Inspection Reports for
Legacy Assisted Living LLC
15364 W Aster Dr, Surprise, AZ 85379, AZ, 85379
Back to Facility Profile4 Reports
Inspection Report — Feb 25, 2025
Annual Inspection
Date: Feb 25, 2025
Visit Reason
On-site compliance (annual) inspection at an Assisted Living Home conducted 25 February 2025.
Findings
No deficiencies were noted during this inspection.
Inspection Report — Apr 9, 2024
Enforcement
Date: Apr 9, 2024
Visit Reason
Civil monetary penalty, action 00111451 (invoice INV-258195), assessed 9 April 2024.
Findings
A $1,000.00 penalty was assessed and paid in full on 6 June 2024.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Mar 21, 2024
Complaint Investigation
Date: Mar 21, 2024
Visit Reason
On-site complaint investigation of complaints AZ00207766 and AZ00207913 at an Assisted Living Home, conducted 21 March 2024.
Complaint Details
An on-site investigation of complaints AZ00207766 and AZ00207913 was conducted on March 21, 2024, and the following deficiencies were cited.
Findings
The inspection found four deficiencies related to incomplete service plans, improper use of locks causing potential seclusion, use of restraints via bedrails, and unsafe premises conditions that could cause physical injury.
Deficiencies (4)
A manager failed to ensure a resident's written service plan included the amount of assisted living services provided, affecting two residents. The omission posed a risk as the service plan did not clarify services to be provided.
A manager failed to ensure a resident was not subjected to seclusion, as locks on bedroom doors faced the common area allowing potential involuntary confinement. A resident reported being locked in their bedroom one to two times without knowing who locked the door.
R9-10-101(201); R9-10-807(C)(5) — A manager failed to ensure a resident was not subjected to restraints, as bedrails were used on a resident's bed and acknowledged as a restraint. Documentation showed the resident did not require restraints, but the bedrails were still in use.
A manager failed to ensure the premises were free from conditions that could cause physical injury, as the caregiver bedroom door lock faced the common area and keys were not inside the room, causing delays in unlocking. This posed potential dangers if a caregiver was locked inside.
Report Facts
Deficiencies cited: 4
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