Inspection Reports for
Manor Village at Desert Ridge
5560 E Deer Valley Drive, Phoenix, AZ 85054, AZ, 85054
Back to Facility Profile23 Reports
Inspection Report — Apr 23, 2026
Complaint Investigation State
Date: Apr 23, 2026
Visit Reason
On-site complaint investigation of complaints 00166779 and 00166801 at an Assisted Living Center, conducted 23 April 2026.
Complaint Details
The following deficiency was found during the on-site investigation of complaints 00166779 and 00166801 on April 23, 2026.
Findings
The inspection found one deficiency related to inadequate safeguards for electronic residents' medical records, posing a risk of unauthorized disclosure of sensitive health information.
Deficiencies (1)
R9-10-811 — The manager failed to ensure electronic residents' medical records were safeguarded to prevent unauthorized access, as evidenced by an unattended, unlocked laptop in the memory care unit accessible to Compliance Officers.
Report Facts
Deficiencies cited: 1
Inspection Report — Dec 22, 2025
Complaint Investigation State
Date: Dec 22, 2025
Visit Reason
On-site complaint investigation of complaints 00153685 and 00153682 at an Assisted Living Center, conducted 22 December 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00153685 and 00153682 conducted on December 22, 2025.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Nov 25, 2025
Complaint Investigation State
Date: Nov 25, 2025
Visit Reason
On-site complaint investigation of complaints 00151406, 00151401, and 151067 at an Assisted Living Center, conducted 25 November 2025.
Complaint Details
The following deficiencies were found during the on-site investigation of complaint 00151406, 00151401, and 151067 conducted on November 25, 2025.
Findings
The inspection found two deficiencies related to the failure to provide proper written notice of termination of residency and required documentation to the resident. Both deficiencies were acknowledged by the manager and plans of correction were provided.
Deficiencies (2)
R9-10-807 — The manager failed to ensure a resident’s written notice of termination of residency included the date of notice, reason for termination, policy for refunding fees, disposition of fees, and contact information for the State Long-Term Care Ombudsman.
R9-10-807 — The manager failed to provide a copy of the resident’s current service plan and documentation of the resident’s freedom from infectious tuberculosis when providing the written notice of termination of residency.
Report Facts
Deficiencies cited: 2
Inspection Report — Oct 7, 2025
Enforcement State
Date: Oct 7, 2025
Visit Reason
Civil monetary penalty, action 00137707 (invoice INV-299560), assessed 7 October 2025.
Findings
A $250.00 penalty was assessed and paid in full on 7 October 2025.
Report Facts
Penalty amount: 250
Amount paid: 250
Amount remaining: 0
Inspection Report — Sep 18, 2025
Annual Inspection State
Date: Sep 18, 2025
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints 00144288, 00143139, 00138218, 00105661, 00105373, 00104349, 00105088, 00105047, and 00104750 at an Assisted Living Center, conducted on September 17 and 18, 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints 00144288, 00143139, 00138218, 00105661, 00105373, 00104349, 00105088, 00105047, and 00104750 conducted on September 17, 2025, and September 18, 2025.
Findings
The inspection found four deficiencies related to residency documentation, signatures on residency agreements, adherence to service plans for activities of daily living, and provision of resident rights documentation. Plans of correction were provided for all deficiencies.
Deficiencies (4)
R9-10-807 — The manager failed to ensure that before or at acceptance, individuals submitted documentation dated within 90 days that included whether they required continuous medical, nursing services, or restraints, and was signed by an authorized medical professional for two of seven sampled residents.
R9-10-807 — The manager failed to obtain the required signature on the residency agreement from the resident, representative, legal guardian, or designated individual within five working days after acceptance for one of seven sampled residents.
R9-10-808 — The manager failed to ensure caregivers provided assistance with activities of daily living according to the resident’s service plan for two of seven sampled residents, as documented in monthly task logs.
R9-10-810 — The manager failed to ensure that a resident or their representative received a written copy of the resident rights at the time of acceptance, as evidenced by missing documentation for one resident.
Report Facts
Deficiencies cited: 4
Complaints investigated: 9
Inspection Report — Jun 11, 2025
Complaint Investigation State
Date: Jun 11, 2025
Visit Reason
On-site complaint investigation of complaints 00133076 and 00124401 at an Assisted Living Center, conducted 11 June 2025.
Complaint Details
The following deficiencies were found during the on-site investigation of complaint ID 00133076 and 00124401 conducted on June 11, 2025:
Findings
The inspection found one deficiency related to failure to document assistance with activities of daily living according to service plans for two residents. The deficiency was a repeat from a prior complaint investigation.
Deficiencies (1)
R9-10-808 — The manager failed to ensure caregivers documented assistance with activities of daily living according to service plans for two residents, including dressing, escorting, ambulation, grooming, and toileting. Documentation did not reflect that required services were provided on multiple days in June 2025.
Report Facts
Deficiencies cited: 1
Inspection Report — Dec 3, 2024
Enforcement State
Date: Dec 3, 2024
Visit Reason
Civil monetary penalty, action 00110135 (invoice INV-257262), assessed 3 December 2024.
Findings
A $1,250.00 penalty was assessed and paid in full on 30 January 2025.
Report Facts
Penalty amount: 1250
Amount paid: 1250
Amount remaining: 0
Inspection Report — Sep 30, 2024
Complaint Investigation State
Date: Sep 30, 2024
Visit Reason
On-site complaint investigation of complaints AZ00216167, AZ00214271, and AZ00214203 at an Assisted Living Center, conducted 30 September 2024.
Complaint Details
The following deficiencies were found during the on-site investigation of complaints AZ00216167, AZ00214271, and AZ00214203 conducted on September 30, 2024.
Findings
This inspection found six deficiencies related to personnel fingerprint clearance, caregiver skills verification, orientation, documentation of services, service plan content, and notification of medical emergencies.
Deficiencies (6)
The governing authority failed to ensure compliance with fingerprint clearance card requirements for one of five sampled personnel, including an expired card and lack of application for renewal despite providing medication administration services.
The manager failed to ensure a caregiver's skills and knowledge were verified and documented before providing physical health services for one of three caregivers sampled. This is a repeat deficiency.
The manager failed to ensure a caregiver received orientation specific to duties before providing assisted living services for one of four sampled caregivers. This is a repeat deficiency.
The manager failed to ensure caregivers documented services provided in residents' medical records for three sampled residents, with documentation only by exception and no direct service records.
R9-10-808 — The manager failed to ensure service plans for residents receiving directed care included skin maintenance to prevent and treat bruises, injuries, pressure sores, and infections for three residents.
R9-10-101.110 — The manager failed to ensure immediate notification of a resident's primary care provider after an accident requiring medical services, as documented in one incident.
Report Facts
Deficiencies cited: 6
Inspection Report — Aug 22, 2024
State
Date: Aug 22, 2024
Visit Reason
On-site change of service inspection to increase occupancy from 50 Directed Care and 79 Personal Care to 50 Directed Care and 96 Personal Care at an Assisted Living Center, conducted 22 August 2024.
Findings
No deficiencies were found during this inspection.
Inspection Report — Jul 19, 2024
Complaint Investigation State
Date: Jul 19, 2024
Visit Reason
On-site complaint investigation of complaints AZ00212738 and AZ00213231 at an Assisted Living Center, conducted 19 July 2024.
Complaint Details
An on-site investigation of complaint AZ00212738 and AZ00213231 was conducted on July 19, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Jun 25, 2024
Enforcement State
Date: Jun 25, 2024
Visit Reason
Civil monetary penalty, action 00110999 (invoice INV-257858), assessed 25 June 2024.
Findings
A $500.00 penalty was assessed and paid in full on 22 August 2024.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — May 15, 2024
Complaint Investigation State
Date: May 15, 2024
Visit Reason
On-site complaint investigation of complaints AZ00208650, AZ00210142, AZ00208498, AZ00210190, and AZ00209132 at an Assisted Living Center, conducted 15 May 2024.
Complaint Details
An on-site investigation of complaints AZ00208650, AZ00210142, AZ00208498, AZ00210190, and AZ00209132 was conducted on May 15, 2024, resulting in two deficiencies cited.
Findings
Two deficiencies were cited related to failure to provide appropriate first aid to non-injured residents who had fallen and failure to ensure a caregiver provided documentation of completion of an approved caregiver training program.
Deficiencies (2)
36-420 — The facility failed to provide appropriate first aid to two non-injured residents who had fallen and were unable to recover independently, instead calling 911 and not assisting them off the floor as required.
Caregiver training documentation — The manager failed to ensure one caregiver provided documentation of completion of a caregiver training program approved by the Department or NCIA Board, as the caregiver's certificate was from a program not in operation at the time of certification.
Report Facts
Deficiencies cited: 2
Inspection Report — Apr 2, 2024
Complaint Investigation State
Date: Apr 2, 2024
Visit Reason
On-site complaint investigation of complaint AZ00208448 at an Assisted Living Center, conducted 2 April 2024.
Complaint Details
An on-site investigation of complaint AZ00208448 was conducted on April 2, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Mar 21, 2024
Complaint Investigation State
Date: Mar 21, 2024
Visit Reason
On-site complaint investigation of complaints AZ00207497, AZ00207423, AZ00207249, and AZ00207176 at an Assisted Living Center, conducted 21 March 2024.
Complaint Details
An on-site investigation of complaints AZ00207497, AZ00207423, AZ00207249, and AZ00207176 was conducted on March 21, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Report Facts
Complaints investigated: 4
Inspection Report — Feb 20, 2024
Enforcement State
Date: Feb 20, 2024
Visit Reason
Civil monetary penalty, action 00111693 (invoice INV-258389), assessed 20 February 2024.
Findings
A $250.00 penalty was assessed and paid in full on 14 April 2024.
Report Facts
Penalty amount: 250
Amount paid: 250
Amount remaining: 0
Inspection Report — Feb 1, 2024
Complaint Investigation State
Date: Feb 1, 2024
Visit Reason
On-site complaint investigation of complaint AZ00205771 at an Assisted Living Center, conducted 1 February 2024.
Complaint Details
An on-site investigation of complaint #AZ00205771 was conducted on February 1, 2024, and the following deficiencies were cited.
Findings
The inspection found four deficiencies related to failure to document good faith efforts to contact previous employers, failure to report alleged abuse incidents, failure to verify caregiver skills before providing services, and failure to ensure caregivers received orientation specific to their duties.
Deficiencies (4)
A.R.S. 36-411(C) — The governing authority failed to document efforts to contact previous employers to obtain information relevant to employees' fitness to work for four caregivers.
A.R.S. 46-454 — The administrator failed to report an alleged incident of abuse, preventing assessment of immediate health and safety concerns for residents.
Verification failure — The manager failed to ensure one caregiver's skills and knowledge were verified and documented before providing physical or behavioral health services.
Orientation failure — The manager failed to ensure three caregivers received orientation specific to their duties before providing assisted living services.
Report Facts
Deficiencies cited: 4
Inspection Report — Jan 2, 2024
Complaint Investigation State
Date: Jan 2, 2024
Visit Reason
On-site complaint investigation of complaints AZ00204662, AZ00204406, AZ00201249, and AZ00199552 at an Assisted Living Center, conducted 2 January 2024.
Complaint Details
An on-site investigation of complaints AZ00204662, AZ00204406, AZ00201249, and AZ00199552 was conducted on January 2, 2024, and the following deficiencies were cited.
Findings
The inspection found five deficiencies related to fall prevention training, documentation of suspected abuse reports, completeness and signatures on resident service plans, and documentation of actions to prevent future accidents. The facility failed to provide required staff training and proper documentation in multiple areas.
Deficiencies (5)
36-420.01 — The facility failed to administer a training program for all staff regarding fall prevention and fall recovery, lacking documentation that personnel received training on fall recovery.
R9-10-803.J.2 — The manager failed to document the report of suspected abuse according to required procedures, despite evidence of an incident involving resident-to-resident abuse.
Service plan documentation — The manager failed to ensure a resident's written service plan included a description of the resident's medical or health problems, including physical, behavioral, cognitive, or functional conditions.
Service plan signatures — The manager failed to ensure that service plans were signed and dated by the resident or representative, the manager, and the nurse or medical practitioner when required.
Documentation of preventive actions — The manager failed to ensure a caregiver documented any action taken to prevent future accidents or injuries for a resident who had multiple falls requiring medical services.
Report Facts
Deficiencies cited: 5
Inspection Report — May 23, 2023
Enforcement State
Date: May 23, 2023
Visit Reason
Civil monetary penalty, action 00113305 (invoice INV-259650), assessed 23 May 2023.
Findings
A $750.00 penalty was assessed and paid in full on 15 July 2023.
Report Facts
Penalty amount: 750
Amount paid: 750
Amount remaining: 0
Report
StateReport
StateReport
StateReport
StateReport
State
Viewing
Loading inspection reports...
