4 Reports
Inspection Report — Oct 1, 2025
Complaint Investigation State
Date: Oct 1, 2025
Visit Reason
On-site complaint investigation of complaints 00145401, 00116442, and 00142229 at an Assisted Living Center, conducted 1 October 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00145401, 00116442, and 00142229 conducted on October 1, 2025.
Findings
No deficiencies were found during the investigation.
Report Facts
Complaints investigated: 3
Inspection Report — Aug 25, 2025
Complaint Investigation State
Date: Aug 25, 2025
Visit Reason
On-site complaint investigation of complaints 00141826, 00105736, and 00129917 at an Assisted Living Center, conducted 25 August 2025.
Complaint Details
The following deficiency was found during the on-site investigation of complaints 00141826, 00105736, and 00129917 conducted on August 25, 2025:
Findings
The inspection found one deficiency related to failure to maintain documentation provided to emergency responders during resident emergencies. The facility did not have required written documentation for two residents transported to the hospital.
Deficiencies (1)
A.R.S. § 36-420.04.D. — The assisted living center failed to maintain a copy of documentation provided to emergency responders for residents during emergencies, lacking evidence that required written documents were given to EMS upon resident transfer to the hospital.
Report Facts
Deficiencies cited: 1
Inspection Report — Aug 12, 2025
Annual Inspection State
Date: Aug 12, 2025
Visit Reason
On-site complaint investigation of complaints 00140667, 00105110, 00105166, 00127806, 00126122, 00140803, 00140811, and 00125388 combined with a compliance (annual) inspection at an Assisted Living Center, conducted 12 August 2025.
Complaint Details
No deficiencies were found during the on-site compliance inspection and investigation of complaints 00140667, 00105110, 00105166, 00127806, 00126122, 00140803, 00140811, and 00125388 conducted on August 12, 2025.
Findings
No deficiencies were found during this inspection and complaint investigation.
Report Facts
Complaints investigated: 8
Inspection Report — Apr 12, 2024
Annual Inspection State
Date: Apr 12, 2024
Visit Reason
On-site complaint investigation of complaint AZ00208400 combined with an annual compliance inspection at an Assisted Living Center, conducted 11-12 April 2024.
Complaint Details
The deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00208400 conducted on April 11-12, 2024.
Findings
The inspection found ten deficiencies related to documentation, resident care plans, food safety, disaster drills, facility cleanliness, hazardous materials storage, and pet licensing.
Deficiencies (10)
The manager failed to ensure that a resident's medical record contained documentation of notification of the availability of the influenza vaccination for two residents who had resided at the facility for more than 12 months.
R9-10-808 — The manager failed to ensure that service plans for two residents receiving personal care services included treatment of bruises, injuries, pressure sores, and infections.
R9-10-814 — The manager failed to ensure that a resident unable to ambulate even with assistance had a current medical determination that the resident's needs were being met by the facility.
The manager failed to ensure foods requiring refrigeration were maintained at 41° F or below; the kitchen refrigerator registered 48° F at the warmest area.
The manager failed to ensure frozen foods were stored at 0° F or below; the kitchen walk-in freezer temperature registered +10° F.
The manager failed to ensure employee disaster drills were conducted at least once every three months on each shift and documented; drills were not conducted on the first shift as required.
The manager failed to ensure the premises and equipment were cleaned according to policies to prevent illness or infection; a resident's unit had numerous soiled dog potty pads and a strong urine odor.
The manager failed to ensure poisonous or toxic materials were stored in locked areas inaccessible to residents; unlocked storage rooms contained paint cans, unlabeled sprays, and insect spray.
The manager failed to ensure combustible or flammable liquids and hazardous materials were stored in locked areas inaccessible to residents; six propane tanks were stored in an unlocked storage room near the kitchen and dining area.
The manager failed to ensure two dogs residing at the facility were licensed consistent with local ordinances; no licensing documentation was provided.
Report Facts
Deficiencies cited: 10
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