Inspection Reports for
Gardens at Ocotillo

1601 W Queen Creek Rd, Chandler, AZ 85248, United States, AZ, 85248

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15 Reports

2023–2026

Inspection Report — Apr 15, 2026

Complaint Investigation
Date: Apr 15, 2026

Visit Reason
On-site complaint investigation of complaints 00160332 and 00160340 at an Assisted Living Center, conducted 15 April 2026.

Complaint Details
No deficiencies were found during the on-site investigation of complaint 00160332 and 00160340 conducted on April 15, 2026.
Findings
No deficiencies were found during the investigation.

Report Facts
Complaints investigated: 2

Inspection Report — Jan 7, 2026

Complaint Investigation
Date: Jan 7, 2026

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On-site complaint investigation of complaint 00155218 at an Assisted Living Center, conducted 7 January 2026.

Complaint Details
No deficiencies were found during the on-site compliance inspection and investigation of complaint 00155218 conducted on January 7, 2026.
Findings
No deficiencies were found during this inspection.

Report Facts
Complaints investigated: 1

Inspection Report — Jan 6, 2026

Enforcement
Date: Jan 6, 2026

Visit Reason
Civil monetary penalty, action 00152098 (invoice INV-316963), assessed 6 February 2026.

Findings
A $1,500.00 penalty was assessed and paid in full on 6 February 2026.

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

Inspection Report — Dec 16, 2025

Complaint Investigation
Date: Dec 16, 2025

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On-site complaint investigation of complaints 00153426 and 00151893 at an Assisted Living Center, conducted 16 December 2025.

Complaint Details
No deficiencies were found during the on-site investigation of complaints 00153426 and 00151893 conducted on December 16, 2025.
Findings
No deficiencies were found during the investigation.

Report Facts
Complaints investigated: 2

Inspection Report — Nov 12, 2025

Annual Inspection
Date: Nov 12, 2025

Visit Reason
On-site complaint investigation of complaint 00150237 combined with an annual compliance inspection at an Assisted Living Center, conducted 12 November 2025.

Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of the complaint 00150237 conducted on November 12, 2025.
Findings
This inspection found six deficiencies related to resident tuberculosis documentation, incomplete service plans, missing orientation to exits, unsecured exit doors in memory care, lack of disaster plan review, and missing evacuation drills.

Deficiencies (6)
R9-10-807 — The manager failed to ensure two residents provided evidence of freedom from infectious tuberculosis as required, posing a TB exposure risk.
R9-10-808 — The manager failed to ensure four residents' service plans included the level of service expected, risking unclear service provision.
R9-10-811 — The manager failed to ensure two residents' medical records contained documentation of orientation to facility exits, risking resident safety in emergencies.
R9-10-815 — The manager failed to ensure exit doors in the memory care unit were secured and monitored, risking unmonitored resident egress.
R9-10-819 — The manager failed to ensure the disaster plan was reviewed at least once every 12 months, risking outdated emergency preparedness.
R9-10-819 — The manager failed to ensure evacuation drills were conducted at least every six months, risking unpreparedness for emergencies.
Report Facts
Deficiencies cited: 6

Inspection Report — Nov 4, 2025

Complaint Investigation
Date: Nov 4, 2025

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On-site complaint investigation of complaints 00149543, 00149542, 00149155, and 00146890 at an Assisted Living Center, conducted 4 November 2025.

Complaint Details
No deficiencies were found during the on-site investigation of complaints 00149543, 00149542, 00149155, and 00146890 conducted on November 4, 2025.
Findings
No deficiencies were found during the investigation.

Report Facts
Complaints investigated: 4

Inspection Report — Aug 28, 2025

Complaint Investigation
Date: Aug 28, 2025

Visit Reason
On-site complaint investigation of complaints 00141364, 00129751, 00137831, 00105522, 00105302, 00105146, 00105020, and 00104961 at an Assisted Living Center, conducted 28 August 2025.

Complaint Details
No deficiencies were found during the on-site investigation of complaint 00141364, 00129751, 00137831, 00105522, 00105302, 00105146, 00105020, and 00104961 conducted on August 28, 2025.
Findings
No deficiencies were found during the complaint investigation.

Report Facts
Complaints investigated: 8

Inspection Report — Nov 12, 2024

Complaint Investigation
Date: Nov 12, 2024

Visit Reason
On-site complaint investigation at an Assisted Living Center, conducted 11-12 November 2024.

Complaint Details
On November 12, 2024 an off-site review of the plan of correction was conducted. The plan of correction was accepted for all citations.
Findings
Eight deficiencies were cited, all with plans of correction accepted. No evidence text was provided for any deficiency.

Deficiencies (8)
No evidence was provided to support a violation of the policy preventing employees from providing appropriate cardiopulmonary resuscitation and first aid.
No evidence was provided to support a violation of the governing authority's compliance with A.R.S. § 36-411.
No evidence was provided to support a violation regarding the manager's obligation to report suspected abuse, neglect, or exploitation according to A.R.S. § 46-454.
No evidence was provided to support a violation of the requirement that a resident's written service plan be reviewed and updated at least every six months for those receiving personal care services.
No evidence was provided to support a violation of the requirement that medication service policies include procedures for responding to and reporting unexpected medication reactions.
No evidence was provided to support a violation of the requirement that a current toxicology reference guide be available for personnel use.
No evidence was provided to support a violation of the requirement that frozen foods be stored at 0° F or below.
No evidence was provided to support a violation of the requirement that poisonous or toxic materials be stored in labeled containers in a locked area separate from food, dining, and medications, inaccessible to residents.
Report Facts
Deficiencies cited: 8

Inspection Report — Oct 15, 2024

Enforcement
Date: Oct 15, 2024

Visit Reason
Civil monetary penalty, action 00110383 (invoice INV-257441), assessed 15 October 2024.

Findings
A $250.00 penalty was assessed and paid in full on 21 November 2024.

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

Inspection Report — Sep 25, 2024

Annual Inspection
Date: Sep 25, 2024

Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00211175, AZ00215290, and AZ00215921 at an Assisted Living Center, conducted 25 September 2024.

Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00211175, AZ00215290, and AZ00215921 conducted on September 25, 2024.
Findings
The inspection found eight deficiencies related to policies preventing appropriate first aid, personnel record compliance, failure to immediately report suspected abuse, outdated service plans, lack of medication reaction procedures, unavailable current toxicology guide, improper frozen food storage temperature, and unsecured poisonous materials.

Deficiencies (8)
36-420 — The manager failed to ensure the facility did not have policies preventing employees from providing appropriate first aid, including a policy requiring calling 911 if only one team member was available for lift assist.
The governing authority failed to ensure compliance with A.R.S. § 36-411 by not documenting good faith efforts to contact previous employers or verify fingerprint clearance for one personnel record.
The manager failed to immediately report suspected abuse as required by A.R.S. § 46-454, with a delay in reporting bruises observed on a resident.
The manager failed to ensure a resident's written service plan was updated at least once every six months, posing a health and safety risk.
The manager failed to establish and document a policy and procedure for responding to and reporting unexpected reactions to medication.
The manager failed to ensure a current toxicology reference guide was available for personnel, using an outdated 3rd edition instead of the 4th edition.
The manager failed to ensure frozen foods were stored at 0° F or below; freezer temperatures were observed at 14° F and 17° F.
The manager failed to ensure poisonous or toxic materials were stored in a locked area inaccessible to residents, with an unlocked container of Drano observed in a hallway.
Report Facts
Deficiencies cited: 8 Complaints investigated: 3

Inspection Report — Jul 25, 2023

Enforcement
Date: Jul 25, 2023

Visit Reason
Civil monetary penalty, action 00112921 (invoice INV-259322), assessed 25 July 2023.

Findings
A $750.00 penalty was assessed and paid in full on 10 September 2023.

Report Facts
Penalty amount: 750 Amount paid: 750 Amount remaining: 0

Inspection Report — Jul 11, 2023

Annual Inspection
Date: Jul 11, 2023

Visit Reason
On-site complaint investigation of complaint AZ00191266 combined with a compliance (annual) inspection at an Assisted Living Center, conducted 11 July 2023.

Complaint Details
The deficiencies were found during the compliance inspection and investigation of complaint AZ00191266 conducted on July 11, 2023.
Findings
Two deficiencies were found related to inadequate implementation of CPR training policies and failure to verify and document a caregiver's skills and knowledge before providing physical health services.

Deficiencies (2)
The manager failed to implement policies and procedures covering cardiopulmonary resuscitation training that included a demonstration of the employee's ability to perform CPR. Online CPR training without a demonstration was documented for two caregivers, posing a risk to residents.
The manager failed to ensure a caregiver's skills and knowledge were verified and documented before providing physical health services, contrary to facility policies. One caregiver provided services without prior documented verification, posing a risk to residents.
Report Facts
Deficiencies cited: 2

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