2 Reports
Inspection Report — Nov 10, 2025
Annual Inspection State
Date: Nov 10, 2025
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints 00136123 and 00104262 at an Assisted Living Home, conducted 7 and 10 November 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints 00136123 and 00104262 conducted on November 7, 2025, and November 10, 2025.
Findings
The inspection found two deficiencies related to failure to maintain required documentation provided to emergency responders. Both deficiencies posed risks due to missing critical resident health information and incomplete retention of emergency documentation.
Deficiencies (2)
A.R.S. § 36-420.04.A.1-9 — The manager failed to maintain a copy of the document provided to emergency responders, missing key information such as reasons for EMS request, pharmacy contact, primary care physician contact, facility point-of-contact, and HIPAA release authorization for multiple residents.
A.R.S. § 36-420.04.D — The manager failed to ensure maintenance of emergency responder documents and related action documentation for two years after the emergency date, with missing EMS documentation for multiple incidents involving residents.
Report Facts
Deficiencies cited: 2
Complaints investigated: 2
Inspection Report — Apr 16, 2024
Annual Inspection State
Date: Apr 16, 2024
Visit Reason
On-site compliance (annual) inspection of Jubilee in the Desert Assisted Living conducted on April 16, 2024.
Findings
The inspection found three deficiencies related to resident egress, storage of poisonous materials, and swimming pool enclosure. Plans of correction were provided for all deficiencies.
Deficiencies (3)
The manager failed to ensure there was a means of exiting the facility for residents without keys or special knowledge that provided access to an outside area at least 30 feet away and alerted employees of egress. The door chime intended to alert staff was not working and the yard did not meet the required distance.
The manager failed to ensure poisonous or toxic materials were stored in labeled containers in a locked area inaccessible to residents. Multiple toxic products were found in unlocked linen closets and caregiver rooms.
The manager failed to ensure the swimming pool was entirely enclosed by a wall or fence at least five feet in height. The pool was only partially enclosed, allowing direct access from windows.
Report Facts
Deficiencies cited: 3
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