Inspection Reports for
Baraka at Rose Garden I
10435 East Monterey Avenue, Mesa, AZ 85209, AZ, 85209
Back to Facility Profile6 Reports
Inspection Report — Apr 23, 2026
Complaint Investigation
Date: Apr 23, 2026
Visit Reason
On-site complaint investigation of complaint 00165573 at an Assisted Living Home, conducted 23 April 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00165573 conducted on April 23, 2026.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 1
Inspection Report — Jan 16, 2026
Complaint Investigation
Date: Jan 16, 2026
Visit Reason
On-site complaint investigation of complaint 00156231 at an Assisted Living Home, conducted 16 January 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00156231 conducted on January 16, 2026.
Findings
No deficiencies were found during this complaint investigation.
Report Facts
Complaints investigated: 1
Inspection Report — Jul 14, 2025
Annual Inspection
Date: Jul 14, 2025
Visit Reason
On-site complaint investigation and annual compliance inspection of complaint 00134604 at an Assisted Living Home, conducted 26 June 2025 with a follow-up on 14 July 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint 00134604 conducted on June 26, 2025, and a follow-up inspection conducted on July 14, 2025.
Findings
This inspection found multiple deficiencies including failure to maintain required resident emergency responder forms, lack of tuberculosis risk assessment documentation, presence of unqualified staff using false identities, incomplete personnel records, missing signatures on service plans, failure to notify residents of vaccine availability, lack of drug reference guide, and improper use of a resident bedroom as a passageway. The department was provided false and misleading documentation.
Deficiencies (15)
A.R.S. § 36-420.04.C — The manager failed to maintain a standardized form for each resident including required emergency responder information for two residents, posing a risk if emergency responders lacked critical health information.
R9-10-113 — The chief administrative officer failed to document and implement annual tuberculosis risk assessments for the health care institution.
R9-10-806 — The manager failed to ensure assistant caregivers interacted with residents under supervision, with two assistant caregivers providing services unsupervised and false personnel files submitted.
R9-10-806 — The manager failed to maintain documentation of caregivers and assistant caregivers working each day including hours worked, and false work schedules and personnel files were provided.
R9-10-806 — The manager failed to ensure a trained caregiver was present when the manager was absent; unqualified assistant caregivers were left alone with residents and false documentation was submitted.
R9-10-806 — The manager failed to maintain complete personnel records for three of eight personnel sampled, and false personnel files were provided.
R9-10-808 — The manager failed to ensure service plans included signatures and dates from the resident or representative for two residents, posing a health and safety risk.
R9-10-808 — The manager failed to ensure service plans included signatures and dates from the manager for two residents, risking unclear documentation of decisions and agreements.
R9-10-810 — The manager failed to ensure residents were treated with dignity, respect, and consideration by allowing assistant caregivers with false identities to provide care.
R9-10-811 — The manager failed to ensure medication administration records included the name and signature of the individual administering medication for two residents, and false or misleading information was provided.
R9-10-811 — The manager failed to ensure medical records contained documentation of resident notification of influenza and pneumonia vaccine availability for one resident, posing a potential illness risk.
R9-10-815 — The manager failed to obtain written six-month determinations from a medical practitioner that a non-ambulatory resident's needs could be met by the facility within its scope of services.
R9-10-817 — The manager failed to ensure a current drug reference guide was available for personnel use, posing a health and safety risk to residents.
R9-10-817 — The manager failed to implement policies and procedures for inventorying controlled substances for one resident receiving such medication, risking unaccounted medications.
R9-10-821 — The manager failed to ensure a resident bedroom was not used as a passageway to a common area or another sleeping area, posing a potential privacy violation.
Report Facts
Deficiencies cited: 15
Complaints investigated: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #1 | Manager | Acknowledged deficiencies and false documentation |
| Staff #2 | Compliance Officer | Reported false personnel files and identities |
| Staff #3 | Assistant Caregiver | Provided care unsupervised under false identity |
| Staff #4 | Assistant Caregiver | Provided care unsupervised under false identity |
| Staff #5 | Assistant Caregiver | Provided false identification |
Inspection Report — Sep 24, 2024
Enforcement
Date: Sep 24, 2024
Visit Reason
Civil monetary penalty, action 00110526 (invoice INV-257535), assessed 24 September 2024.
Findings
A $500.00 penalty was assessed and paid in full on 15 October 2024.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Sep 3, 2024
Annual Inspection
Date: Sep 3, 2024
Visit Reason
On-site compliance (annual) inspection at Baraka at Rosegarden Assisted Living conducted on September 3, 2024.
Findings
Four deficiencies were found related to facility egress, medication documentation, refrigerator thermometer, and bathroom hygiene supplies. Plans of correction were provided for all deficiencies.
Deficiencies (4)
The manager failed to ensure there was a means of exiting the facility for residents without keys or special knowledge that controlled or alerted employees of egress, posing a risk of unmonitored resident whereabouts.
B. Medication documentation — The manager failed to ensure medications administered to two residents were documented in their medical records, risking unverified medication administration.
The manager failed to ensure the refrigerator used to store food and medication contained a thermometer, posing a health and safety risk if temperature was not properly maintained.
The manager failed to ensure a common area bathroom contained paper towels or a mechanical air hand dryer, posing a potential infection control risk.
Report Facts
Deficiencies cited: 4
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