Inspection Reports for
Living Waters Assisted Living Home
5601 W Winnwood Ave, Glendale, AZ 85304, United States, AZ, 85304
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Inspection Report — Jan 16, 2026
Enforcement State
Date: Jan 16, 2026
Visit Reason
Civil monetary penalty, action 00145634 (invoice INV-313732), assessed with a due date of 16 January 2026.
Findings
A $5,250.00 penalty was assessed and remains unpaid as of the due date 16 January 2026.
Report Facts
Penalty amount: 5250
Amount paid: 0
Amount remaining: 5250
Inspection Report — Aug 26, 2025
Annual Inspection State
Date: Aug 26, 2025
Visit Reason
On-site complaint investigation and compliance (annual) inspection of complaints 00108309 and 00141956 at an Assisted Living Home, conducted 26 August 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints 00108309 and 00141956 conducted on August 26, 2025.
Findings
This inspection found 24 deficiencies including failures in staff training on fall prevention, incomplete emergency responder documentation, inadequate tuberculosis screening and training, improper medication administration and documentation, unsafe environmental conditions, and inaccurate service plans. Several deficiencies were repeat citations from prior inspections.
Deficiencies (24)
A.R.S. § 36-420.01.A — The governing authority failed to develop and administer a training program for all staff regarding fall prevention and fall recovery, with staff receiving training late or not at all.
A.R.S. § 36-420.04.A.1-9 — The manager failed to provide a written document with all required information to emergency responders when contacted on behalf of a resident.
A.R.S. § 36-420.04.C — The manager failed to maintain standardized forms for residents that included all required information for emergency responders.
R9-10-113 — The chief administrative officer failed to implement tuberculosis infection control activities including annual training and education related to recognizing TB signs and symptoms for two sampled employees.
R9-10-803 — The governing authority failed to notify the Department immediately of a change in the manager.
R9-10-803 — The governing authority failed to ensure compliance with fingerprint clearance card and adult protective services registry verification requirements for two sampled employees.
R9-10-803 — The manager failed to ensure the health, safety, or welfare of residents was not placed at risk, including tripping hazards and broken bathroom fixtures.
R9-10-806 — The manager failed to maintain documentation of caregivers and assistant caregivers working each day including hours worked for at least 12 months, with inaccurate personnel schedules.
R9-10-806 — The manager failed to ensure caregivers provided evidence of freedom from infectious tuberculosis on or before the date services began for two sampled employees.
R9-10-807 — The manager failed to ensure a resident provided evidence of freedom from infectious tuberculosis before or within seven days after occupancy for one sampled resident.
R9-10-808 — The manager failed to ensure residents' service plans included the amount, type, and frequency of assisted living services provided, with discrepancies noted for six residents.
R9-10-808 — The manager failed to ensure caregivers provided assisted living services as specified in residents' service plans for one sampled resident.
R9-10-808 — The manager failed to ensure caregivers documented services provided in residents' medical records for one sampled resident.
R9-10-811 — The manager failed to ensure residents' medical records contained documentation of assisted living services provided, with inaccurate or misleading information for six residents.
R9-10-811 — The manager failed to ensure residents' medical records contained medication orders from medical practitioners for each medication administered for two sampled residents.
R9-10-811 — The manager failed to ensure residents' medical records contained complete documentation of medication administration including date, time, medication details, and administrator signature for one sampled resident.
R9-10-811 — The manager failed to ensure residents' medical records contained documentation of notification of vaccination availability for influenza and pneumonia for one sampled resident.
R9-10-817 — The manager failed to ensure medication was administered in compliance with medication orders for two sampled residents.
R9-10-817 — The manager failed to ensure medication was stored in a separate locked area used only for medication storage, with unlocked doors and accessible medications observed.
R9-10-818 — The manager failed to ensure food was free from spoilage, filth, or contamination, with rotten food and dead bugs observed in the refrigerator and kitchen.
R9-10-818 — The manager failed to ensure food was protected from potential contamination, with open bags of rice and live bugs observed in the kitchen.
R9-10-819 — The manager failed to document actions taken to prevent future accidents, emergencies, or injuries after a resident required medical services.
R9-10-820 — The manager failed to ensure the premises were clean, with strong urine odor, dirty kitchen surfaces, and dusty furniture observed.
R9-10-820 — The manager failed to ensure poisonous or toxic materials were stored in locked areas inaccessible to residents, with unlocked cabinets and sheds containing toxic materials observed.
Report Facts
Deficiencies cited: 24
Complaints investigated: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #E1 | Manager | Interviewed and referenced in multiple findings including training, documentation, and observations. |
| Staff #E2 | Manager | Referenced in findings related to training, notification of change in manager, and fingerprint clearance. |
| Staff #E3 | Caregiver | Observed interacting with residents and referenced in findings related to training, documentation, and medication storage. |
| Staff #E4 | Caregiver | Referenced in personnel schedule and shift coverage. |
Inspection Report — Oct 3, 2023
Enforcement State
Date: Oct 3, 2023
Visit Reason
Civil monetary penalty, action 00112451 (invoice INV-258943), assessed 3 October 2023.
Findings
A $250.00 penalty was assessed and paid in full on 18 November 2023.
Report Facts
Penalty amount: 250
Amount paid: 250
Amount remaining: 0
Inspection Report — Sep 12, 2023
Annual Inspection State
Date: Sep 12, 2023
Visit Reason
On-site complaint investigation and annual compliance inspection of complaint AZ00194380 at an Assisted Living Home, conducted 12 September 2023.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00194380 conducted on September 12, 2023.
Findings
This inspection found nine deficiencies related to failure to notify the department of changes in controlling persons and management, incomplete documentation of caregiver work hours, missing tuberculosis screening evidence, incomplete resident service plans, lack of documentation of services provided, missing medication orders, medication administration not in compliance with orders, and incomplete incident documentation.
Deficiencies (9)
36-422.H — The licensee failed to notify the department within thirty days after changes regarding controlling persons and did not provide required information and affirmation.
The governing authority failed to notify the Department of a change in the facility's manager and did not provide the name and qualifications of the new manager.
The manager failed to maintain documentation of caregivers and assistant caregivers working each day, including hours worked, posing a risk of unverified shift coverage.
R9-10-808 — The manager failed to ensure two of four residents provided evidence of freedom from infectious tuberculosis as required, posing a TB exposure risk.
The manager failed to ensure a resident's written service plan included the amount and frequency of assisted living services provided, risking unclear service expectations.
The manager failed to ensure caregivers documented services provided in residents' medical records for three of four residents, risking unverified service delivery.
The manager failed to ensure a resident's medical record contained a medication order from a medical practitioner for each medication administered.
The manager failed to ensure medication was administered in compliance with a medication order for one resident and could not provide the new medication order for review.
The manager failed to ensure documentation of an emergency incident included date and time, description, observers, actions taken, notifications, and preventive measures.
Report Facts
Deficiencies cited: 9
Inspection Report — Jan 11, 2023
Enforcement State
Date: Jan 11, 2023
Visit Reason
Civil monetary penalty, action 00113884 (invoice INV-260141), assessed 11 January 2023.
Findings
A $500.00 penalty was assessed and paid in full on 3 April 2023.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Jan 10, 2023
Enforcement State
Date: Jan 10, 2023
Visit Reason
Civil monetary penalty, action 00113980 (invoice INV-260233), assessed 10 January 2023.
Findings
A $500.00 penalty was assessed and paid in full on 3 April 2023.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
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