4 Reports
Inspection Report — Mar 10, 2026
Enforcement State
Date: Mar 10, 2026
Visit Reason
Civil monetary penalty, action 00158425 (invoice INV-331925), assessed 10 March 2026.
Findings
A $1,000.00 penalty was assessed and paid in full on 5 April 2026.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Jan 8, 2026
Annual Inspection State
Date: Jan 8, 2026
Visit Reason
On-site complaint investigation of complaint 00144845 combined with an annual compliance inspection at an Assisted Living Home, conducted 8 January 2026.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint 00144845 conducted on January 8, 2026.
Findings
The inspection found eight deficiencies related to tuberculosis screening and training, verification of employee qualifications, documentation of services provided, and medication administration. The facility failed to ensure proper TB infection control activities, APS registry checks, caregiver skill verification, resident TB screening, and accurate medication documentation and administration.
Deficiencies (8)
R9-10-113 — The chief administrative officer failed to provide annual TB training and education related to recognizing TB signs and symptoms for two of three sampled employees, posing a potential TB exposure risk to residents.
R9-10-803 — The governing authority failed to ensure compliance with A.R.S. § 36-411(C) by not verifying that a potential employee was not on the adult protective services registry before providing services, posing a risk to vulnerable populations.
R9-10-806 — The manager failed to verify and document a caregiver's skills and knowledge before the caregiver provided physical health services, posing a risk that the caregiver was unqualified to meet resident needs.
R9-10-806 — The manager failed to ensure a caregiver provided evidence of freedom from infectious tuberculosis on or before the date services began, posing a potential TB exposure risk to residents.
R9-10-807 — The manager failed to ensure a resident provided evidence of freedom from infectious tuberculosis before or within seven days after occupancy, posing a potential TB exposure risk to residents.
R9-10-808 — The manager failed to ensure caregivers documented services provided in residents' medical records for two sampled residents, risking inability to verify service delivery against plans.
R9-10-811 — The manager failed to ensure a resident's medical record contained medication documentation including strength and dosage, resulting in false or misleading information.
R9-10-817 — The manager failed to ensure medication was administered in compliance with orders, including incorrect dosages and lack of required blood pressure checks, risking resident harm.
Report Facts
Deficiencies cited: 8
Inspection Report — Aug 11, 2023
Annual Inspection State
Date: Aug 11, 2023
Visit Reason
On-site compliance (annual) inspection of an Assisted Living Home conducted on August 11, 2023.
Findings
Four deficiencies were found related to employee documentation, orientation, medication administration, and medication storage. The facility failed to maintain required documentation and secure medications properly.
Deficiencies (4)
A governing authority failed to document good faith efforts to contact previous employers to obtain information relevant to employees' fitness to work, despite valid fingerprint clearance cards for three employees.
The manager failed to ensure two caregivers received orientation specific to their duties before providing assisted living services, with no documentation available to confirm orientation.
R9-10-403.E — The manager failed to ensure a medication administered to a resident was documented in the resident's medical record, posing a risk as medication administration could not be verified against the order.
The manager failed to ensure medications were stored in a separate locked area; medications were observed unlocked in a box with an unlocked locking device in the kitchen refrigerator.
Report Facts
Deficiencies cited: 4
Report
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