 at an Assisted Living Center, conducted 27 November 2024.
Complaint Details
On September 21, 2023, a Notice of Intent to Revoke was issued for license AL12139C. A Settlement Agreement was executed on February 7, 2024. The November 27, 2024 complaint inspection found the licensee out of compliance with Term #10 of the agreement. Complaints investigated were AZ00218929, AZ00218875 and AZ00217897.
Findings
The inspection found six deficiencies related to failure to provide appropriate first aid, inadequate policies for resident whereabouts, incomplete service plans, inaccurate documentation of services, lack of controlled egress alerts, and inaccurate medication administration records. These deficiencies indicated noncompliance with the Settlement Agreement terms.
Deficiencies (6)
36-420 — The facility failed to provide appropriate first aid to a non-injured resident who had fallen and was unable to recover independently, resulting in EMS being called for lift assistance instead of staff providing aid.
Policies and procedures — The manager failed to ensure policies were implemented to track the whereabouts of a resident, resulting in the facility being unaware that the resident was missing for 24 hours after signing out.
Written service plan — The manager failed to ensure the resident's service plan included a current summary of medical or health problems, omitting the resident's legal blindness.
Documentation — The manager failed to ensure accurate documentation of services provided, as the resident's whereabouts were unaccounted for despite documented ADL checks.
F.2.a — The manager failed to ensure facility exits controlled or alerted employees of resident egress to an outside area at least 30 feet away, posing a risk of unmonitored resident departure.
B.3.c — The manager failed to ensure medication administration was accurately documented, as medications were recorded as given while the resident was unaccounted for outside the facility.
Report Facts
Deficiencies cited: 6
Complaints investigated: 3
Inspection Report — Oct 18, 2024
Annual Inspection
Date: Oct 18, 2024
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On-site complaint investigation and annual compliance inspection of license AL12139C at Amarsi Assisted Living, conducted 18 October 2024, including investigation of complaints AZ00217553, AZ00216102, AZ00214936, AZ00213976, AZ00213052, AZ00212064, AZ00211141, and AZ00209918.
Complaint Details
On September 21, 2023, a Notice of Intent to Revoke was issued for license AL12139C. A Settlement Agreement was executed February 7, 2024. The October 18, 2024 inspection found the licensee out of compliance with Term #10 of the agreement. Complaints investigated included AZ00217553, AZ00216102, AZ00214936, AZ00213976, AZ00213052, AZ00212064, AZ00211141, and AZ00209918.
Findings
The inspection found seven deficiencies related to staff training, documentation, and resident records, indicating the facility was out of compliance with the Settlement Agreement terms. The deficiencies posed risks to resident health, safety, and informed consent.
Deficiencies (7)
36-420.01 — The manager failed to ensure the facility developed and administered a fall prevention and fall recovery training program for all staff, including initial and continued competency training.
R9-10-113 — The manager failed to ensure two of four employees provided evidence of freedom from infectious tuberculosis as required, posing a TB exposure risk to residents.
The manager failed to ensure current documentation of first aid and CPR training was provided before assisted living services for one of four employees, risking inadequate emergency response.
The manager failed to ensure caregivers documented services provided in residents' medical records for two of six residents, risking unverified service delivery against plans.
The manager failed to ensure one of six residents or their representative received a written copy of resident requirements and rights at admission, risking uninformed individuals.
The manager failed to ensure a documented residency agreement was in place before or at acceptance for one of six residents, risking uninformed residency terms.
R9-10-818 — The manager failed to ensure documentation of a resident's orientation to facility exits was present in the medical record for one of six residents, risking unawareness of evacuation paths.
Report Facts
Deficiencies cited: 7
Complaints investigated: 8
Inspection Report — Apr 9, 2024
Enforcement
Date: Apr 9, 2024
Visit Reason
Civil monetary penalty, action 00111281 (invoice INV-258059), assessed 9 April 2024.
Findings
A $250.00 penalty was assessed and paid in full on 15 May 2024.
Report Facts
Penalty amount: 250
Amount paid: 250
Amount remaining: 0
Inspection Report — Apr 4, 2024
Complaint Investigation
Date: Apr 4, 2024
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On-site complaint investigation of complaint AZ00208024 at an Assisted Living Center, conducted 4 April 2024.
Complaint Details
An on-site investigation of complaint AZ00208024 was conducted on April 4, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Feb 27, 2024
Complaint Investigation
Date: Feb 27, 2024
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On-site complaint investigation of complaints AZ00206801 and AZ00206601 at an Assisted Living Center, conducted 27 February 2024.
Complaint Details
An on-site investigation of complaint AZ00206801 and AZ00206601 was conducted on February 27, 2024, and the following deficiency was cited.
Findings
The inspection found one deficiency related to missing required documentation for a resident regarding continuous medical or nursing services or restraints. This deficiency was a repeat from a prior complaint investigation.
Deficiencies (1)
The manager failed to ensure a resident submitted documentation signed by a medical practitioner or registered nurse stating whether the resident required continuous medical services, nursing services, or restraints. This posed a risk if the facility was unable to meet the resident's needs.
Report Facts
Deficiencies cited: 1
Inspection Report — Jan 23, 2024
Complaint Investigation
Date: Jan 23, 2024
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On-site complaint investigation of complaints AZ00205442 and AZ00205509 at an Assisted Living Center, conducted 23 January 2024.
Complaint Details
An on-site investigation of complaints AZ00205442 and AZ00205509 was conducted on January 23, 2024, and the following deficiencies were cited:
Findings
The inspection found three deficiencies related to failure to provide required medical documentation for residents. The facility did not ensure evidence of freedom from infectious tuberculosis, timely submission of medical documentation before acceptance, or documentation of assisted living services provided.
Deficiencies (3)
R9-10-808 — The manager failed to ensure a resident provided evidence of freedom from infectious tuberculosis before or within seven calendar days after occupancy for five residents, posing a potential TB exposure risk.
The manager failed to ensure individuals submitted documentation dated within 90 days before acceptance indicating whether continuous medical, nursing services, or restraints were required for five residents, risking unmet resident needs.
The manager failed to ensure residents' medical records contained documentation of assisted living services provided for five residents, risking inability to verify services against plans.
Report Facts
Deficiencies cited: 3
Inspection Report — Jan 9, 2024
Complaint Investigation
Date: Jan 9, 2024
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On-site complaint investigation of complaints AZ00203435, AZ00204108, and AZ00204567 at an Assisted Living Center, conducted 9 January 2024.
Complaint Details
An on-site investigation of complaint AZ00203435, AZ00204108, and AZ00204567 was conducted on January 9, 2023, and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Nov 13, 2023
Complaint Investigation
Date: Nov 13, 2023
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On-site complaint investigation of complaints AZ00202217, AZ00202410, AZ00202807 and AZ00202878 at an Assisted Living Center, conducted 13 November 2023.
Complaint Details
An on-site investigation of complaints AZ00202217, AZ00202410, AZ00202807 and AZ00202878 was conducted on November 13, 2023 and the following deficiencies were cited:
Findings
The inspection found four deficiencies related to employee fingerprint clearance, medication administration and documentation, notification of emergency contacts after a resident's injury, and opioid medication documentation. Plans of correction were provided for all deficiencies.
Deficiencies (4)
The manager failed to ensure compliance with fingerprint clearance requirements for one employee whose fingerprint card was not valid and no good cause letter was provided.
The manager failed to ensure medications were administered in compliance with orders and properly documented for one resident, with multiple instances of missing medication administration records.
The manager failed to ensure immediate notification of a resident's emergency contact and primary care provider after an accident requiring medical services was documented, although notification was acknowledged in interview.
R9-10-120 — The manager failed to ensure documentation in the medical record identified the patient's need for opioids before administration and the effect of the opioid after administration for one resident.
Report Facts
Deficiencies cited: 4
Inspection Report — Oct 24, 2023
Enforcement
Date: Oct 24, 2023
Visit Reason
Civil monetary penalty, action 00112327 (invoice INV-258845), assessed 24 October 2023.
Findings
A $1,000.00 penalty was assessed and paid in full on 3 December 2023.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Oct 2, 2023
Complaint Investigation
Date: Oct 2, 2023
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On-site complaint investigation of complaints AZ00200007, AZ00200206, AZ00200799, AZ00201123, and AZ00201222 at an Assisted Living Center, conducted 2 October 2023.
Complaint Details
An on-site investigation of complaints AZ00200007, AZ00200206, AZ00200799, AZ00201123, and AZ00201222 was conducted on October 2, 2023 and the following deficiencies were cited:
Findings
The inspection found four deficiencies related to inadequate policies for resident whereabouts, failure to document reports of suspected abuse, untimely updates to resident service plans after significant changes, and lack of documentation of preventive actions following accidents requiring medical services.
Deficiencies (4)
The manager failed to establish and document policies and procedures to ensure awareness of residents' general or specific whereabouts, resulting in a resident being found unresponsive outside the facility with a dangerously high temperature.
The manager failed to ensure documentation of reports made to police regarding suspected abuse incidents involving residents, despite having a reasonable basis to believe abuse occurred.
The manager failed to ensure residents had written service plans reviewed and updated within 14 calendar days after significant changes in their physical, cognitive, or functional condition for two of five residents sampled.
The manager failed to ensure documentation of actions taken to prevent recurrence of accidents or injuries requiring medical services for three residents, including incidents involving falls and a resident found unresponsive outside the facility.
Report Facts
Deficiencies cited: 4
Inspection Report — Aug 3, 2023
Complaint Investigation
Date: Aug 3, 2023
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On-site complaint investigation of complaints AZ00198518 and AZ00198594 at an Assisted Living Center, conducted 3 August 2023.
Complaint Details
An on-site investigation of complaints AZ00198518 and AZ00198594 was conducted on August 3, 2023, resulting in one deficiency cited.
Findings
The inspection found one deficiency related to the facility accepting individuals whose primary condition was a behavioral health issue, which the facility was not authorized to provide services for.
Deficiencies (1)
The manager accepted individuals when the primary condition for which they needed assisted living services was a behavioral health issue, contrary to facility authorization. This was evidenced by documentation and interviews showing two discharged residents had behavioral health as their primary need.
Report Facts
Deficiencies cited: 1
Inspection Report — Jul 25, 2023
Enforcement
Date: Jul 25, 2023
Visit Reason
Civil monetary penalty, action 00112926 (invoice INV-259326), assessed 25 July 2023.
Findings
A $2,000.00 penalty was assessed and paid in full on 23 January 2024.
Report Facts
Penalty amount: 2000
Amount paid: 2000
Amount remaining: 0
Inspection Report — Jul 24, 2023
Complaint Investigation
Date: Jul 24, 2023
Visit Reason
On-site complaint investigation of complaint AZ00198162 at an Assisted Living Center, conducted 24 July 2023.
Complaint Details
An on-site investigation of complaint AZ00198162 was conducted on July 24, 2023 and the following deficiency was cited:
Findings
The inspection found one deficiency related to the facility failing to ensure the premises were free from conditions that could cause physical injury. Specifically, illegal drug activity was present on the premises and a resident had access to an illegal substance.
Deficiencies (1)
The manager failed to ensure the premises were free from a condition or situation that may cause physical injury. The facility had known illegal drug activity on site and a resident tested positive for methamphetamine with open wounds and infection.
Report Facts
Deficiencies cited: 1
Inspection Report — Jul 10, 2023
Complaint Investigation
Date: Jul 10, 2023
Visit Reason
On-site complaint investigation of complaint AZ00197488 at an Assisted Living Center, conducted 10 July 2023.
Complaint Details
An on-site investigation of complaint AZ00197488 was conducted on July 10, 2023 and the following deficiencies were cited.
Findings
The inspection found three deficiencies related to failure to provide timely written notification of a resident's self-injury requiring emergency intervention, failure to immediately notify the resident's primary care provider after an emergency, and failure to maintain premises free from conditions that could cause physical injury, including known illegal drug activity and a resident overdose.
Deficiencies (3)
R9-10-101(86) — The manager failed to provide written notification to the Department within two working days after a resident inflicted self-injury requiring immediate intervention by an emergency services provider.
The manager failed to ensure a caregiver or assistant caregiver immediately notified the resident's primary care provider after an accident or emergency requiring medical services, resulting in delayed notification despite the resident's access to an opioid not prescribed to them.
The manager failed to ensure the premises were free from conditions that could cause physical injury, as the facility had known illegal drug activity and a resident overdosed on an opioid not prescribed to them.
Report Facts
Deficiencies cited: 3
Inspection Report — Jul 6, 2023
Complaint Investigation
Date: Jul 6, 2023
Visit Reason
On-site complaint investigation of complaint AZ00197401 at an Assisted Living Center, conducted 6 July 2023.
Complaint Details
An on-site investigation of complaint AZ00197401 was conducted on July 6, 2023 and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Jun 13, 2023
Complaint Investigation
Date: Jun 13, 2023
Visit Reason
On-site complaint investigation of complaints AZ00194694, AZ00196161, AZ00196167, AZ00196408, and AZ00196511 at an Assisted Living Center, conducted 13 June 2023.
Complaint Details
An on-site investigation of complaints AZ00194694, AZ00196161, AZ00196167, AZ00196408, and AZ00196511 was conducted on June 13, 2023 and the following deficiency was cited:
Findings
The inspection found one deficiency related to missing required documentation for a resident accepted in 2023. The facility failed to ensure documentation dated within 90 days before acceptance, signed by an authorized medical professional, was available.
Deficiencies (1)
B — The manager failed to ensure that before or at the time of acceptance, the individual submitted documentation dated within 90 calendar days before acceptance, including whether the individual required continuous medical services, nursing services, or restraints, signed by an authorized medical professional. This deficiency posed a risk if the facility was unable to meet the resident's needs.
Report Facts
Deficiencies cited: 1
Inspection Report — 500cs00000UhrBbAAJ
Enforcement
Date: 500cs00000UhrBbAAJ
Visit Reason
Enforcement action for AMARSI ASSISTED LIVING, action number 500cs00000UhrBbAAJ, status Closed (Complete).
Findings
The enforcement action is closed and the payment schedule is complete. No penalty amount or payment details were provided in the document.
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