Inspection Reports for
Estancia Assisted Living IV
4221 E Holmes Cir, Mesa, AZ 85206, United States, AZ, 85206
Back to Facility Profile10 Reports
Inspection Report — May 31, 2026
Enforcement
Date: May 31, 2026
Visit Reason
Civil monetary penalty, action 00155770 (invoice INV-344397), assessed 31 May 2026.
Findings
A $250.00 penalty was assessed and paid in full on 30 May 2026.
Report Facts
Penalty amount: 250
Amount paid: 250
Amount remaining: 0
Inspection Report — Dec 12, 2025
Complaint Investigation
Date: Dec 12, 2025
Visit Reason
On-site complaint investigation of complaint 00151540 at an Assisted Living Home, conducted 12 December 2025.
Complaint Details
The following deficiencies were found during the on-site investigation of complaint 00151540 conducted on December 12, 2025.
Findings
The inspection found one deficiency related to failure to notify the Department within 24 hours of a resident's elopement. The facility did not provide timely written notification as required.
Deficiencies (1)
R9-10-803 — The manager failed to ensure written notification of a resident's elopement was provided to the Department within 24 hours of discovery, posing a risk as the facility did not know the resident's whereabouts.
Report Facts
Deficiencies cited: 1
Inspection Report — Aug 27, 2025
Annual Inspection
Date: Aug 27, 2025
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints 00142278, 00142288, 00107361, and 00107427 at an Assisted Living Home, conducted 27 August 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints 00142278, 00142288, 00107361, and 00107427 conducted on August 27, 2025.
Findings
This inspection found five deficiencies related to employee background checks, resident tuberculosis screening, service plan documentation, vaccination notification, and disaster drill documentation. The deficiencies posed various risks including safety, health, and emergency preparedness.
Deficiencies (5)
A.R.S. § 36-411.C — The governing authority failed to make documented good faith efforts to contact previous employers for two employees, posing a safety risk to residents.
R9-10-807 — The manager failed to ensure a resident provided evidence of freedom from infectious tuberculosis as required, posing a TB exposure risk to residents.
R9-10-808 — The manager failed to ensure a resident's service plan was signed and dated by the resident or representative and the manager, posing a health and safety risk.
R9-10-811 — The manager failed to ensure a resident's medical record contained documentation of notification of availability of influenza and pneumonia vaccinations, posing a potential illness risk.
R9-10-819 — The manager failed to ensure disaster drills for employees were conducted on each shift at least once every three months and documented, posing a risk if employees were unable to implement a disaster plan.
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Deficiencies cited: 5
Complaints investigated: 4
Inspection Report — Jun 24, 2024
Complaint Investigation
Date: Jun 24, 2024
Visit Reason
On-site complaint investigation of complaint AZ00212150 at an Assisted Living Home, conducted 24 June 2024.
Complaint Details
An on-site investigation of complaint AZ00212150 was conducted on June 24, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — May 21, 2024
Enforcement
Date: May 21, 2024
Visit Reason
Civil monetary penalty, action 00111190 (invoice INV-257991), assessed 21 May 2024.
Findings
A $500.00 penalty was assessed and paid in full on 5 July 2024.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — May 8, 2024
Complaint Investigation
Date: May 8, 2024
Visit Reason
On-site complaint investigation of complaint AZ00209979 at an Assisted Living Home, conducted 8 May 2024.
Complaint Details
An on-site investigation of complaint AZ00209979 was conducted on May 8, 2024, and the following deficiencies were cited.
Findings
The inspection found two deficiencies related to caregiver training and failure to provide services according to residents' service plans. Both deficiencies posed risks to resident health and safety.
Deficiencies (2)
The manager failed to ensure a caregiver provided current CPR training with a hands-on demonstration before providing assisted living services, as required by facility policy. The CPR training documentation reviewed was from an online-only course that did not meet this requirement.
The manager failed to ensure caregivers provided residents with activities of daily living according to their service plans, specifically repositioning every two hours. Documentation and interviews confirmed residents did not receive or have documented the required repositioning services.
Report Facts
Deficiencies cited: 2
Inspection Report — Dec 29, 2023
Monitoring
Date: Dec 29, 2023
Visit Reason
On-site initial monitoring inspection at an Assisted Living Home conducted on December 29, 2023.
Findings
No deficiencies were found during this abbreviated initial follow-up inspection.
Inspection Report — Oct 19, 2023
Original Licensing
Date: Oct 19, 2023
Visit Reason
On-site initial licensing inspection of ESTANCIA ASSISTED LIVING AT DANA PARK, LLC conducted on 19 October 2023 using the Assisted Living Home worksheet.
Findings
No deficiencies were found during this initial inspection.
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