33 Reports
Inspection Report — Mar 2, 2026
Enforcement State
Date: Mar 2, 2026
Visit Reason
Civil monetary penalty, action 00150692 (invoice INV-327251), assessed 2 March 2026.
Findings
A $2,250.00 penalty was assessed and paid in full on 20 February 2026.
Report Facts
Penalty amount: 2250
Amount paid: 2250
Amount remaining: 0
Inspection Report — Feb 6, 2026
Complaint Investigation State
Date: Feb 6, 2026
Visit Reason
On-site complaint investigation of complaints 00158225, 00158213, 00157485, and 00154368 at an Assisted Living Center, conducted 6 February 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00158225, 00158213, 00157485, and 00154368 conducted on February 6, 2026.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 4
Inspection Report — Dec 22, 2025
Complaint Investigation State
Date: Dec 22, 2025
Visit Reason
On-site complaint investigation of complaints 00153348, 00153830, and 00154000 at an Assisted Living Center, conducted 22 December 2025.
Complaint Details
On December 22, 2025, the Department conducted an on-site complaint inspection for license AL11318 and found the Licensee to be out of compliance with terms of a Settlement Agreement. The inspection addressed complaints 00153348, 00153830, and 00154000 and identified violations of terms related to settlement fines, substantial compliance, and enforcement actions.
Findings
The inspection found five deficiencies related to personnel records, service plan signatures, environmental cleanliness, pest control, and storage of toxic materials. These deficiencies indicated noncompliance with the terms of a prior Settlement Agreement and posed risks to resident safety and infection control.
Deficiencies (5)
R9-10-806 — The manager failed to maintain complete personnel records for three of five sampled employees, lacking documentation of orientation, skills verification, and certification compliance.
R9-10-808 — The manager failed to ensure that service plans for three residents were signed and dated by the resident or representative, manager, and nurse or medical practitioner, risking unclear care agreements.
R9-10-820 — The manager failed to ensure the premises and equipment were cleaned according to infection control policies, evidenced by a large carpet stain and rodent droppings in kitchen cabinets.
R9-10-820 — The manager failed to implement and document a compliant pest control program, with no services documented since April 21, 2025, despite observed rodent droppings.
R9-10-820 — The manager failed to keep poisonous or toxic materials secured in labeled containers inaccessible to residents, as several cabinets were left unlocked with hazardous cleaners accessible.
Report Facts
Deficiencies cited: 5
Complaints investigated: 3
Inspection Report — Oct 22, 2025
Annual Inspection State
Date: Oct 22, 2025
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints 00148181, 00146718, 00147483, 00144198, 00137915, 00137916, and 00136775 at an Assisted Living Center, conducted 21-22 October 2025.
Complaint Details
On October 21, 2025, the Department conducted an on-site compliance and complaint inspection for license AL11318 and found the Licensee out of compliance with terms of a Settlement Agreement. The inspection investigated complaints 00148181, 00146718, 00147483, 00144198, 00137915, 00137916, and 00136775.
Findings
The inspection found eight deficiencies related to personnel tuberculosis documentation, personnel records, resident tuberculosis evidence, termination notices, service plan signatures, vaccination notifications, disaster plan review, and evacuation drills. These deficiencies posed potential risks to residents and included repeat citations.
Deficiencies (8)
R9-10-806 — The manager failed to ensure two employees provided documentation of freedom from infectious tuberculosis on or before their hire dates, posing a potential TB exposure risk to residents.
R9-10-806 — The manager failed to ensure one caregiver's personnel record included documentation of current CPR and first aid training.
R9-10-807 — The manager failed to ensure three residents provided evidence of freedom from infectious tuberculosis within seven calendar days after occupancy, posing a potential TB exposure risk.
R9-10-807 — The manager failed to ensure a written notice of termination of residency included the date of notice, refund policy, disposition of fees, and contact information for the State Long-Term Care Ombudsman.
R9-10-808 — The manager failed to ensure two residents' service plans were signed and dated by the resident or representative and the manager when initially developed and updated, risking resident participation in care decisions.
R9-10-811 — The manager failed to ensure four residents' medical records contained documentation of notification of the availability of pneumonia vaccination, posing a potential illness risk.
R9-10-819 — The manager failed to ensure the disaster plan was reviewed at least once every 12 months, risking unclear standards for employees.
R9-10-819 — The manager failed to ensure an evacuation drill was conducted at least every six months, with no documentation of drills after April 18, 2025.
Report Facts
Deficiencies cited: 8
Complaints investigated: 7
Inspection Report — Oct 3, 2025
State
Date: Oct 3, 2025
Visit Reason
On-site review of the cure conducted on October 3, 2025, at an Assisted Living Center.
Findings
Two deficiencies were cited related to missing required signatures on resident service plans and incomplete documentation of services provided in resident medical records.
Deficiencies (2)
R9-10-808 — The manager failed to ensure that service plans were signed and dated by the resident or resident's representative for three of seven resident records reviewed, posing a risk that decisions and agreements were not properly documented.
R9-10-808 — The manager failed to ensure caregivers documented the services provided in the resident's medical records for seven of seven resident records reviewed, resulting in incomplete verification of services against service plans.
Report Facts
Deficiencies cited: 2
Inspection Report — Sep 26, 2025
Complaint Investigation State
Date: Sep 26, 2025
Visit Reason
On-site complaint investigation of complaints 00144356 and 00144470 at an Assisted Living Center, conducted 26 September 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00144356 and 00144470, conducted on September 26, 2025.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Jul 29, 2025
Complaint Investigation State
Date: Jul 29, 2025
Visit Reason
On-site complaint investigation of license AL11318 at an Assisted Living Center, conducted 29 July 2025, following a Notice of Intent to Revoke and a Settlement Agreement.
Complaint Details
On April 15, 2024, the Department issued a Notice of Intent to Revoke for license AL11318. The Licensee and the Department entered into a Settlement Agreement executed June 4, 2024. The July 29, 2025 complaint inspection found noncompliance with Terms #9 and #11 of the Agreement, including violations of specified rules.
Findings
The inspection found the facility out of compliance with terms of the Settlement Agreement, citing three deficiencies related to service plan reviews, required signatures, and documentation of services provided.
Deficiencies (3)
R9-10-808 — The manager failed to ensure a written service plan was reviewed and updated at least once every six months for one of seven resident records reviewed, posing a risk as the service plan did not clarify services to be provided.
R9-10-808 — The manager failed to ensure that five of seven resident service plans were signed and dated by the resident or representative and the manager when initially developed and updated, risking unclear decisions and agreements.
R9-10-808 — The manager failed to ensure caregivers documented services provided in the medical records for seven of seven residents reviewed, with multiple blank spots on Care Tracking Sheets indicating undocumented services.
Report Facts
Deficiencies cited: 3
Inspection Report — Jul 15, 2025
Complaint Investigation State
Date: Jul 15, 2025
Visit Reason
On-site complaint investigation of complaints 00136369 and 00135948 at an Assisted Living Center, conducted 15 July 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00136369 and 00135948, conducted on July 15, 2025.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Jul 10, 2025
Enforcement State
Date: Jul 10, 2025
Visit Reason
Civil monetary penalty, action 00131120 (invoice INV-285195), assessed 10 July 2025.
Findings
A $250.00 penalty was assessed and paid in full on 8 August 2025.
Report Facts
Penalty amount: 250
Amount paid: 250
Amount remaining: 0
Inspection Report — Jun 12, 2025
Complaint Investigation State
Date: Jun 12, 2025
Visit Reason
On-site complaint investigation of complaint 00132105 at an Assisted Living Center, conducted 12 June 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00132105 conducted on June 12, 2025.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 1
Inspection Report — Apr 30, 2025
Complaint Investigation State
Date: Apr 30, 2025
Visit Reason
On-site complaint investigation of complaint 00128836 at an Assisted Living Center, conducted 30 April 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00128836 conducted on April 30, 2025.
Findings
No deficiencies were found during this complaint investigation.
Inspection Report — Mar 26, 2025
Complaint Investigation State
Date: Mar 26, 2025
Visit Reason
On-site complaint investigation of complaint 00122816 at an Assisted Living Center, conducted 25 March 2025.
Complaint Details
The following deficiency was found during the on-site investigation of complaint 00122816 conducted on March 25, 2025:
Findings
The inspection found one deficiency related to medication administration not in compliance with medical orders. The facility failed to administer medications as ordered and lacked documentation of efforts to obtain refills.
Deficiencies (1)
R9-10-816 — The manager failed to ensure medication was administered to a resident in compliance with a medication order, including missed doses and lack of documentation for refill efforts. This posed a risk if the resident experienced a change in condition due to improper medication administration.
Report Facts
Deficiencies cited: 1
Inspection Report — Mar 17, 2025
Complaint Investigation State
Date: Mar 17, 2025
Visit Reason
On-site complaint investigation at an Assisted Living Center, conducted 17 March 2025.
Findings
Two deficiencies were cited related to management policies and procedures and handling of suspected abuse or neglect. No evidence text was provided for either deficiency.
Deficiencies (2)
A manager failed to ensure that policies and procedures cover how a caregiver will respond to a resident's sudden, intense, or out-of-control behavior to prevent harm to the resident or another individual. No evidence text was provided.
A manager failed to ensure that suspected abuse, neglect, or exploitation is properly documented, reported, and investigated according to statutory requirements. No evidence text was provided.
Report Facts
Deficiencies cited: 2
Inspection Report — Mar 12, 2025
Complaint Investigation State
Date: Mar 12, 2025
Visit Reason
On-site complaint investigation of complaint 00120939 at an Assisted Living Center, conducted 11 March 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00120939 conducted on March 11, 2025.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 1
Inspection Report — Jan 17, 2025
Complaint Investigation State
Date: Jan 17, 2025
Visit Reason
On-site complaint investigation of complaints AZ00220642 and AZ00222066 at an Assisted Living Center, conducted 17 January 2025.
Complaint Details
On January 17, 2025, the Department conducted an on-site complaint inspection for license AL11318 and found the Licensee out of compliance with Term #11 of a Settlement Agreement. The investigation involved complaints AZ00220642 and AZ00222066 and included findings related to policy implementation and documentation of abuse investigations.
Findings
The inspection found the facility failed to implement policies to protect residents from sudden, intense, or out-of-control behavior and failed to document and investigate suspected abuse, neglect, or exploitation as required. Two deficiencies were cited related to policy implementation and documentation of abuse investigations.
Deficiencies (2)
The manager failed to implement a policy and procedure covering how caregivers respond to residents' sudden, intense, or out-of-control behavior to prevent harm. Incident reports were incomplete and some required documentation was unavailable.
R9-10-803.J — The manager failed to document reports made to Adult Protective Services and failed to initiate and document investigations of suspected abuse, neglect, or exploitation within five working days as required.
Report Facts
Deficiencies cited: 2
Inspection Report — Dec 10, 2024
Complaint Investigation State
Date: Dec 10, 2024
Visit Reason
On-site complaint investigation of complaint AZ00220005 at an Assisted Living Center, conducted 10 December 2024.
Complaint Details
An on-site investigation of complaint AZ00220005 was conducted on December 10, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Oct 4, 2024
Annual Inspection State
Date: Oct 4, 2024
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00216853 and AZ00216582 at an Assisted Living Center, conducted October 3 and 4, 2024.
Complaint Details
The following deficiencies were found during the compliance inspection and investigation of complaint AZ00216853 and AZ00216582 conducted on October 3 and 4, 2024.
Findings
The inspection found eight deficiencies related to failure to maintain emergency responder documentation, incomplete vaccination notification records, medication administration errors, improper medication storage, incomplete incident documentation, inadequate cleaning, unsafe storage of poisonous materials, and lack of current rabies vaccinations for facility pets.
Deficiencies (8)
36-420.04 — The assisted living center failed to maintain copies of documentation provided to emergency responders for six residents despite emergency responder contact and transport to hospitals.
Documentation failure — The manager did not ensure residents' medical records contained documentation of notification about availability of influenza and pneumonia vaccinations for five of eight residents sampled.
Medication administration — The manager failed to ensure medications were administered in compliance with orders for two residents, with multiple missed doses documented and no explanation for some refusals.
Medication storage — The manager failed to ensure medication stored in a resident's room was stored according to the resident's service plan, with medications found unsecured in an unlocked cabinet.
Incident documentation — The manager failed to ensure caregivers documented follow-up actions to prevent recurrence of accidents or injuries in incident reports for multiple events.
Cleaning and disinfection — The manager failed to ensure the premises, including kitchen refrigerator and cabinets, were cleaned and disinfected according to policies, with observed food residue and stains.
Poisonous materials storage — The manager failed to ensure poisonous or toxic materials were stored in locked areas separate from food, medications, and inaccessible to residents, with multiple accessible cabinets unlocked.
Rabies vaccination — The manager failed to ensure dogs and cats allowed in the facility were vaccinated against rabies, with no current vaccination documentation for multiple cats and an expired vaccination for one dog.
Report Facts
Deficiencies cited: 8
Inspection Report — Sep 3, 2024
Complaint Investigation State
Date: Sep 3, 2024
Visit Reason
On-site complaint investigation of complaints AZ00215331 and AZ00215105 at an Assisted Living Center, conducted 3 September 2024.
Complaint Details
An on-site investigation of complaint AZ00215331 and AZ00215105 was conducted on September 3, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Jun 20, 2024
Complaint Investigation State
Date: Jun 20, 2024
Visit Reason
On-site complaint investigation of complaint AZ00209862 at an Assisted Living Center, conducted 20 June 2024.
Complaint Details
An on-site investigation of complaint AZ00209862 was conducted on June 20, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Feb 14, 2024
Complaint Investigation State
Date: Feb 14, 2024
Visit Reason
On-site complaint investigation of complaints AZ00203031, AZ00203192, AZ00203657, AZ00203658, AZ00205361, AZ00205714, and AZ00205996 at an Assisted Living Center, conducted 14 February 2024.
Complaint Details
An on-site investigation of complaints AZ00203031, AZ00203192, AZ00203657, AZ00203658, AZ00205361, AZ00205714, and AZ00205996, was conducted on February 14, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Report Facts
Complaints investigated: 7
Inspection Report — Nov 28, 2023
Enforcement State
Date: Nov 28, 2023
Visit Reason
Civil monetary penalty, action 00112138 (invoice INV-258706), assessed 28 November 2023.
Findings
A $3500 penalty was assessed and paid in full on 4 July 2024.
Report Facts
Penalty amount: 3500
Amount paid: 3500
Amount remaining: 0
Inspection Report — Oct 31, 2023
Annual Inspection State
Date: Oct 31, 2023
Visit Reason
On-site annual compliance inspection of an Assisted Living Center conducted on October 31, 2023.
Findings
The inspection found seven deficiencies related to documentation and compliance issues, including failure to provide requested documentation timely, incomplete verification of caregiver skills, expired CPR certification, missing fingerprint clearance documentation, unsigned service plans, lack of disaster plan review, and missing evacuation drill documentation.
Deficiencies (7)
The manager failed to provide required documentation to the Department within two hours after a request during the on-site inspection, including CPR training, skills verification, fingerprint clearance, service plans, disaster plan review, and evacuation drills.
The manager failed to ensure verification and documentation of caregivers' skills and knowledge before providing physical health services for two of four caregivers sampled.
The manager failed to ensure current first aid and CPR training certification specific to adults for one of four caregivers, with the certification expired since May 10, 2023.
The manager failed to ensure personnel records included documentation of compliance with fingerprint clearance requirements for three of three personnel sampled, including lack of valid clearance cards and missing documentation of good cause exceptions or reference checks.
The manager failed to ensure written service plans were signed and dated by the resident's representative, the manager, and required medical reviewers for seven of nine directed care residents sampled.
The manager failed to ensure the disaster plan was reviewed at least once every 12 months, with no evidence of an annual review available.
The manager failed to ensure an evacuation drill for employees and residents was conducted at least once every six months, with no documentation available to verify this.
Report Facts
Deficiencies cited: 7
Inspection Report — Sep 12, 2023
Enforcement State
Date: Sep 12, 2023
Visit Reason
Civil monetary penalty, action 00112542 (invoice INV-259012), assessed 12 September 2023.
Findings
A $500.00 penalty was assessed and paid in full on 10 November 2023.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Aug 28, 2023
Complaint Investigation State
Date: Aug 28, 2023
Visit Reason
On-site complaint investigation of complaints AZ00197163, AZ00196658, AZ00196656, AZ00198846, AZ00199060, and AZ00199480 at an Assisted Living Center, conducted 28 August 2023.
Complaint Details
An on-site investigation of complaints AZ00197163, AZ00196658, AZ00196656, AZ00198846, AZ00199060, and AZ00199480 were conducted on August 28, 2023, and the following deficiencies were cited.
Findings
The inspection found five deficiencies related to staff training, documentation, personnel records, and medication administration compliance. The facility failed to provide required training, timely documentation, and proper personnel records, and did not administer medication according to orders.
Deficiencies (5)
36-420.01 — The manager failed to ensure the health care institution administered a training program for all staff regarding fall prevention and fall recovery, as three employees had no documentation of receiving this training.
Documentation timeliness — The manager failed to provide required documentation to the Department within two hours after a request, hindering determination of substantial compliance.
Qualifications and skills — The manager failed to ensure one caregiver demonstrated the necessary qualifications, experience, skills, and knowledge to provide assisted living services and ensure resident health and safety, as no personnel record was found for that caregiver.
R9-10-115 — The manager failed to ensure a personnel record for one employee included required personal information, qualifications, education, training, certifications, and compliance documentation, as no personnel record was located for that employee.
Medication administration — The manager failed to ensure a medication was administered in compliance with a medication order and documented in the resident's medical record, as one resident did not receive scheduled pain medication due to unprocessed refills.
Report Facts
Deficiencies cited: 5
Complaints investigated: 6
Inspection Report — Jun 20, 2023
Enforcement State
Date: Jun 20, 2023
Visit Reason
Civil monetary penalty, action 00113174 (invoice INV-259538), assessed 20 June 2023.
Findings
A $1,000.00 penalty was assessed and paid in full on 14 August 2023.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — May 30, 2023
Complaint Investigation State
Date: May 30, 2023
Visit Reason
On-site complaint investigation of complaints AZ00194254, AZ00194225, AZ00193914, AZ00193913, AZ00193911, AZ00193915, AZ00193916, AZ00193912, AZ00193495, AZ00193458, AZ00193438, AZ00193029, AZ00192885, AZ00192606, AZ00192476, AZ00195137, AZ00195371, AZ00195348, and AZ00195734 at an Assisted Living Center, conducted 30 May 2023.
Complaint Details
An on-site investigation of complaints AZ00194254, AZ00194225, AZ00193914, AZ00193913, AZ00193911, AZ00193915, AZ00193916, AZ00193912, AZ00193495, AZ00193458, AZ00193438, AZ00193029, AZ00192885, AZ00192606, AZ00192476, AZ00195137, AZ00195371, AZ00195348, and AZ00195734, were conducted on May 30, 2023 and the following deficiencies were cited:
Findings
The inspection found eight deficiencies related to failure to provide requested documentation timely, incomplete abuse investigation documentation, lack of caregiver qualifications documentation, missing current CPR and first aid certifications, unsigned resident service plans, nonfunctional resident alert systems, medication administration not in compliance with orders, and incomplete documentation of resident accidents requiring medical services.
Deficiencies (8)
The manager failed to provide required documentation to the Department within two hours after a request, preventing determination of substantial compliance. This was a repeat citation from a prior survey.
J. If a manager has a reasonable basis, according to A.R.S. § 46-454, to believe abuse, neglect, or exploitation occurred, the manager failed to document the suspected abuse, maintain documentation for at least 12 months, and include required investigation details. Multiple incidents lacked proper investigation documentation.
The manager failed to ensure caregivers' skills and knowledge were verified and documented before providing physical health services for two of six caregivers reviewed.
The manager failed to ensure current documentation of first aid training and CPR certification was provided before caregivers delivered assisted living services for two of seven caregivers. This was a repeat citation.
The manager failed to ensure resident service plans were signed and dated by the resident or representative and the manager when initially developed and updated for eight of eight residents sampled.
The manager failed to ensure a bell, intercom, or other mechanical means to alert employees to residents' needs or emergencies was available or functional for two of two directed care residents. Wrist bands had low batteries or were missing.
B. The manager failed to ensure medications were administered in compliance with physician orders and properly documented for five of seven residents sampled. Multiple medications were not given as ordered and lacked documentation of exceptions.
The manager failed to ensure documentation of accidents, emergencies, or injuries requiring medical services was complete, including date, description, witnesses, actions taken, notifications, and prevention measures. An incident report for a resident with bruises and a skin tear was unavailable.
Report Facts
Deficiencies cited: 8
Complaints investigated: 18
Inspection Report — Feb 7, 2023
Enforcement State
Date: Feb 7, 2023
Visit Reason
Civil monetary penalty, action 00113823 (invoice INV-260084), assessed 7 February 2023.
Findings
A $750.00 penalty was assessed and paid in full on 28 March 2023.
Report Facts
Penalty amount: 750
Amount paid: 750
Amount remaining: 0
Report
StateReport
StateReport
StateReport
StateReport
StateReport
State
Viewing
Loading inspection reports...
