Inspection Reports for
Joshua Springs Senior Living
2995 Desert Sky Blvd, Bullhead City, AZ 86442, United States, AZ, 86442
Back to Facility Profile13 Reports
Inspection Report — Dec 19, 2025
Enforcement
Date: Dec 19, 2025
Visit Reason
Civil monetary penalty, action 00149860 (invoice INV-310353), assessed 19 December 2025.
Findings
A $1,750.00 penalty was assessed and paid in full on 19 December 2025.
Report Facts
Penalty amount: 1750
Amount paid: 1750
Amount remaining: 0
Inspection Report — Oct 14, 2025
Annual Inspection
Date: Oct 14, 2025
Visit Reason
On-site complaint investigation of complaint 00145903 combined with an annual compliance inspection at an Assisted Living Center, conducted 14 October 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint 00145903 conducted on October 14, 2025.
Findings
This inspection found ten deficiencies related to tuberculosis infection control, personnel fingerprint clearance, caregiver training, CPR certification, residency documentation, service plan accuracy, weight documentation for directed care residents, medication administration compliance, oxygen container safety, and storage of poisonous materials.
Deficiencies (10)
R9-10-113 — The facility failed to document and implement an annual assessment of the risk of exposure to infectious tuberculosis, posing a TB exposure risk to residents.
R9-10-803 — The manager failed to ensure personnel records documented valid fingerprint clearance cards for four employees, resulting in staff providing care without valid clearance.
R9-10-806 — The manager failed to ensure one caregiver provided documentation of completion of a Department-approved caregiver training program, risking unqualified staff providing services.
R9-10-806 — The manager failed to ensure one caregiver provided current documentation of CPR training, posing a risk if staff were unable to meet resident needs.
R9-10-807 — The manager failed to ensure a resident submitted documentation signed by a medical practitioner or nurse stating whether continuous medical services, nursing services, or restraints were required, risking unmet resident needs.
R9-10-808 — The manager failed to ensure a resident's service plan accurately included the expected level of service, risking unclear service provision.
R9-10-815 — The manager failed to ensure service plans for two residents receiving directed care included documentation of the resident's weight or a medical contraindication, posing health and safety risks.
R9-10-817 — The manager failed to ensure medication was administered in compliance with the medication order, resulting in a resident not receiving prescribed Gabapentin on multiple days.
R9-10-820 — The manager failed to ensure oxygen containers were secured in an upright position, posing a risk of explosion or gas leak.
R9-10-820 — The manager failed to ensure poisonous or toxic materials were stored in locked, labeled containers inaccessible to residents, posing a risk to resident safety.
Report Facts
Deficiencies cited: 10
Inspection Report — Dec 26, 2024
Complaint Investigation
Date: Dec 26, 2024
Visit Reason
On-site complaint investigation of complaints AZ00218715 and AZ00220333 at an Assisted Living Center, conducted 26 December 2024.
Complaint Details
No deficiencies were found during the investigation of complaints AZ00218715 and AZ00220333 conducted on December 26, 2024.
Findings
No deficiencies were found during the investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Dec 24, 2024
Enforcement
Date: Dec 24, 2024
Visit Reason
Civil monetary penalty, action 00110020 (invoice INV-257196), assessed 24 December 2024.
Findings
A $1,000.00 penalty was assessed and paid in full on 21 February 2025.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Oct 30, 2024
Annual Inspection
Date: Oct 30, 2024
Visit Reason
On-site complaint investigation and compliance (annual) inspection of complaints AZ00206793, AZ00210730, and AZ00217489 at an Assisted Living Center, conducted 30 October 2024.
Complaint Details
The following deficiencies were found during the compliance inspection and investigation of complaints AZ00206793, AZ00210730, and AZ00217489 conducted on October 30, 2024.
Findings
This inspection found five deficiencies related to failure to submit required reports to the governing authority, incomplete tuberculosis documentation for personnel and residents, lack of current first aid certification for caregivers, and failure to post a food menu in the memory care unit.
Deficiencies (5)
The manager failed to submit a documented report to the governing authority per the frequency established in the quality management plan, with the last report dated July 3, 2024.
R9-10-113 — The manager failed to ensure that two of four sample personnel records contained evidence of freedom from infectious tuberculosis prior to providing services.
The manager failed to ensure that two of four sample personnel records contained current documentation of first aid training before providing services to residents.
R9-10-808 — The manager failed to ensure that one of four sample resident records contained evidence of freedom from infectious tuberculosis as required.
The manager failed to ensure that a food menu was conspicuously posted at least one calendar day before the first meal on the menu was served in the memory care unit.
Report Facts
Deficiencies cited: 5
Complaints investigated: 3
Inspection Report — Feb 15, 2024
Complaint Investigation
Date: Feb 15, 2024
Visit Reason
On-site complaint investigation of complaints AZ00205991 and AZ00206458 at an Assisted Living Center, conducted 15 February 2024.
Complaint Details
No deficiencies were found during the investigation of complaints AZ00205991 and AZ00206458 conducted on February 15, 2024.
Findings
No deficiencies were found during the investigation of the complaints.
Report Facts
Complaints investigated: 2
Inspection Report — Jan 23, 2024
Enforcement
Date: Jan 23, 2024
Visit Reason
Civil monetary penalty, action 00111835 (invoice INV-258493), assessed 23 January 2024.
Findings
A $2,250.00 penalty was assessed and paid in full on 8 March 2024.
Report Facts
Penalty amount: 2250
Amount paid: 2250
Amount remaining: 0
Inspection Report — Jan 9, 2024
Complaint Investigation
Date: Jan 9, 2024
Visit Reason
On-site complaint investigation of complaints AZ00201189, AZ00204671, AZ00204546, AZ00204071, AZ00202144, AZ00204321, and AZ00201871 at an Assisted Living Center, conducted 9 January 2024.
Complaint Details
The following deficiencies were found during the investigation of complaints AZ00201189, AZ00204671, AZ00204546, AZ00204071, AZ00202144, AZ00204321, and AZ00201871 conducted on January 9, 2024.
Findings
The inspection found three deficiencies related to incomplete service plan documentation and equipment not in good repair. Plans of correction were provided for all deficiencies.
Deficiencies (3)
The manager failed to ensure that two of six sample resident records contained a service plan that included the level of service the resident was expected to receive. This is a repeat deficiency from a prior complaint investigation.
The manager failed to ensure that four of six sample resident records had service plans reviewed and updated at least once every three months for residents receiving directed care services. This is a repeat deficiency from prior compliance inspections.
The manager failed to ensure that equipment was in good repair. Memory unit dining room chairs had cracked seat cushions and peeling vinyl surfaces.
Report Facts
Deficiencies cited: 3
Complaints investigated: 7
Inspection Report — Jul 18, 2023
Enforcement
Date: Jul 18, 2023
Visit Reason
Civil monetary penalty, action 00112942 (invoice INV-259337), assessed 18 July 2023.
Findings
A $1,750.00 penalty was assessed and paid in full on 31 August 2023.
Report Facts
Penalty amount: 1750
Amount paid: 1750
Amount remaining: 0
Inspection Report — Jun 14, 2023
Annual Inspection
Date: Jun 14, 2023
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00185888, AZ00190593, AZ00194971, AZ00195563 and AZ00196101 at an Assisted Living Center, conducted 14 June 2023.
Complaint Details
The following deficiencies were found during the compliance inspection and investigation of complaint #AZ00185888, AZ00190593, AZ00194971, AZ00195563 and AZ00196101 conducted on June 14, 2023.
Findings
The inspection found 14 deficiencies related to staff training, documentation, service plans, disaster drills, vaccination notifications, meal service, and pet licensing. Plans of correction were provided for all deficiencies.
Deficiencies (14)
36-420.01 — The facility failed to develop and administer a fall prevention and fall recovery training program for all staff, with missing or outdated training documentation for employees E1 and E5.
Manager report submission — The manager failed to submit a documented report to the governing authority identifying concerns about resident care and actions taken, as required by the facility quality management plan.
Written service plan completion — The manager failed to ensure one of three sampled residents had a written service plan completed within 14 calendar days of acceptance; the plan for resident R3 was incomplete and unsigned.
Written service plan content — The manager failed to ensure the service plan for resident R5 included all required information such as medical problems, level of service, and medication storage.
Service plan level of service — The manager failed to ensure the service plan for resident R1 included the level of service the resident was expected to receive.
Service plan review frequency — The manager failed to ensure that service plans for residents R1, R2, and R4 were reviewed and updated at least once every three months as required.
Provision of services — The manager failed to ensure caregivers provided resident R2 with oral hygiene services as specified in the service plan, resulting in a severe condition requiring medical care.
Vaccination notification documentation — The manager failed to ensure documentation that residents R2 and R4 were notified annually of influenza and pneumonia vaccination availability.
Meal/snack service documentation — The manager failed to ensure snacks were served according to posted menus; no snack menu documentation was available for review.
Disaster plan review documentation — The manager failed to ensure documentation of the disaster plan review included a critique and recommendations for improvement.
Disaster drill documentation — The manager failed to ensure disaster drills were conducted and documented on each shift at least once every three months; only one drill on May 2, 2023 was documented.
Evacuation drill frequency — The manager failed to ensure evacuation drills for residents were conducted at least once every six months; no drills were documented.
Accident/injury documentation — The manager failed to ensure documentation of a medical emergency for resident R1 on May 18, 2022, including date, description, witnesses, actions taken, notifications, and prevention measures.
Pet licensing — The manager failed to ensure that the dog allowed in the facility was licensed consistent with local ordinances.
Report Facts
Deficiencies cited: 14
Complaints investigated: 5
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