Inspection Reports for
Highgate Senior Living – Flagstaff

1831 N Jasper Dr, Flagstaff, AZ 86001, United States, AZ, 86001

Back to Facility Profile

13 Reports

2023–2026

Inspection Report — Apr 29, 2026

Enforcement
Date: Apr 29, 2026

Visit Reason
Civil monetary penalty, action 00163094 (invoice INV-342552), assessed 29 April 2026.

Findings
A $1,250.00 penalty was assessed and paid in full on 22 May 2026.

Report Facts
Penalty amount: 1250 Amount paid: 1250 Amount remaining: 0

Inspection Report — Feb 23, 2026

Complaint Investigation
Date: Feb 23, 2026

Visit Reason
On-site complaint investigation of complaints 00159786 and 00159787 at an Assisted Living Center, conducted 23 February 2026.

Complaint Details
The following deficiencies were found during the on-site investigation of complaints 00159786 and 00159787 conducted on February 23, 2026.
Findings
The inspection found three deficiencies related to failure to verify fingerprint clearance cards for employees, failure to ensure resident safety by properly documenting and investigating an alleged sexual assault, and failure to ensure employees provided evidence of freedom from infectious tuberculosis. All deficiencies were repeat citations from previous inspections.

Deficiencies (3)
R9-10-803 — The governing authority failed to ensure compliance with fingerprint clearance card requirements for one employee, who worked without documented proof of a valid card. Verification of the card's current status was also lacking.
R9-10-803 — The governing authority failed to ensure resident safety by not documenting or investigating a reported sexual assault allegation, and failed to maintain fingerprint clearance card verification for an employee. This posed a safety risk to residents.
R9-10-806 — The manager failed to ensure two employees provided evidence of freedom from infectious tuberculosis on or before their hire dates, lacking completed TB screening and risk assessments. This posed a potential TB exposure risk to residents.
Report Facts
Deficiencies cited: 3

Inspection Report — Oct 27, 2025

Enforcement
Date: Oct 27, 2025

Visit Reason
Civil monetary penalty, action 00144416 (invoice INV-301920), assessed 27 October 2025.

Findings
A $750.00 penalty was assessed and paid in full on 10/27/2025.

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

Inspection Report — Aug 7, 2025

Annual Inspection
Date: Aug 7, 2025

Visit Reason
On-site complaint investigation and annual compliance inspection of complaints 00138843, 00123056, and 00138933 at an Assisted Living Center, conducted 7 August 2025.

Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints 00138843, 00123056, and 00138933 conducted on August 7, 2025.
Findings
Four deficiencies were found related to personnel record compliance, verification of caregiver skills, tuberculosis screening, and environmental safety hazards. The inspection identified risks to resident safety and regulatory noncompliance.

Deficiencies (4)
R9-10-803 — The governing authority failed to ensure compliance with fingerprint clearance card and Adult Protective Services registry checks for personnel, including one caregiver missing a fingerprint clearance card and no APS registry documentation for eight employees.
R9-10-806 — The manager failed to ensure a caregiver's skills and knowledge were verified and documented before providing physical health services for one of seven sampled caregivers.
R9-10-806 — The manager failed to ensure two caregivers provided evidence of freedom from infectious tuberculosis as required, missing the second TST test documentation.
R9-10-820 — The manager failed to ensure the premises were free from hazards, as broken glass and sharp knives were accessible to residents in the unlocked kitchen.
Report Facts
Deficiencies cited: 4

Inspection Report — Aug 16, 2024

Complaint Investigation
Date: Aug 16, 2024

Visit Reason
On-site complaint investigation of complaints AZ00214616 and AZ00214617 at an Assisted Living Center, conducted 16 August 2024.

Complaint Details
No deficiencies were found during the investigation of complaints AZ00214616 and AZ00214617 conducted on August 16, 2024.
Findings
No deficiencies were found during the investigation of the complaints.

Report Facts
Complaints investigated: 2

Inspection Report — Apr 9, 2024

Enforcement
Date: Apr 9, 2024

Visit Reason
Civil monetary penalty, action 00111424 (invoice INV-258173), assessed 9 April 2024.

Findings
A $500.00 penalty was assessed and paid in full on 14 May 2024.

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

Inspection Report — Mar 25, 2024

Complaint Investigation
Date: Mar 25, 2024

Visit Reason
On-site complaint investigation of complaints AZ00208035 and AZ00207926 at an Assisted Living Center, conducted 25 March 2024.

Complaint Details
The following deficiency was found during the investigation of complaints AZ00208035 and AZ00207926 conducted on March 25, 2024.
Findings
The inspection found one deficiency related to missing fingerprint clearance documentation for an employee. This was a repeat deficiency from a prior inspection.

Deficiencies (1)
A governing authority failed to ensure that one of two sample personnel records included documentation of a fingerprint clearance card or an application completed within 20 working days of employment. The record for employee E2 lacked this documentation, and interviews confirmed no clearance card or application was on file.
Report Facts
Deficiencies cited: 1

Inspection Report — Feb 9, 2024

Complaint Investigation
Date: Feb 9, 2024

Visit Reason
On-site complaint investigation of complaints AZ00204487 and AZ00205433 at an Assisted Living Center, conducted 9 February 2024.

Complaint Details
No deficiencies were found during the investigation of complaints AZ00204487 and AZ00205433 conducted on February 9, 2024.
Findings
No deficiencies were found during the investigation of the complaints.

Report Facts
Complaints investigated: 2

Inspection Report — Jan 2, 2024

Enforcement
Date: Jan 2, 2024

Visit Reason
Civil monetary penalty, action 00111964 (invoice INV-258582), assessed 2 January 2024.

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

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

Inspection Report — Dec 7, 2023

Annual Inspection
Date: Dec 7, 2023

Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00193537 and AZ00198788 at an Assisted Living Center, conducted 7 December 2023.

Complaint Details
The following deficiencies were found during the compliance inspection and investigation of complaints AZ00193537 and AZ00198788 conducted on December 7, 2023.
Findings
The inspection found 14 deficiencies related to personnel records, posting of resident rights and inspection reports, documentation of service plans, training certifications, tuberculosis evidence, toxicology guides, food menus, disaster and evacuation drills. Plans of correction were provided for all deficiencies.

Deficiencies (14)
The governing authority failed to ensure that one of three sample personnel records included documentation of a current fingerprint clearance card; one card had expired and no renewal documentation was present.
The manager failed to ensure that a current list of resident rights was conspicuously posted; observation and interviews confirmed the postings were missing.
The manager failed to ensure that the location of the most recent Department inspection report and plan of correction was conspicuously posted; observation and interviews confirmed the posting was missing.
The manager failed to submit a documented report to the governing authority identifying concerns about delivery of resident care and actions taken; no such reports were available for review.
The manager failed to ensure documentation of first aid and CPR training certification before providing personal care services for two of three employee records; one CPR certification was missing and one first aid certification was expired.
R9-10-808 — The manager failed to ensure that one of three sample resident records contained evidence of freedom from infectious tuberculosis before or within seven calendar days after occupancy.
The manager failed to ensure that one of three sample resident records contained documentation of a written service plan reviewed and updated at least once every six months for a resident receiving personal care services.
The manager failed to ensure that one of two sample resident records contained documentation of notification of availability of influenza and pneumonia vaccinations.
R9-10-814 — The manager failed to obtain documentation that a non-ambulatory resident or their representative requested to remain in the facility and a medical practitioner’s statement that the resident's needs were met per the facility's scope of services.
The manager failed to ensure that a current toxicology reference guide was available for use by personnel members; the available guide was outdated.
The manager failed to ensure that a food menu was maintained for at least 60 calendar days after the last date noted; no dated menus were available for review.
The manager failed to ensure that disaster drills for employees were conducted on each shift at least once every three months and documented; documentation was incomplete.
The manager failed to ensure that an evacuation drill for residents was conducted at least once every six months; documentation was lacking.
The manager failed to ensure that documentation of each evacuation drill included the amount of time taken for employees and residents to evacuate; documentation was incomplete for multiple dates.
Report Facts
Deficiencies cited: 14

Inspection Report — 500cs00000UhzTPAAZ

Enforcement
Date: 500cs00000UhzTPAAZ

Visit Reason
Enforcement action for facility HIGHGATE FLAGSTAFF with action number 500cs00000UhzTPAAZ.

Findings
No penalty amount or payment information was provided in the document.

Report


Report


Viewing

Loading inspection reports...