Inspection Reports for
Mary Grace Care Home III
9836 East Tahoe Avenue, Mesa, AZ 85212, Mesa, AZ, 85212
Back to Facility Profile5 Reports
Inspection Report — Oct 23, 2025
Annual Inspection
Date: Oct 23, 2025
Visit Reason
On-site annual compliance inspection of an Assisted Living Home conducted on October 23, 2025.
Findings
No deficiencies were found during this inspection.
Inspection Report — Mar 19, 2024
Enforcement
Date: Mar 19, 2024
Visit Reason
Civil monetary penalty, action 00111551 (invoice INV-258280), assessed 19 March 2024.
Findings
A $1,000.00 penalty was assessed and paid in full on 8 May 2024.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Feb 27, 2024
Monitoring
Date: Feb 27, 2024
Visit Reason
On-site abbreviated follow-up inspection conducted on February 27, 2024, at an Assisted Living Home with worksheet type Assisted Living Home.
Findings
Five deficiencies were found related to emergency responder patient information forms, designation of a qualified caregiver in the manager's absence, documentation of services provided, and medication administration records. The deficiencies posed risks including lack of emergency information, absence of designated management, incomplete service documentation, and inaccurate medication records.
Deficiencies (5)
36-420.04 — The manager failed to ensure standardized emergency responder patient information forms were completed and maintained for all five residents sampled, leaving required patient information unprepared for emergencies.
A manager designation failure — The manager did not ensure a qualified caregiver was designated in writing and present to be accountable when the manager was absent, leaving no individual responsible for onsite management.
A manager documentation failure — The manager failed to ensure caregivers documented services provided in residents' medical records for all five residents, preventing verification of services against service plans.
C.13.c — The manager failed to ensure residents' medical records contained the name and signature of the individual administering medication for four residents, resulting in unverifiable medication administration and misleading information.
B.3.c — The manager failed to ensure medication administration was accurately documented in residents' medical records, including instances of medications documented as administered before the actual administration date and invalid dates.
Report Facts
Deficiencies cited: 5
Inspection Report — Nov 8, 2023
Original Licensing
Date: Nov 8, 2023
Visit Reason
On-site initial licensing inspection of an Assisted Living Home conducted on November 8, 2023.
Findings
No deficiencies were found during this initial inspection.
Report
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