Inspection Reports for
Canyon Winds Assisted Living and Memory Care
7311 E. Oasis Street, Mesa, AZ, 85207
Back to Facility Profile18 Reports
Inspection Report — Mar 30, 2026
Complaint Investigation
Date: Mar 30, 2026
Visit Reason
On-site complaint investigation of complaint 00161559 at an Assisted Living Center, conducted 30 March 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00161559 conducted on March 30, 2026
Findings
No deficiencies were found during the on-site investigation of complaint 00161559.
Report Facts
Complaints investigated: 1
Inspection Report — Feb 10, 2026
Complaint Investigation
Date: Feb 10, 2026
Visit Reason
On-site complaint investigation of complaints 00151684, 00155226, and 00157603 at an Assisted Living Center, conducted 10 February 2026.
Complaint Details
The following deficiencies were found during the on-site investigation of complaints 00151684, 00155226, and 00157603 conducted on February 10, 2026.
Findings
The inspection found one deficiency related to the facility's failure to provide a resident's representative access to the resident’s records during normal business hours or at an agreed time.
Deficiencies (1)
R9-10-810 — The manager failed to ensure that a resident or the resident’s representative had access to the resident’s records during normal business hours or at a mutually agreed time, despite requests for the medication administration record.
Report Facts
Deficiencies cited: 1
Inspection Report — Nov 25, 2025
Enforcement
Date: Nov 25, 2025
Visit Reason
Civil monetary penalty, action 00149258 (invoice INV-310120), assessed 25 December 2025.
Findings
A $750.00 penalty was assessed and paid in full on 25 November 2025.
Report Facts
Penalty amount: 750
Amount paid: 750
Amount remaining: 0
Inspection Report — Oct 1, 2025
Annual Inspection
Date: Oct 1, 2025
Visit Reason
On-site compliance (annual) inspection of assisted living center license AL10769C conducted on October 1, 2025. The inspection followed a prior Notice of Intent to Revoke and Settlement Agreement.
Findings
The inspection found three deficiencies related to failure to report suspected abuse, neglect, or exploitation; failure to review the disaster plan annually; and failure to document incidents requiring medical services. Plans of correction were provided for all deficiencies.
Deficiencies (3)
R9-10-803 — The manager failed to report suspected abuse, neglect, or exploitation after having a reasonable basis to believe it occurred, including failure to complete an incident report or investigation for a resident with multiple bruises and injuries.
R9-10-819 — The manager failed to ensure the disaster plan was reviewed at least once every 12 months, with no documentation of the review including date, participants, critique, or recommendations.
R9-10-819 — The manager failed to ensure documentation of an incident requiring medical services included date and time, description, observers, actions taken, notifications, and prevention measures for a resident transported by EMS.
Report Facts
Deficiencies cited: 3
Inspection Report — Jun 2, 2025
Complaint Investigation
Date: Jun 2, 2025
Visit Reason
On-site complaint investigation of complaints 00132091, 00132088, and 00105634 at an Assisted Living Center, conducted 2 June 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00132091, 00132088, and 00105634 conducted on June 2, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 3
Inspection Report — Jan 13, 2025
Complaint Investigation
Date: Jan 13, 2025
Visit Reason
On-site complaint investigation of complaints AZ00220157, AZ00221446, and AZ00221407 at an Assisted Living Center, conducted 13 January 2025.
Complaint Details
An on-site investigation of complaints AZ00220157, AZ00221446, and AZ00221407 was conducted on January 13, 2025, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Nov 8, 2024
Complaint Investigation
Date: Nov 8, 2024
Visit Reason
On-site complaint investigation of complaints AZ00218489, AZ00215901, and AZ00213724 at an Assisted Living Center, conducted 8 November 2024.
Complaint Details
An on-site investigation of complaints AZ00218489, AZ00215901, and AZ00213724 was conducted on November 8, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Report Facts
Complaints investigated: 3
Inspection Report — Jul 1, 2024
Complaint Investigation
Date: Jul 1, 2024
Visit Reason
On-site complaint investigation of complaints AZ00212130 and AZ00212180 at an Assisted Living Center, conducted 1 July 2024.
Complaint Details
An on-site investigation of complaints AZ00212130 and AZ00212180 was conducted on July 1, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Jun 18, 2024
Enforcement
Date: Jun 18, 2024
Visit Reason
Civil monetary penalty, action 00111052 (invoice INV-257896), assessed 18 June 2024.
Findings
A $4900 penalty was assessed and paid in full on 3 August 2024.
Report Facts
Penalty amount: 4900
Amount paid: 4900
Amount remaining: 0
Inspection Report — Jun 6, 2024
Complaint Investigation
Date: Jun 6, 2024
Visit Reason
On-site complaint investigation at Canyon Winds Retirement LLC, conducted 6 June 2024, to verify compliance with terms of a Settlement Agreement following a prior Notice of Non-Compliance.
Complaint Details
The Department conducted a complaint investigation and compliance inspection related to a Settlement Agreement with Canyon Winds Retirement LLC. The Licensee was found out of compliance with terms prohibiting false and misleading information and failure to cure violations within the Cure Period. A Notice of Non-Compliance was issued on May 14, 2024, and a follow-up inspection on June 6, 2024, found the Licensee failed to correct all violations.
Findings
The inspection found the Licensee failed to cure or correct all violations listed in the prior Statement of Deficiency and remained out of compliance with Settlement Agreement terms. Nine deficiencies were cited, all with plans of correction provided.
Deficiencies (9)
R9-10-113 — No evidence was provided to demonstrate that a manager, caregiver, assistant caregiver, or employee with direct resident interaction had evidence of freedom from infectious tuberculosis.
A personnel record for an employee or volunteer lacked documentation of the individual's qualifications, including skills and knowledge applicable to job duties.
Medication administration was not documented in the resident's medical record as required.
A disaster drill for employees was not conducted on each shift at least once every three months and documented.
An evacuation drill for employees and residents was not conducted at least once every six months.
A fire inspection by a local fire department or State Fire Marshal was not conducted before licensing or according to the required timeframe.
Garbage and refuse were not stored in covered containers lined with plastic bags as required.
Oxygen containers were not secured in an upright position.
Poisonous or toxic materials were not maintained in labeled containers in a locked area separate from food preparation, dining areas, and medications, and were accessible to residents.
Report Facts
Deficiencies cited: 9
Inspection Report — Apr 18, 2024
Annual Inspection
Date: Apr 18, 2024
Visit Reason
On-site complaint investigation of complaint AZ00209015 combined with an annual compliance inspection of an Assisted Living Center, conducted 18 April 2024.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00209015 conducted on April 18, 2024.
Findings
The inspection found nine deficiencies related to employee tuberculosis documentation, personnel records, medication documentation, disaster and evacuation drills, fire inspections, and unsafe storage practices. Plans of correction were provided for all deficiencies.
Deficiencies (9)
R9-10-113 — The manager failed to ensure an employee provided documentation of freedom from infectious tuberculosis on or before the date the individual began providing services, posing a potential TB exposure risk to residents.
Personnel record documentation — The manager failed to ensure one employee's personnel record included documentation of the individual's skills and knowledge applicable to job duties, risking unmet resident needs.
Medication documentation — The manager failed to ensure a medication administered to a resident was accurately documented in the medical record, resulting in false or misleading information.
Disaster drill documentation — The manager failed to ensure employee disaster drills were conducted on each shift at least once every three months and documented, risking ineffective disaster plan implementation.
Evacuation drills — The manager failed to ensure evacuation drills for employees and residents were conducted at least once every six months, risking ineffective evacuation plan implementation.
Fire inspection — The manager failed to ensure a fire inspection was conducted by the local fire department according to the required time-frame.
R9-10-113 — The manager failed to ensure garbage and refuse were stored in covered containers lined with plastic bags as required.
Oxygen container safety — The manager failed to ensure oxygen containers were secured in an upright position, posing a safety risk.
Poisonous material storage — The manager failed to ensure poisonous or toxic materials were maintained in labeled containers in a locked area inaccessible to residents, posing a health and safety risk.
Report Facts
Deficiencies cited: 9
Inspection Report — Mar 28, 2024
Complaint Investigation
Date: Mar 28, 2024
Visit Reason
On-site complaint investigation of complaints AZ00208244 and AZ00208259 at an Assisted Living Center, conducted 28 March 2024.
Complaint Details
An on-site investigation of complaints AZ00208244 and AZ00208259 were conducted on March 28, 2024 and the following deficiencies were cited.
Findings
Two deficiencies were cited related to failure to provide required documentation to emergency responders and failure to protect food from potential contamination.
Deficiencies (2)
36-420.04 — The manager failed to provide emergency responders with a written document including all required information for two of three residents sampled, missing details such as reasons for the emergency call, pharmacy contact, facility point-of-contact information, and HIPAA release authorization.
Food protection — The manager failed to ensure food was protected from potential contamination; uncovered food items were observed in the walk-in refrigerator posing a health and safety risk.
Report Facts
Deficiencies cited: 2
Inspection Report — Feb 29, 2024
Complaint Investigation
Date: Feb 29, 2024
Visit Reason
On-site complaint investigation of complaints AZ00206966 and AZ00206994 at an Assisted Living Center, conducted 29 February 2024.
Complaint Details
An on-site investigation of complaint AZ00206966 and AZ00206994 was conducted on February 29, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Feb 22, 2024
Complaint Investigation
Date: Feb 22, 2024
Visit Reason
On-site complaint investigation of complaint AZ00206670 at an Assisted Living Center, conducted 22 February 2024.
Complaint Details
An on-site investigation of complaint AZ00206670 was conducted on February 22, 2024, and the following deficiencies were cited.
Findings
Two deficiencies were cited related to failure to ensure compliance with employee fitness documentation and failure to report and act on suspected abuse, posing risks to residents' health and safety.
Deficiencies (2)
Failure to ensure documentation of good faith efforts to contact previous employers for one employee was not available, despite a valid fingerprint clearance card.
The manager failed to take immediate action to stop suspected abuse and did not report an alleged abuse incident to Adult Protective Services as required, posing a health and safety risk.
Report Facts
Deficiencies cited: 2
Inspection Report — Aug 16, 2023
Complaint Investigation
Date: Aug 16, 2023
Visit Reason
On-site complaint investigation of complaint AZ00195912 at an Assisted Living Center, conducted 16 August 2023.
Complaint Details
An on-site investigation of complaint AZ00195912 was conducted on August 16, 2023 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.
Deficiencies (1)
A manager failed to ensure a caregiver documented the services provided in the resident's medical record for one discharged resident. Documentation for activities of daily living provided from May 24-31, 2023 was not available despite services being reported as provided.
Report Facts
Deficiencies cited: 1
Inspection Report — Jun 27, 2023
Enforcement
Date: Jun 27, 2023
Visit Reason
Civil monetary penalty, action 00113095 (invoice INV-259472), assessed 27 June 2023.
Findings
A $500.00 penalty was assessed and paid in full on 5 August 2023.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Report
Report
Viewing
Loading inspection reports...
