Inspection Reports for
American Care Homes, Inc.
4148 North 36th Street, Phoenix, AZ 85018, AZ, 85018
Back to Facility Profile6 Reports
Inspection Report — Jan 1, 2026
Enforcement
Date: Jan 1, 2026
Visit Reason
Civil monetary penalty, action 00134098 (invoice INV-308769), assessed 1 January 2026.
Findings
A $1,000.00 penalty was assessed and paid in full on 18 December 2025.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — May 8, 2025
Annual Inspection
Date: May 8, 2025
Visit Reason
On-site compliance (annual) inspection of a Behavioral Health Residential Facility conducted on May 8, 2025.
Findings
The inspection found ten deficiencies related to tuberculosis screening and training, documentation submission delays, contracted services documentation, resident treatment plans, medical record completeness, disaster drill documentation, and unsafe storage of toxic materials. Plans of correction were provided for all deficiencies.
Deficiencies (10)
R9-10-113 — The administrator failed to ensure annual training and education on recognizing tuberculosis signs and symptoms was provided to four of seven personnel sampled, posing a risk by not reinforcing expected standards.
R9-10-113 — The administrator failed to implement baseline tuberculosis screening including risk assessment and documentation of freedom from infectious TB for five of seven personnel sampled, posing a potential exposure risk.
R9-10-703 — The administrator failed to provide required documentation to the Department within two hours of request, including disaster drills, policies, training records, and personnel files, hindering determination of compliance.
R9-10-705 — The administrator failed to maintain documentation of current contracted services including descriptions of services for two of three contracted personnel sampled, preventing verification of services provided.
R9-10-707 — The administrator failed to ensure residents provided evidence of freedom from infectious tuberculosis before or within seven days of admission for two of three resident records sampled, posing a TB exposure risk.
R9-10-708 — The administrator failed to ensure treatment plans included the resident's or representative's signature and date signed, or documentation of refusal, for two of three resident records sampled, risking unclear service agreements.
R9-10-712 — The administrator failed to ensure medical records contained documentation of behavioral health services specifying frequency and hours of counseling for three of three resident records sampled, risking inadequate treatment verification.
R9-10-716 — The administrator failed to ensure counseling sessions were documented with the signature of the personnel member who provided counseling and the date signed for one of three resident records sampled, preventing verification of services.
R9-10-720 — The administrator failed to ensure disaster drills were conducted and documented on each shift at least quarterly, risking employee unpreparedness for disasters.
R9-10-721 — The administrator failed to ensure poisonous or toxic materials were stored in labeled containers in a locked area inaccessible to residents, posing a risk to resident safety.
Report Facts
Deficiencies cited: 10
Inspection Report — Jul 2, 2024
Enforcement
Date: Jul 2, 2024
Visit Reason
Civil monetary penalty, action 00109669 (invoice INV-256975), assessed 2 July 2024.
Findings
A $2,500.00 penalty was assessed and paid in full on 19 July 2024.
Report Facts
Penalty amount: 2500
Amount paid: 2500
Amount remaining: 0
Inspection Report — May 28, 2024
Annual Inspection
Date: May 28, 2024
Visit Reason
On-site annual compliance inspection of a Behavioral Health Residential Facility conducted on May 28, 2024.
Findings
This inspection found 18 deficiencies related to staff training, personnel records, posting requirements, resident assessments, treatment plans, meal service, storage of toxic materials, and resident safety features. Plans of correction were provided for all deficiencies.
Deficiencies (18)
The facility failed to administer a fall prevention and fall recovery training program including initial and continued competency training for all staff. Documentation for continued competency training was missing for multiple employees.
R9-10-720 — The administrator failed to ensure the location where inspection reports are available for review was conspicuously posted on the premises.
The administrator failed to ensure the calendar days and times when a resident may accept visitors or make telephone calls was conspicuously posted on the premises.
The administrator failed to ensure documentation of an individual's completed orientation was maintained in a personnel record for one of seven personnel sampled.
The administrator failed to ensure documentation of an individual's license or certification was maintained in a personnel record. One personnel record contained an expired license that was not updated.
The administrator failed to ensure documentation of compliance with fingerprint clearance requirements was maintained in personnel records. Several personnel records lacked current documentation.
R9-10-703 — The administrator failed to ensure documentation of current cardiopulmonary resuscitation (CPR) training was maintained in personnel records. Expired CPR certificates were found without current documentation.
The administrator failed to ensure documentation of current first-aid training was maintained in personnel records. Expired first-aid certificates were found without current documentation.
The administrator failed to ensure the daily staffing schedule indicated the date, scheduled work hours, and name of each employee assigned to work, including on-call personnel members. A registered nurse was not listed as on-call.
The administrator failed to ensure a medical history and physical examination or nursing assessment was performed and documented within required timeframes for one resident. No such documentation was found in the resident's medical record.
R9-10-113 — The administrator failed to ensure a resident provided evidence of freedom from infectious tuberculosis before or within seven calendar days after admission. Documentation was missing for one resident.
The administrator failed to ensure a treatment plan was developed before the resident received physical or behavioral health services. Medication administration records showed treatment without a prior plan.
The administrator failed to ensure a treatment plan completed by a behavioral health technician was reviewed and signed by a behavioral health professional within 24 hours. Signatures were missing for treatment plans reviewed.
The administrator failed to ensure a resident's medical record contained documentation of behavioral health services provided. Counseling session documentation was missing for one resident.
The administrator failed to ensure meals and snacks were served according to posted menus. Observations showed meals served differed from the posted menu.
The administrator failed to ensure poisonous or toxic materials were stored in locked containers inaccessible to residents. A bottle of toilet bowl cleaner was found unlocked and accessible.
The administrator failed to ensure resident bedrooms had clothing rods or hooks designed to minimize self-injury risk. Wooden clothing rods that did not give way under pressure were observed.
R9-10-113 — The chief administrative officer failed to implement tuberculosis infection control activities including baseline screening and documentation of freedom from infectious tuberculosis for personnel. Several personnel records lacked required baseline screening documentation.
Report Facts
Deficiencies cited: 18
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