Inspection Reports for
Legacy of Hearts Assisted Living LLC
4638 E Summerhaven Dr, Phoenix, AZ 85044, AZ, 85044
Back to Facility Profile4 Reports
Inspection Report — Aug 20, 2025
Annual Inspection
Date: Aug 20, 2025
Visit Reason
On-site complaint investigation of complaint 00105316 combined with an annual compliance inspection at an Assisted Living Home, conducted 19-20 August 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint 00105316 conducted on August 19, 2025.
Findings
The inspection found three deficiencies related to failure to provide appropriate first aid, lack of a quality management plan, and incomplete documentation of incidents requiring medical services.
Deficiencies (3)
A.R.S. § 36-420.B.2. — The manager failed to ensure personnel provided appropriate first aid before emergency medical services arrived for a resident in distress and a non-injured resident who had fallen and could not recover independently.
R9-10-804 — The manager failed to implement a quality management plan for an ongoing quality management program, as no documentation of such a plan was found.
R9-10-819 — The manager failed to ensure that caregivers documented the date and time, description, observers, actions taken, notifications, and preventive measures for an incident requiring medical services for one resident.
Report Facts
Deficiencies cited: 3
Complaints investigated: 1
Inspection Report — Feb 13, 2024
Enforcement
Date: Feb 13, 2024
Visit Reason
Civil monetary penalty, action 00111727 (invoice INV-258414), assessed 13 February 2024.
Findings
A $1,250.00 penalty was assessed and paid in full on 7 April 2024.
Report Facts
Penalty amount: 1250
Amount paid: 1250
Amount remaining: 0
Inspection Report — Dec 20, 2023
Annual Inspection
Date: Dec 20, 2023
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00200125, AZ00202048, AZ00203162, and AZ00204115 at an Assisted Living Home, conducted 20 December 2023.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00200125, AZ00202048, AZ00203162, and AZ00204115 conducted on December 20, 2023.
Findings
This inspection found seven deficiencies related to employee documentation, verification of caregiver skills, posting of activity calendars, medication administration records, and refrigerator thermometer accuracy. Plans of correction were provided for all deficiencies.
Deficiencies (7)
A.R.S. 36-411(A) — The governing authority failed to ensure one employee had valid fingerprint clearance documentation as required by statute.
The manager failed to ensure a caregiver's skills and knowledge were verified and documented before providing physical health services for one caregiver.
The manager failed to ensure personnel records included documentation of completed orientation required by policies and procedures for one employee.
R9-10-115 — The manager failed to ensure personnel records included all required documentation per Arizona Administrative Code for one employee.
The manager failed to ensure a current calendar of activities was posted in a location easily seen by residents.
The manager failed to ensure medication administration was accurately documented in residents' medical records for two residents.
The manager failed to ensure the kitchen refrigerator contained a working thermometer accurate to plus or minus 3°F placed at the warmest part of the refrigerator.
Report Facts
Deficiencies cited: 7
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