Inspection Reports for
Baraka at Rose Garden II
10702 East Nido Avenue, Mesa, AZ 85209, Mesa, AZ, 85209
Back to Facility Profile5 Reports
Inspection Report — Oct 24, 2025
Enforcement
Date: Oct 24, 2025
Visit Reason
Civil monetary penalty, action 00142513 (invoice INV-298680), assessed 24 October 2025.
Findings
A $5,250.00 penalty was assessed and paid in full on 15 December 2025.
Report Facts
Penalty amount: 5250
Amount paid: 5250
Amount remaining: 0
Inspection Report — Jul 15, 2025
Annual Inspection
Date: Jul 15, 2025
Visit Reason
On-site compliance (annual) inspection of BARAKA AT ROSEGARDENS II ASSISTED LIVING conducted 14-15 July 2025.
Findings
This inspection found 20 deficiencies related to documentation, personnel qualifications, medication storage, safety standards, and environmental conditions. The facility failed to maintain required forms, personnel records, and safety equipment, and provided false and misleading documentation in several instances.
Deficiencies (20)
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 critical health information is unavailable.
R9-10-113 — The chief administrative officer failed to document an annual assessment of the health care institution's risk of exposure to infectious tuberculosis.
R9-10-803 — The manager failed to ensure a resident's medical record contained information or follow-up instructions provided by the hospice service agency.
R9-10-804 — The manager failed to submit a documented quality management report identifying concerns and actions related to resident care services.
R9-10-806 — The manager failed to ensure assistant caregivers interacted with residents under supervision and provided false and misleading documentation regarding staff qualifications.
R9-10-806 — The manager failed to maintain documentation of caregivers and assistant caregivers working each day including hours worked, and provided false and misleading documentation.
R9-10-806 — The manager failed to ensure a qualified caregiver was present when the manager was absent, and provided false and misleading documentation about staff qualifications.
R9-10-806 — The manager failed to maintain complete personnel records for two employees, including required employment and qualification documentation, and provided false and misleading documentation.
R9-10-807 — The manager failed to ensure a resident submitted documentation signed by a medical practitioner or nurse regarding need for continuous medical or nursing services or restraints.
R9-10-811 — The manager failed to ensure residents' medical records contained documentation of notification of availability of influenza and pneumonia vaccinations.
R9-10-814 — The manager failed to ensure a bell, intercom, or other mechanical alert means was available and accessible in bedrooms of residents receiving personal care services.
R9-10-815 — The manager failed to ensure a means of exiting the facility for residents without keys or special knowledge that monitored or alerted employees of egress.
R9-10-817 — The manager failed to ensure medication administration policies and procedures were reviewed and approved by a medical practitioner, registered nurse, or pharmacist.
R9-10-817 — The manager failed to ensure a current drug reference guide was available for use by personnel members.
R9-10-817 — The manager failed to ensure medication was stored in a separate locked area, as an unlocked medication box was observed in the kitchen refrigerator.
R9-10-817 — The manager failed to implement policies and procedures for inventorying controlled substances, posing a risk for unaccounted medications.
R9-10-819 — The manager failed to conspicuously post an evacuation path in each hallway of the assisted living facility.
R9-10-819 — The manager failed to maintain a first-aid kit in a location accessible to caregivers and assistant caregivers.
R9-10-820 — The manager failed to implement and document a pest control program compliant with A.A.C. R3-8-201(C)(4).
R9-10-820 — The manager failed to maintain hot water temperatures between 95º F and 120º F in resident areas, with observed temperatures exceeding this range.
Report Facts
Deficiencies cited: 20
Inspection Report — Jul 30, 2024
Enforcement
Date: Jul 30, 2024
Visit Reason
Civil monetary penalty, action 00110801 (invoice INV-257718), assessed 30 July 2024.
Findings
A $250.00 penalty was assessed and paid in full on 15 September 2024.
Report Facts
Penalty amount: 250
Amount paid: 250
Amount remaining: 0
Inspection Report — Jul 18, 2024
Annual Inspection
Date: Jul 18, 2024
Visit Reason
On-site compliance (annual) inspection of BARAKA AT ROSEGARDENS II ASSISTED LIVING conducted on July 18, 2024.
Findings
This inspection found eight deficiencies related to documentation, medication orders, medication storage, disaster plan review, smoke detector testing, hot water temperature, and storage of poisonous materials. Plans of correction were provided for all deficiencies.
Deficiencies (8)
The manager failed to maintain documentation for at least 12 months of caregivers and assistant caregivers working each day, including hours worked. The lack of documentation posed a risk to resident health and safety.
The manager failed to ensure a resident's written service plan was reviewed and updated at least once every three months for a resident receiving directed care services. One of two residents sampled lacked a current updated service plan.
The manager failed to ensure a resident's medical record contained a medication order from a medical practitioner for each medication administered. Several medications administered to one resident lacked a signed or verbal medication order.
The manager failed to ensure medications stored by the facility were kept in a separate locked area. Medications were observed stored in the door of an unlocked refrigerator, posing a risk to residents.
The manager failed to ensure the disaster plan was reviewed at least once every 12 months. The most recent review was dated September 9, 2022, with no more recent documentation available.
The manager failed to ensure smoke detectors were tested at least once a month. Documentation showed the last test was on February 22, 2024, with no further tests recorded.
The manager failed to maintain hot water temperatures between 95º F and 120º F in resident areas. Water temperature of 130º F was observed in a shared bathroom.
The manager failed to ensure poisonous or toxic materials were stored in a locked area inaccessible to residents. Cleaning chemicals were found in unlocked cabinets in resident areas.
Report Facts
Deficiencies cited: 8
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