Inspection Reports for
Canyon Valley Memory Care

2985 S Camino Del Sol, Green Valley, AZ 85622, AZ, 85622

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20 Reports

2023–2026

Inspection Report — May 21, 2026

Enforcement
Date: May 21, 2026

Visit Reason
Civil monetary penalty, action 00165932 (invoice INV-349643), assessed 21 May 2026.

Findings
A $500.00 penalty was assessed and paid in full on 21 May 2026.

Report Facts
Penalty amount: 500 Amount paid: 500 Amount remaining: 0

Inspection Report — Mar 19, 2026

Enforcement
Date: Mar 19, 2026

Visit Reason
Civil monetary penalty, action 00161289 (invoice INV-333486), assessed 19 March 2026.

Findings
A $250.00 penalty was assessed and paid in full on 16 April 2026.

Report Facts
Penalty amount: 250 Amount paid: 250 Amount remaining: 0

Inspection Report — Mar 5, 2026

Annual Inspection
Date: Mar 5, 2026

Visit Reason
On-site complaint investigation and annual compliance inspection of complaints 00161068, 00160962, and 00156071 at an Assisted Living Center, conducted 5 March 2026.

Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints 00161068, 00160962, and 00156071 conducted on March 5, 2026.
Findings
The inspection found four deficiencies related to resident safety, tuberculosis screening documentation, memory care service evaluations, and secure storage of medications. These deficiencies posed risks to resident health and safety.

Deficiencies (4)
R9-10-803 — The manager failed to ensure the health, safety, or welfare of a resident was not placed at risk of harm when a resident eloped through an unlocked courtyard gate and a window screen was removed. Alarms were later placed on the resident’s window.
R9-10-807 — The manager failed to ensure two of four residents provided evidence of freedom from infectious tuberculosis as required, with missing or outdated TB screening documentation.
R9-10-816 — The manager failed to ensure that three residents receiving memory care services had a medical practitioner’s evaluation and signed determination within required timeframes confirming their needs could be met by the facility.
R9-10-820 — The manager failed to ensure poisonous or toxic materials were stored in labeled containers in a locked area separate from food, dining, and medications, as an unlocked nurse’s office contained unsecured prescription medications.
Report Facts
Deficiencies cited: 4

Inspection Report — Dec 23, 2025

Complaint Investigation
Date: Dec 23, 2025

Visit Reason
On-site complaint investigation of complaints 00153531, 00153512, 00149850, 00148901, 00142156, and 00142155 at an Assisted Living Center, conducted 23 December 2025.

Complaint Details
The following deficiency was found during the on-site investigation of complaints 00153531, 00153512, 00149850, 00148901, 00142156, and 00142155 conducted on December 23, 2025.
Findings
The inspection found one deficiency related to the failure to provide timely written notification to the Department of a resident’s elopement within 24 hours as required.

Deficiencies (1)
R9-10-803 — The manager failed to provide written notification to the Department of a resident’s elopement within 24 hours of discovery, notifying the Department three days late on December 15, 2025.
Report Facts
Deficiencies cited: 1

Inspection Report — Jul 15, 2025

Complaint Investigation
Date: Jul 15, 2025

Visit Reason
On-site complaint investigation of complaint 00136435 at an Assisted Living Center, conducted 15 July 2025.

Complaint Details
No deficiencies were found during the on-site investigation of complaint 00136435 conducted on July 15, 2025.
Findings
No deficiencies were found during this inspection.

Inspection Report — Jun 20, 2025

Complaint Investigation
Date: Jun 20, 2025

Visit Reason
On-site complaint investigation of complaint 00133960 at an Assisted Living Center, conducted 20 June 2025.

Complaint Details
No deficiencies were found during the on-site investigation of complaint 00133960 conducted on June 20, 2025.
Findings
No deficiencies were found during the investigation.

Inspection Report — Jun 13, 2025

Complaint Investigation
Date: Jun 13, 2025

Visit Reason
On-site complaint investigation of complaints 00133239, 00133290, and 00133278 at an Assisted Living Center, conducted 13 June 2025.

Complaint Details
The following deficiencies were found during the on-site investigation of complaint 00133239, 00133290, 00133278 and conducted on June 13, 2025.
Findings
Two deficiencies were found related to incomplete service plans. The facility failed to include the expected level of service for one resident and omitted documentation of resident weight and coordination of communications in service plans for residents receiving directed care.

Deficiencies (2)
R9-10-808 — The manager failed to ensure a written service plan included the level of service the resident was expected to receive for one of two residents sampled.
R9-10-815 — The manager failed to ensure service plans for two residents receiving directed care included documentation of the resident's weight and coordination of communications with the resident's representative and family.
Report Facts
Deficiencies cited: 2

Inspection Report — May 5, 2025

Enforcement
Date: May 5, 2025

Visit Reason
Civil monetary penalty, action 00123464 (invoice INV-270185), assessed 5 May 2025.

Findings
A $2,000.00 penalty was assessed and paid in full on 5 May 2025.

Report Facts
Penalty amount: 2000 Amount paid: 2000 Amount remaining: 0

Inspection Report — Apr 30, 2025

Complaint Investigation
Date: Apr 30, 2025

Visit Reason
On-site complaint investigation of complaint 00127983 at an Assisted Living Center, conducted 30 April 2025.

Complaint Details
The following deficiencies were found during the on-site investigation of complaint 00127983 conducted on April 30, 2025.
Findings
The inspection found one deficiency related to incomplete signatures on resident service plans. The facility failed to ensure all required signatures were present on service plans for two of four sampled residents.

Deficiencies (1)
R9-10-808 — The manager failed to ensure that service plans for two residents were signed and dated by all required parties, including the resident or representative, the manager, and a nurse or medical practitioner.
Report Facts
Deficiencies cited: 1

Inspection Report — Mar 4, 2025

Annual Inspection
Date: Mar 4, 2025

Visit Reason
On-site complaint investigation and compliance (annual) inspection of complaints AZ00216229 and 00115491 at an Assisted Living Center, conducted 4 March 2025.

Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00216229 and 00115491 conducted on March 4, 2025.
Findings
The inspection found sixteen deficiencies related to tuberculosis screening, quality management reporting, service plan updates, medication administration and documentation, medication storage, food service standards, emergency drills, environmental safety, and CPR initiation. Plans of correction were provided for all deficiencies.

Deficiencies (16)
R9-10-113 — The facility failed to document and implement required tuberculosis infection control activities, including timely two-step TB skin tests for employees, correct completion of screening questionnaires, annual TB training, and risk assessments.
R9-10-804 — The manager failed to submit documented quality management reports to the governing authority that identified concerns about resident care and actions taken, with current reports unavailable for review.
R9-10-808 — The manager failed to ensure a resident's written service plan was reviewed and updated within 14 calendar days after a significant change in condition.
R9-10-808 — The manager failed to update written service plans at least once every three months for residents receiving directed care services, with required updates missing for two residents.
R9-10-808 — The manager failed to ensure caregivers documented services provided in residents' medical records for four residents, preventing verification of services against service plans.
R9-10-814 — The manager failed to meet requirements for residents confined to bed or chair due to inability to ambulate, including missing documentation of resident or representative requests and medical practitioner determinations.
R9-10-816 — The manager failed to ensure medication was administered in compliance with medication orders, with multiple documentation errors and missed doses for one resident.
R9-10-816 — The manager failed to ensure medications administered to residents were documented in medical records, with incomplete documentation for four residents.
R9-10-816 — The manager failed to ensure medication was stored in a separate locked area used only for medication storage, with unlocked hygiene supply drawers containing medications observed in residents' bedrooms.
R9-10-816 — The manager failed to implement policies and procedures for inventorying controlled substances, with controlled substance logs unavailable for review.
R9-10-817 — The manager failed to ensure food substitutions were documented no later than the morning of meal service and menus were maintained for at least 60 days, with undated menus and no substitution documentation provided.
R9-10-817 — The manager failed to ensure refrigerators used to store food contained a thermometer accurate to plus or minus 3° F, with a refrigerator lacking a thermometer.
R9-10-817 — The manager failed to ensure frozen foods were stored at 0° F or below, with freezer thermometers reading 16° F.
R9-10-818 — The manager failed to ensure disaster drills were conducted on each shift at least once every three months and documented, with no documentation of drills on all shifts provided.
R9-10-819 — The manager failed to ensure combustible or flammable liquids and hazardous materials were stored in locked areas inaccessible to residents, with propane tanks observed in an accessible courtyard.
A.R.S. § 36-420.B.1 — The facility failed to initiate cardiopulmonary resuscitation in accordance with certification training before EMS arrival for a nonresponsive resident, and required documentation such as DNR orders and terminal condition certifications were missing.
Report Facts
Deficiencies cited: 16

Inspection Report — Aug 5, 2024

Complaint Investigation
Date: Aug 5, 2024

Visit Reason
On-site complaint investigation of complaint AZ00214007 at an Assisted Living Center, conducted 5 August 2024.

Complaint Details
An on-site investigation of complaint AZ00214007 was conducted on August 5, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.

Inspection Report — May 30, 2024

Complaint Investigation
Date: May 30, 2024

Visit Reason
On-site complaint investigation of complaint AZ00210553 at an Assisted Living Center, conducted 30 May 2024.

Complaint Details
An on-site investigation of complaint AZ00210553 was conducted on May 29, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.

Inspection Report — Feb 6, 2024

Enforcement
Date: Feb 6, 2024

Visit Reason
Civil monetary penalty, action 00111754 (invoice INV-258433), assessed 6 February 2024.

Findings
A $1,500.00 penalty was assessed and paid in full on 26 March 2024.

Report Facts
Penalty amount: 1500 Amount paid: 1500 Amount remaining: 0

Inspection Report — Jan 8, 2024

Annual Inspection
Date: Jan 8, 2024

Visit Reason
On-site complaint investigation of complaint AZ00205174 combined with an annual compliance inspection at an Assisted Living Center, conducted 8 January 2024.

Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00205174 conducted on January 8, 2024.
Findings
This inspection found six deficiencies related to documentation and record-keeping failures, including missing timely documentation, incomplete personnel records, and unsigned service plans.

Deficiencies (6)
The manager failed to provide required documentation to the Department within two hours after a request, including personnel qualifications, residency agreements, medication orders, and TB documentation for multiple employees and residents.
The manager failed to ensure a caregiver had current documentation of cardiopulmonary resuscitation training before providing assisted living services, posing a risk during emergencies.
R9-10-115 — The manager failed to ensure personnel records included required information such as name, date of birth, contact information, qualifications, education, orientation, license or certification, compliance documentation, and TB documentation for five personnel members.
The manager failed to ensure residents submitted documentation dated within 90 days before acceptance, including medical evaluations signed by authorized healthcare providers, for six residents sampled.
The manager failed to ensure residents had written service plans signed and dated by the manager when initially developed and updated, for two residents sampled.
R9-10-807 — The manager failed to ensure residents' medical records contained required documentation including resident needs, signed residency agreements, medication orders, medication administration records, and documentation of medication refusals for four residents sampled.
Report Facts
Deficiencies cited: 6

Inspection Report — Sep 5, 2023

Enforcement
Date: Sep 5, 2023

Visit Reason
Civil monetary penalty, action 00112584 (invoice INV-259046), assessed 5 September 2023.

Findings
A $500.00 penalty was assessed and paid in full on 6 November 2023.

Report Facts
Penalty amount: 500 Amount paid: 500 Amount remaining: 0

Inspection Report — Aug 22, 2023

Complaint Investigation
Date: Aug 22, 2023

Visit Reason
On-site complaint investigation of complaints AZ00197792, AZ00197910, AZ00199639, and AZ00199658 at an Assisted Living Center, conducted 22 August 2023.

Complaint Details
An on-site investigation of complaints AZ00197792, AZ00197910, AZ00199639, AZ00199658 was conducted on August 22, 2023 and the following deficiencies were cited.
Findings
The inspection found six deficiencies related to policies, documentation, resident care, equipment, and safety conditions. The facility failed to implement adequate policies and procedures, ensure proper documentation and resident care, and maintain safe premises and equipment.

Deficiencies (6)
The manager failed to implement policies and procedures covering methods by which the facility was aware of the general or specific whereabouts of a resident, posing a risk as staff was unaware of the whereabouts of Resident 1.
The manager failed to ensure residents' written service plans were signed and dated by the resident or representative, the manager, and the nurse or medical practitioner when initially developed and updated for two of five residents sampled.
The manager failed to ensure caregivers provided residents with assisted living services as specified in their service plans and documented the services provided for three of five residents sampled.
The manager failed to ensure a bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies was available or functioning in a bedroom for a resident receiving directed care services, posing a risk to resident safety.
The manager failed to ensure medication administration policies and procedures included a process for documenting an authorized individual administering medication under the direction of a medical practitioner.
The manager failed to ensure the premises were free from conditions that could cause physical injury, including a leaking roof with buckets collecting water, separated foundation, non-working door alarms, and ceiling damage with possible mold.
Report Facts
Deficiencies cited: 6

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