34 Reports
Inspection Report — Mar 12, 2026
Annual Inspection State
Date: Mar 12, 2026
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints 00159777, 00159887, and 00161004 at an Assisted Living Center, conducted 11-12 March 2026.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints 00159777, 00159887, and 00161004 conducted on March 11-12, 2026.
Findings
This inspection found eight deficiencies related to failure to maintain emergency responder documentation, incomplete employee background checks, inadequate abuse investigation documentation, unverified caregiver competencies, incomplete tuberculosis screening, insufficient documentation of services provided, medication administration errors, and improper garbage storage.
Deficiencies (8)
A.R.S. § 36-420.04.D — The manager failed to maintain a copy of the document provided to emergency responders for a resident, risking noncompliance with required standards.
R9-10-803 — The governing authority failed to ensure compliance with employee background checks, including contacting previous employers and verifying the adult protective services registry for three of five sampled employees.
R9-10-803 — The manager failed to document actions taken to prevent suspected abuse, neglect, or exploitation after having a reasonable basis to believe such incidents occurred.
R9-10-806 — The manager failed to verify and document caregiver skills and knowledge before providing physical health services for two of four sampled caregivers.
R9-10-806 — The manager failed to ensure that a manager and a caregiver provided evidence of freedom from infectious tuberculosis on or before the date services began, posing a potential exposure risk.
R9-10-808 — The manager failed to ensure caregivers documented services provided in residents' medical records for four of five sampled residents, risking unverified service delivery.
R9-10-817 — The manager failed to ensure medication was administered in compliance with orders for two of five sampled residents, risking changes in resident condition.
R9-10-820 — The manager failed to ensure garbage and refuse were stored in covered containers, posing a health and safety risk to residents.
Report Facts
Deficiencies cited: 8
Complaints investigated: 3
Inspection Report — Jan 5, 2026
Complaint Investigation State
Date: Jan 5, 2026
Visit Reason
On-site complaint investigation of complaint 00152964 at an Assisted Living Center, conducted 5 January 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00152964 conducted on January 5, 2026.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 1
Inspection Report — Dec 8, 2025
Complaint Investigation State
Date: Dec 8, 2025
Visit Reason
On-site complaint investigation of complaints 00150635 and 00151428 at an Assisted Living Center, conducted 8 December 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00150635 and 00151428 conducted on December 8, 2025.
Findings
No deficiencies were found during the investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Nov 6, 2025
Complaint Investigation State
Date: Nov 6, 2025
Visit Reason
On-site complaint investigation of complaints 00149721, 00141611, 00149699, and 00149723 at an Assisted Living Center, conducted 6 November 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00149721, 00141611, 00149699, and 00149723 conducted on November 06, 2025.
Findings
No deficiencies were found during this complaint investigation.
Report Facts
Complaints investigated: 4
Inspection Report — Oct 7, 2025
State
Date: Oct 7, 2025
Visit Reason
Off-site desktop review conducted on 7 October 2025 to modify the licensed capacity from 112 directed care to 36 directed care and 76 personal care at an Assisted Living Center.
Findings
This inspection resulted in no citations or deficiency findings.
Inspection Report — Sep 18, 2025
Complaint Investigation State
Date: Sep 18, 2025
Visit Reason
On-site complaint investigation of complaints 00145084 and 00145085 at an Assisted Living Center, conducted 18 September 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00145084 and 00145085 conducted on September 16, 2025.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Sep 17, 2025
Enforcement State
Date: Sep 17, 2025
Visit Reason
Civil monetary penalty, action 00142012 (invoice INV-297337), assessed 17 September 2025.
Findings
A $500.00 penalty was assessed and paid in full on 17 September 2025.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Aug 13, 2025
Complaint Investigation State
Date: Aug 13, 2025
Visit Reason
On-site complaint investigation of complaints 00140651 and 00139175 at an Assisted Living Center, conducted 13 August 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00140651 and 00139175 conducted on August 13, 2025.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Aug 12, 2025
Complaint Investigation State
Date: Aug 12, 2025
Visit Reason
On-site complaint investigation of complaint 00139091 at an Assisted Living Center, conducted 11 August 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00139091 conducted on August 11, 2025.
Findings
No deficiencies were found during this complaint investigation.
Report Facts
Complaints investigated: 1
Inspection Report — Jul 30, 2025
Complaint Investigation State
Date: Jul 30, 2025
Visit Reason
On-site complaint investigation of complaints 00137923, 00137992, and 00137949 at an Assisted Living Center, conducted 30 July 2025.
Complaint Details
The following deficiency was found during the on-site investigation of complaints 00137923, 00137992, and 00137949 conducted on July 30, 2025.
Findings
The inspection found one deficiency related to a caregiver lacking current first aid and CPR certification. The facility provided a plan of correction to address the issue.
Deficiencies (1)
R9-10-806 — The manager failed to ensure that a caregiver's personnel record included current documentation of first aid and cardiopulmonary resuscitation training, as the certification had expired but the caregiver continued to work.
Report Facts
Deficiencies cited: 1
Inspection Report — Jun 24, 2025
State
Date: Jun 24, 2025
Visit Reason
On-site review of the plan of correction at an Assisted Living Center conducted 24 June 2025.
Findings
This inspection resulted in no citations or deficiency findings.
Inspection Report — Jun 24, 2025
Complaint Investigation State
Date: Jun 24, 2025
Visit Reason
On-site complaint investigation of complaint 00133253 at an Assisted Living Center, conducted 24 June 2025.
Complaint Details
The following deficiencies were found during the on-site investigation of complaint 00133253 conducted on June 24, 2025.
Findings
Two deficiencies were found related to emergency responder documentation and incident follow-up. The facility failed to provide complete written information to emergency responders and did not document actions to prevent future incidents after resident falls.
Deficiencies (2)
A.R.S. § 36-420.04.C — The manager failed to provide emergency responders with written documents containing all required information for three residents involved in fall-related incidents.
R9-10-818 — The manager failed to ensure caregivers documented any action taken to prevent future incidents after fall-related injuries for three residents.
Report Facts
Deficiencies cited: 2
Inspection Report — May 28, 2025
Complaint Investigation State
Date: May 28, 2025
Visit Reason
On-site complaint investigation of complaints 00131791 and 00131789 at an Assisted Living Center, conducted 28 May 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00131791 and 00131789 conducted on May 28, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 2
Inspection Report — May 20, 2025
Complaint Investigation State
Date: May 20, 2025
Visit Reason
On-site complaint investigation of complaint 00129771 at an Assisted Living Center, conducted 20 May 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00129771 conducted on May 20, 2025.
Findings
No deficiencies were found during the inspection.
Inspection Report — Apr 29, 2025
Complaint Investigation State
Date: Apr 29, 2025
Visit Reason
On-site complaint investigation of complaints 00128570 and 00128571 at an Assisted Living Center, conducted 29 April 2025.
Complaint Details
On April 1, 2025, the Licensee and the Department entered into a Settlement Agreement. On April 29, 2025, the Department conducted an on-site complaint inspection for license AL12892C and found the Licensee to be out of compliance with Term #15 of the agreement. The inspection investigated complaints 00128570 and 00128571.
Findings
The inspection found a deficiency related to resident rights where a resident was not treated with dignity, respect, and consideration. This deficiency was a repeat from a prior complaint inspection.
Deficiencies (1)
R9-10-810 — The manager failed to ensure a resident was treated with dignity, respect, and consideration, as evidenced by an incident involving two residents with directed care needs engaging in sexual activity without proper safeguards. The deficient practice posed a risk as resident rights were violated.
Report Facts
Deficiencies cited: 1
Inspection Report — Apr 22, 2025
Complaint Investigation State
Date: Apr 22, 2025
Visit Reason
On-site complaint investigation of complaints 00123708, 00127309, and 00127683 at an Assisted Living Center, conducted 22 April 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00123708, 00127309, and 00127683 conducted on April 22, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 3
Inspection Report — Apr 16, 2025
Complaint Investigation State
Date: Apr 16, 2025
Visit Reason
On-site complaint investigation at an Assisted Living Center, conducted 16 April 2025.
Findings
Three deficiencies were cited during this complaint investigation. No evidence text was provided for any of the deficiencies.
Deficiencies (3)
A manager failed to ensure that a caregiver or assistant caregiver documented the services provided in the resident's medical record.
A manager failed to ensure that a resident was treated with dignity, respect, and consideration.
R3-8-20l — A manager failed to ensure that a pest control program complying with A.A.C. R3-8-20l(C)(4) was implemented and documented.
Report Facts
Deficiencies cited: 3
Inspection Report — Apr 10, 2025
Complaint Investigation State
Date: Apr 10, 2025
Visit Reason
On-site complaint investigation at an Assisted Living Center, conducted 10 April 2025.
Findings
Six deficiencies were found during the complaint investigation. No evidence was provided for any of the deficiencies.
Deficiencies (6)
R9-10-808 — The facility failed to provide evidence that a resident was free from infectious tuberculosis as required.
The facility failed to ensure that a resident had a written service plan including the amount, type, and frequency of assisted living services provided.
R9-10-814 — The facility accepted or retained a resident confined to a bed or chair due to inability to ambulate, contrary to authorization for directed care services.
The facility failed to ensure medication was stored in a separate locked area used only for medication storage.
The facility failed to maintain premises and equipment free from conditions that may cause physical injury to residents or others.
R9-10-120 — The facility failed to document in the patient's medical record the need for opioid administration and the effect of the opioid administered or assisted.
Report Facts
Deficiencies cited: 6
Inspection Report — Apr 8, 2025
Complaint Investigation State
Date: Apr 8, 2025
Visit Reason
On-site complaint investigation of complaints 00125429 and 00125427 at an Assisted Living Center, conducted 8 April 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00125429 and 00125427 conducted on April 8, 2025.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Mar 3, 2025
Complaint Investigation State
Date: Mar 3, 2025
Visit Reason
On-site complaint investigation of complaints 00120666, 00120663 and 00115692 at an Assisted Living Center, conducted 3 March 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint(s) 00120666, 00120663 and 00115692 conducted on March 03, 2025.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 3
Inspection Report — Feb 21, 2025
Complaint Investigation State
Date: Feb 21, 2025
Visit Reason
On-site complaint investigation of complaint 00115582 at an Assisted Living Center, conducted 21 February 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00115582 conducted on February 21, 2025.
Findings
No deficiencies were found during the inspection.
Inspection Report — Feb 12, 2025
Annual Inspection State
Date: Feb 12, 2025
Visit Reason
On-site complaint investigation and annual compliance inspection of complaint AZ00 at an Assisted Living Center, conducted 12 February 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00 conducted on February 12, 2025.
Findings
The inspection found six deficiencies related to resident documentation and service plans. Some deficiencies lacked evidence text, but the documented findings included missing tuberculosis clearance documentation and incomplete service plan details.
Deficiencies (6)
R9-10-808 — The manager failed to ensure two residents provided documentation of freedom from infectious tuberculosis as required, posing a high potential health and safety risk.
The manager failed to ensure residents' written service plans included the frequency of assisted living services provided, affecting all eight residents reviewed and risking unclear service delivery.
No evidence text provided.
No evidence text provided.
No evidence text provided.
No evidence text provided.
Report Facts
Deficiencies cited: 6
Inspection Report — Jan 2, 2025
Complaint Investigation State
Date: Jan 2, 2025
Visit Reason
On-site complaint investigation of complaint AZ00221355 at an Assisted Living Center, conducted 2 January 2025.
Complaint Details
An on-site investigation of complaint AZ00221355 was conducted on January 2, 2025 and, no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Dec 2, 2024
Complaint Investigation State
Date: Dec 2, 2024
Visit Reason
On-site complaint investigation of complaints AZ00219405 and AZ00219445 at an Assisted Living Center, conducted 2 December 2024.
Complaint Details
This revised Statement of Deficiencies (SOD) supersedes the previous SOD for Event ID 1XPV11. An on-site investigation of complaints AZ00219405 and AZ00219445 was conducted on December 2, 2024 and the following deficiency was cited :
Findings
The inspection found one deficiency related to failure to document services provided in a resident's medical record as required by facility policy. This deficiency was uncorrected from a prior complaint inspection.
Deficiencies (1)
The manager failed to ensure the caregiver documented the services provided in the resident's medical record for one of three residents reviewed, resulting in unverified service provision. The resident's service plan lacked a documented Negotiated Risk Agreement and multiple night checks were not documented as required by policy.
Report Facts
Deficiencies cited: 1
Inspection Report — Nov 12, 2024
Complaint Investigation State
Date: Nov 12, 2024
Visit Reason
On-site complaint investigation of complaints AZ00218589 and AZ00218620 at an Assisted Living Center, conducted 12 November 2024.
Complaint Details
An on-site investigation of complaints AZ00218589 and AZ00218620 was conducted on November 12, 2024, resulting in three deficiencies cited.
Findings
The inspection found three deficiencies related to failure to document services provided, failure to treat a resident with dignity and respect, and an ineffective pest control program resulting in a severe cockroach infestation in a resident's room.
Deficiencies (3)
The manager failed to ensure the caregiver documented the services provided in the resident's medical record, resulting in false or misleading documentation and unverified services for one resident.
The manager failed to ensure a resident was treated with dignity, respect, and consideration, violating the resident's rights amid a severe cockroach infestation.
R3-8-20l — The manager failed to ensure an effective pest control program was implemented, resulting in a severe cockroach infestation and unsanitary conditions that posed a potential infection control risk.
Report Facts
Deficiencies cited: 3
Inspection Report — Oct 18, 2024
Complaint Investigation State
Date: Oct 18, 2024
Visit Reason
On-site complaint investigation of complaints AZ00217588 and AZ00217440 at an Assisted Living Center, conducted 18 October 2024.
Complaint Details
An on-site investigation of complaint AZ00217588 and AZ00217440 was conducted on October 18, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Oct 10, 2024
Complaint Investigation State
Date: Oct 10, 2024
Visit Reason
On-site complaint investigation of complaints AZ00215712, AZ00216318, AZ00217118 and AZ00217177 at an Assisted Living Center, conducted 10 October 2024.
Complaint Details
An on-site investigation of complaint AZ00215712, AZ00216318, AZ00217118 and AZ00217177 was conducted on October 10, 2024 and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Report Facts
Complaints investigated: 4
Inspection Report — Aug 30, 2024
Complaint Investigation State
Date: Aug 30, 2024
Visit Reason
On-site complaint investigation of complaints AZ00215281 and AZ00215360 at an Assisted Living Center, conducted 30 August 2024.
Complaint Details
An on-site investigation of complaint AZ00215281 and AZ00215360 was conducted on August 30, 2024 and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Aug 16, 2024
Complaint Investigation State
Date: Aug 16, 2024
Visit Reason
On-site complaint investigation of complaints AZ00212657 and AZ00214611 at an Assisted Living Center, conducted 16 August 2024.
Complaint Details
An on-site investigation of complaint AZ00212657 and AZ00214611 was conducted on August 16, 2024 and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Jul 1, 2024
Complaint Investigation State
Date: Jul 1, 2024
Visit Reason
On-site complaint investigation of complaint AZ00212086 at an Assisted Living Center, conducted 1 July 2024.
Complaint Details
An on-site investigation of complaint AZ00212086 was conducted on July 01, 2024 and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Jun 4, 2024
Complaint Investigation State
Date: Jun 4, 2024
Visit Reason
On-site complaint investigation of complaint AZ00210575 at an Assisted Living Center, conducted 4 June 2024.
Complaint Details
An on-site investigation of complaint AZ00210575 was conducted on June 04, 2024 and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Mar 13, 2024
Original Licensing State
Date: Mar 13, 2024
Visit Reason
Off-site initial compliance inspection for a change of ownership at an Assisted Living Center conducted on March 13, 2024.
Findings
No deficiencies were found during this inspection.
Inspection Report — 500cs00000UhF6zAAF
Enforcement State
Date: 500cs00000UhF6zAAF
Visit Reason
Enforcement action for BROOKDALE ARROWHEAD RANCH with action number 500cs00000UhF6zAAF, status Closed (Complete).
Findings
The enforcement action is closed and the payment schedule is complete. No penalty amount or payment details were provided in the document.
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