Inspection Reports for
Imperial Palace Assisted Living Home

17225 W Gambit Trail, Surprise, AZ 85387, AZ, 85387

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4 Reports

2023–2026

Inspection Report — Apr 25, 2026

Enforcement
Date: Apr 25, 2026

Visit Reason
Civil monetary penalty, action 00160926 (invoice INV-335712), assessed with a due date of 25 April 2026.

Findings
A $2,500.00 penalty was assessed and partially paid with $600.00 paid and $1,900.00 remaining as of the payment schedule date.

Report Facts
Penalty amount: 2500 Amount paid: 600 Amount remaining: 1900

Inspection Report — Jan 15, 2026

Annual Inspection
Date: Jan 15, 2026

Visit Reason
On-site complaint investigation of complaints 00102457, 00104355, and 00125991 combined with a compliance (annual) inspection at an Assisted Living Home, conducted 15 January 2026.

Complaint Details
The inspection included investigation of complaints 00102457, 00104355, and 00125991. The deficiencies were found during the on-site compliance inspection and complaint investigation conducted on January 15, 2026.
Findings
This inspection found six deficiencies related to staff training, caregiver qualifications, documentation accuracy, and safety measures. The facility failed to provide adequate fall prevention training, maintain proper caregiver certification, keep accurate personnel schedules and medical records, and ensure proper egress alert systems.

Deficiencies (6)
A.R.S. § 36-420.01.A — The governing authority failed to administer a fall prevention and fall recovery training program for all staff, including initial and continued competency training, resulting in lapses in training documentation for multiple staff members.
R9-10-806 — The governing authority failed to ensure a caregiver provided documentation of completion of a caregiver training program approved by the Department or the Board, with discrepancies found in the caregiver's reported certification date and residency.
R9-10-806 — The manager failed to maintain documentation for at least 12 months of caregivers' daily work hours, resulting in inaccurate personnel schedules and false or misleading information regarding hours worked by caregivers.
R9-10-808 — The manager failed to ensure caregivers documented services provided to residents accurately in medical records, with evidence that services were documented by caregivers who did not provide them, leading to false or misleading information.
R9-10-811 — The manager failed to ensure medication administration records contained accurate documentation of the date, time, and signature of the individual administering medication, including an incident where medication was not administered but documented as given.
R9-10-815 — The manager failed to ensure a means of exiting the facility for residents without keys or special knowledge that monitored or alerted employees of egress, with missing alert components and no monitoring system in place.
Report Facts
Deficiencies cited: 6 Complaints investigated: 3

Inspection Report — Dec 19, 2023

Original Licensing
Date: Dec 19, 2023

Visit Reason
Off-site initial compliance inspection for a change of ownership at an Assisted Living Home conducted on December 19, 2023.

Findings
No deficiencies were found during this inspection.

Report


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