5 Reports
Inspection Report — Oct 9, 2025
State
Date: Oct 9, 2025
Visit Reason
Off-site desktop review conducted on 9 October 2025 to remove directed care services from the license at an Assisted Living Center.
Findings
This inspection resulted in no citations or deficiency findings.
Inspection Report — Feb 12, 2025
Complaint Investigation State
Date: Feb 12, 2025
Visit Reason
On-site complaint investigation at an Assisted Living Center, conducted 12 February 2025.
Findings
This inspection resulted in no citations or deficiency findings.
Inspection Report — Sep 11, 2024
Annual Inspection State
Date: Sep 11, 2024
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00200459, AZ00200826, AZ00201167, and AZ00215609 at an Assisted Living Center, conducted on September 11, 2024.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00200459, AZ00200826, AZ00201167, and AZ00215609, conducted on September 11, 2024.
Findings
The inspection found four deficiencies related to inaccurate documentation of services provided, medication administration not in compliance with orders, improper medication storage, and unsafe premises conditions that could cause physical injury to residents.
Deficiencies (4)
The manager failed to ensure a caregiver documented the services provided in the resident's medical record accurately for two residents, including documenting services provided when the resident was not present and leaving blanks without explanation for missed services.
The manager failed to ensure medication was administered in compliance with a medication order, as Hydralazine was given to a resident despite blood pressure readings that should have prevented administration.
The manager failed to ensure medication was stored in a separate locked area used only for medication storage, as a medicine cabinet in a resident's private bathroom was unlocked and contained both medications and non-medication items.
The manager failed to ensure the premises were free from conditions that could cause physical injury, as cleaning chemicals were found unsecured in an unlocked resident room and bathroom.
Report Facts
Deficiencies cited: 4
Complaints investigated: 4
Inspection Report — May 15, 2024
Complaint Investigation State
Date: May 15, 2024
Visit Reason
On-site complaint investigation of complaint AZ00210306 at an Assisted Living Center, conducted 15 May 2024.
Complaint Details
An on-site investigation of complaint AZ00210306 was conducted on May 15, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Jun 15, 2023
Annual Inspection State
Date: Jun 15, 2023
Visit Reason
On-site compliance (annual) inspection of an Assisted Living Center conducted on June 15, 2023.
Findings
Two deficiencies were found related to documentation and service plan updates. The facility failed to ensure timely submission of required medical documentation and did not update a resident's service plan every three months as required.
Deficiencies (2)
B — The manager failed to ensure that individuals submitted documentation dated within 90 calendar days before acceptance, signed by an authorized healthcare provider, for two of four residents sampled. This posed a risk if residents were not assessed within the scope of the assisted living facility prior to receiving services.
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. This posed a risk if the service plan did not clarify services to be provided.
Report Facts
Deficiencies cited: 2
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