12 Reports
Inspection Report — Sep 16, 2025
Complaint Investigation
Date: Sep 16, 2025
Visit Reason
On-site complaint investigation of complaints 00144114, 00131800, and 00133630 at an Assisted Living Center, conducted 16 September 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00144114, 00131800, and 00133630, conducted on September 15, 2025.
Findings
No deficiencies were found during the on-site investigation of the complaints.
Report Facts
Complaints investigated: 3
Inspection Report — Jul 1, 2025
Enforcement
Date: Jul 1, 2025
Visit Reason
Civil monetary penalty, action 00133601 (invoice INV-283558), assessed 1 July 2025.
Findings
A $500.00 penalty was assessed and paid in full on 30 July 2025.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — May 9, 2025
Annual Inspection
Date: May 9, 2025
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints 00129235, 00109074, 00104949, 00104910, 00104816, and 00105789 at an Assisted Living Center, conducted 8 and 9 May 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints 00129235, 00109074, 00104949, 00104910, 00104816, and 00105789 conducted on May 8 and 9, 2025:
Findings
The inspection found nine deficiencies related to unauthorized physical modifications, incomplete tuberculosis screening documentation for employees and residents, inadequate service plan details, failure to treat a resident with dignity, improper medication storage, and incomplete emergency drill documentation.
Deficiencies (9)
R9-10-110 — The licensee failed to submit a request for approval of modifications to residential units that included walls not extending to the ceiling, affecting physical plant compliance.
R9-10-806 — The manager failed to ensure three employees provided documentation of freedom from infectious tuberculosis on or before their start dates, posing a potential TB exposure risk.
R9-10-807 — The manager failed to ensure three residents provided evidence of freedom from infectious tuberculosis within seven calendar days after occupancy, posing a potential TB exposure risk.
R9-10-808 — The manager failed to ensure four residents had written service plans that included the amount, type, and frequency of assisted living services provided.
R9-10-810 — The manager failed to ensure a resident was treated with dignity and respect, as evidenced by inadequate privacy and comfort due to partial walls between sleeping areas.
R9-10-816 — The manager failed to ensure medication was stored in a separate locked area, as medications were found unsecured in a plastic bin in an administrative office.
R9-10-818 — The manager failed to ensure disaster drills for employees were conducted on each shift at least once every three months and documented.
R9-10-818 — The manager failed to ensure evacuation drills were conducted at least every six months, with documentation lacking for periods before and after November 27, 2024.
R9-10-820 — The manager failed to ensure residents' sleeping areas had floor-to-ceiling walls, as partial walls with gaps of 12 to 16 inches were observed in multiple residential units.
Report Facts
Deficiencies cited: 9
Complaints investigated: 6
Inspection Report — Feb 6, 2024
Enforcement
Date: Feb 6, 2024
Visit Reason
Civil monetary penalty, action 00111737 (invoice INV-258420), assessed 6 February 2024.
Findings
A $250.00 penalty was assessed and paid in full on 25 April 2024.
Report Facts
Penalty amount: 250
Amount paid: 250
Amount remaining: 0
Inspection Report — Jan 30, 2024
Complaint Investigation
Date: Jan 30, 2024
Visit Reason
On-site complaint investigation of complaints AZ00205315 and AZ00205241 at an Assisted Living Center, conducted 30 January 2024.
Complaint Details
An on-site investigation of complaint AZ00205315 and AZ00205241 was conducted on January 30, 2024, and the following deficiencies were cited:
Findings
The inspection found one deficiency related to failure to verify and document caregiver skills and knowledge before providing physical health services, posing a risk to residents.
Deficiencies (1)
A manager failed to ensure that a caregiver's skills and knowledge were verified and documented before providing physical health services and according to policies and procedures for four of six caregivers reviewed. Numerous sections of skills checklists were left blank despite caregivers working multiple shifts.
Report Facts
Deficiencies cited: 1
Inspection Report — Jan 8, 2024
Complaint Investigation
Date: Jan 8, 2024
Visit Reason
On-site complaint investigation of complaints AZ00202947 and AZ00204561 at an Assisted Living Center, conducted 8 January 2024.
Complaint Details
An on-site investigation of complaint AZ00202947 and AZ00204561 was conducted on January 8, 2024, the following deficiency was cited:
Findings
The inspection found one deficiency related to inadequate alarm systems on exit doors in the Memory Care unit, posing a potential elopement risk for residents.
Deficiencies (1)
The manager failed to ensure there was a means of exiting the facility for residents without keys or special knowledge that provided access to an outside area at least 30 feet away and alerted employees of egress. The exit door alarm was insufficient to notify staff when residents exited, creating a potential elopement risk.
Report Facts
Deficiencies cited: 1
Inspection Report — Oct 11, 2023
Annual Inspection
Date: Oct 11, 2023
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00199226 and AZ00199234 at an Assisted Living Center, conducted 11 October 2023.
Complaint Details
The deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00199226 and AZ00199234 conducted on October 11, 2023.
Findings
The inspection found five deficiencies related to inaccurate resident service plans, improper medication storage documentation, noncompliance with medication administration orders, failure to provide therapeutic diets as ordered, and incomplete documentation of disaster drills.
Deficiencies (5)
The manager failed to ensure residents' written service plans accurately included the amount, type, and frequency of assisted living services provided, including medication self-administration and dietary requirements for four residents.
The manager failed to ensure service plans for three residents who stored medication in their residential units included how the medication was stored and controlled.
The manager failed to ensure medication was administered in compliance with a medication order for one resident, as blood pressure monitoring required for medication administration was not consistently documented.
The manager failed to ensure two residents received therapeutic diets according to written orders from their primary care providers, posing a health and safety risk.
The manager failed to ensure disaster drills for employees were conducted on each shift at least once every three months and properly documented.
Report Facts
Deficiencies cited: 5
Inspection Report — May 30, 2023
Enforcement
Date: May 30, 2023
Visit Reason
Civil monetary penalty, action 00113257 (invoice INV-259608), assessed 30 May 2023.
Findings
A $500.00 penalty was assessed and paid in full on 12 July 2023.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — 500cs00000UhwsYAAR
Enforcement
Date: 500cs00000UhwsYAAR
Visit Reason
Enforcement action for facility MOUNTAIN VIEW RETIREMENT VILLAGE, action number 500cs00000UhwsYAAR.
Findings
No penalty amount or payment details were provided in the document.
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