Inspection Reports for
Andara Senior Living
11415 N 114th St, Scottsdale, AZ 85259, United States, AZ, 85259
Back to Facility Profile11 Reports
Inspection Report — Dec 31, 2025
Complaint Investigation State
Date: Dec 31, 2025
Visit Reason
On-site complaint investigation of complaint 00154581 at an Assisted Living Center, conducted 31 December 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00154581 conducted on December 31, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 1
Inspection Report — Dec 10, 2025
Annual Inspection State
Date: Dec 10, 2025
Visit Reason
On-site complaint investigation of complaint 00141418 combined with an annual compliance inspection at an Assisted Living Center, conducted 10 December 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint 00141418 conducted on December 10, 2025.
Findings
Two deficiencies were found related to service plan signatures and disaster plan completeness. The facility failed to ensure required signatures on a resident's service plan and did not include a plan for obtaining food during a disaster.
Deficiencies (2)
R9-10-808 — The manager failed to ensure that a resident's service plan was signed and dated by the resident or representative and the nurse or medical practitioner. This posed a risk as the plan was not fully executed at the time of inspection.
R9-10-819 — The manager failed to ensure the disaster plan included a plan for obtaining food for individuals present in the assisted living facility during an emergency. This deficiency posed a risk to resident health and safety.
Report Facts
Deficiencies cited: 2
Inspection Report — Oct 28, 2025
Complaint Investigation State
Date: Oct 28, 2025
Visit Reason
On-site complaint investigation of complaints 00131862, 00141416, and 00148865 at an Assisted Living Center, conducted 28 October 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00131862, 00141416, and 00148865 conducted on October 28, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 3
Inspection Report — Dec 16, 2024
State
Date: Dec 16, 2024
Visit Reason
On-site change of service inspection to modify the facility and add a secured memory care unit with 20 directed care beds at an Assisted Living Center, conducted 16 December 2024.
Findings
No deficiencies were found during this inspection.
Inspection Report — Oct 29, 2024
Enforcement State
Date: Oct 29, 2024
Visit Reason
Civil monetary penalty, action 00110333 (invoice INV-257409), assessed 29 October 2024.
Findings
A $1,000.00 penalty was assessed and paid in full on 6 February 2025.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Sep 12, 2024
Annual Inspection State
Date: Sep 12, 2024
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00214152 and AZ00209465 at an Assisted Living Center, conducted on September 11 and September 12, 2024.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00214152 and AZ00209465, conducted on September 11 and September 12, 2024.
Findings
This inspection found 17 deficiencies related to documentation, medication administration, service plans, safety hazards, and emergency procedures. The facility failed to maintain required documentation, ensure proper medication compliance, and maintain a safe environment.
Deficiencies (17)
36-420.04.D — The manager failed to maintain a copy of the document provided to emergency responders for two residents, risking verification of required documentation.
Policies and procedures — The manager failed to establish, document, and implement policies on how employees may submit complaints related to resident care.
Policies and procedures — The manager failed to establish and document policies covering requirements in A.R.S. Title 36, Chapter 4, Article 11, including confidentiality and protection against retaliation for health professional reports.
Written notification — The manager failed to provide written notification to the Department of an unexpected resident death as required by A.R.S. § 11-593.
Quality management program — The manager failed to implement and document an ongoing quality management program as required by facility policy.
Service plan review — The manager failed to review and update a resident's written service plan after a significant change in condition.
Service plan signatures — The manager failed to ensure written service plans were updated, signed, and dated by required parties for five residents.
Assignment of caregivers — The manager failed to ensure a caregiver was assigned only to services they had documented skills and knowledge to perform, risking resident safety.
Documentation of services — The manager failed to ensure a caregiver documented services provided in a resident's medical record, risking verification of care.
Medication procedures — The facility failed to implement policies on vital sign readings to determine medication need and reporting unexpected medication reactions.
Medication administration — The manager failed to ensure medication was administered in compliance with orders for two residents, posing health and safety risks.
Evacuation drill documentation — The manager failed to include identification of residents needing assistance in evacuation drill documentation.
Accident documentation — The manager failed to ensure caregivers documented required details and preventive actions for accidents, emergencies, or injuries needing medical services for three residents.
Premises cleanliness — The manager failed to ensure the premises were kept clean, as evidenced by strong odors in a resident's unit.
Premises safety — The manager failed to ensure the premises were free from hazards, including exposed electrical wiring and tripping hazards during remodeling.
Storage of toxic materials — The manager failed to ensure poisonous or toxic materials were stored in locked, labeled containers inaccessible to residents.
R9-10-120 — Authorized individuals failed to monitor and document patients' responses to opioid medications for two residents, despite policy requirements.
Report Facts
Deficiencies cited: 17
Inspection Report — Apr 25, 2024
Complaint Investigation State
Date: Apr 25, 2024
Visit Reason
On-site complaint investigation of complaints AZ00209465 and AZ00200208 at an Assisted Living Center, conducted 25 April 2024.
Complaint Details
This revised Statement of Deficiencies (SOD) replaces the SOD sent on May 21, 2024. An on-site investigation of complaints AZ00209465 and AZ00200208 was conducted on April 25, 2024, and the following deficiencies were cited.
Findings
Two deficiencies were cited related to staff training on fall prevention and fall recovery, and incomplete resident service plans for skin maintenance. The deficiencies posed risks to resident safety and health.
Deficiencies (2)
36-420.01 — The facility failed to administer a training program for all staff regarding fall prevention and fall recovery, as five of seven staff reviewed lacked documented training including fall recovery.
R9-10-808 — The manager failed to ensure the service plan for a resident receiving personal care included skin maintenance to prevent and treat bruises, injuries, pressure sores, and infections, despite documented falls and skin injuries.
Report Facts
Deficiencies cited: 2
Inspection Report — Aug 15, 2023
Enforcement State
Date: Aug 15, 2023
Visit Reason
Civil monetary penalty, action 00112777 (invoice INV-259204), assessed 15 August 2023.
Findings
A $1,250.00 penalty was assessed and paid in full on 28 September 2023.
Report Facts
Penalty amount: 1250
Amount paid: 1250
Amount remaining: 0
Inspection Report — Jul 18, 2023
Annual Inspection State
Date: Jul 18, 2023
Visit Reason
On-site complaint investigation and compliance (annual) inspection of complaint AZ00197543 at an Assisted Living Center, conducted 18 July 2023.
Complaint Details
The following deficiencies were found during the compliance inspection and investigation of complaint #AZ00197543, conducted on July 18, 2023.
Findings
The inspection found 13 deficiencies related to caregiver documentation, resident service plans, disaster and evacuation drills, storage of hazardous materials, and opioid medication policies and documentation.
Deficiencies (13)
A manager failed to ensure a caregiver's skills and knowledge were verified and documented before providing physical health or behavioral health services for two caregivers.
A manager failed to ensure personnel records included documentation of cardiopulmonary resuscitation training certification for one caregiver from a staffing agency.
A manager failed to ensure residents' written service plans included the level of service each resident was expected to receive for eight residents reviewed.
A manager failed to ensure service plans included how medications stored in residents' residential units were stored and controlled for two residents, posing a health and safety risk.
A manager failed to ensure required documentation was completed for a resident's transport, including evaluations before and after transport, communication with receiving institutions, and caregiver accompaniment.
A manager failed to ensure residents' medical records contained copies of health care power of attorney documentation for three residents reviewed.
A manager failed to ensure the facility's disaster plan was reviewed at least once every 12 months, lacking documentation of such review.
A manager failed to ensure employee disaster drills were conducted on each shift at least once every three months and documented.
A manager failed to ensure evacuation drills for employees and residents were conducted at least once every six months, with no documentation found for the last year.
A manager failed to ensure garbage and refuse were stored in covered containers, with uncovered garbage containers observed in resident hallways.
A manager failed to ensure poisonous or toxic materials were maintained in locked areas inaccessible to residents, with unlocked closets containing such materials observed.
R9-10-120 — The manager failed to establish and document policies and procedures for administering opioids to protect patient health and safety, with no such documentation found in the facility's policy manual.
R9-10-120 — The manager failed to ensure documentation in a resident's medical record identified the need for opioid medication and the effect of the opioid administered for one resident receiving scheduled opioid medication.
Report Facts
Deficiencies cited: 13
Complaints investigated: 1
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