Inspection Reports for
Olive Grove Assisted Living and Memory Care
3014 E Indian School Rd, Phoenix, AZ 85016, United States, AZ, 85016
Back to Facility Profile29 Reports
Inspection Report — Jan 12, 2026
Complaint Investigation
Date: Jan 12, 2026
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On-site complaint investigation of complaint 00155593 at an Assisted Living Center, conducted 12 January 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00155593 conducted on January 12, 2026.
Findings
No deficiencies were found during the inspection.
Inspection Report — Dec 29, 2025
Complaint Investigation
Date: Dec 29, 2025
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On-site complaint investigation of complaint 00152951 at an Assisted Living Center, conducted 29 December 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00152951.
Findings
No deficiencies were found during the investigation.
Report Facts
Complaints investigated: 1
Inspection Report — Nov 12, 2025
Complaint Investigation
Date: Nov 12, 2025
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On-site complaint investigation of complaints 00148835, 00146263, 00145403, and 00141595 at an Assisted Living Center, conducted 12 November 2025.
Complaint Details
The following deficiencies were found during the on-site investigation of complaints 00148835, 00146263, 00145403, and 00141595 conducted on November 12, 2025.
Findings
The inspection found three deficiencies related to policies and procedures for resident whereabouts and termination of residency notices. The facility failed to establish required policies and provide necessary documentation to a terminated resident.
Deficiencies (3)
R9-10-803 — The manager failed to ensure policies and procedures were established and documented to protect the health and safety of a resident by covering methods by which the facility is aware of the general or specific whereabouts of a resident based on the level of services provided.
R9-10-807 — The manager failed to ensure a written notice of termination of residency included the policy for refunding fees, charges, or deposits, and the disposition of a resident’s fees, charges, and deposits for one terminated resident.
R9-10-807 — The manager failed to provide a copy of the resident’s current service plan and documentation of freedom from infectious tuberculosis when providing the written notice of termination of residency for one terminated resident.
Report Facts
Deficiencies cited: 3
Complaints investigated: 4
Inspection Report — Aug 14, 2025
Complaint Investigation
Date: Aug 14, 2025
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On-site complaint investigation of complaint 00138333 at an Assisted Living Center, conducted 14 August 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00138333 conducted on August 13, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 1
Inspection Report — Jul 31, 2025
Complaint Investigation
Date: Jul 31, 2025
Visit Reason
On-site complaint investigation of complaints 00137029 and 00138112 at an Assisted Living Center, conducted 31 July 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00137029 and 00138112, conducted on July 31, 2025.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Jul 3, 2025
Enforcement
Date: Jul 3, 2025
Visit Reason
Civil monetary penalty, action 00131041 (invoice INV-279031), assessed 3 July 2025.
Findings
A $500.00 penalty was assessed and paid in full on 9 July 2025.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Jun 6, 2025
Complaint Investigation
Date: Jun 6, 2025
Visit Reason
On-site complaint investigation of complaints 00132641, 00129258, 00129260, and 00132732 at an Assisted Living Center, conducted 6 June 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00132641, 00129258, 00129260, and 00132732 conducted on June 6, 2025.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 4
Inspection Report — May 2, 2025
Complaint Investigation
Date: May 2, 2025
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On-site complaint investigation of case ID 00128052 at an Assisted Living Center, conducted 2 May 2025.
Complaint Details
The following deficiencies were found during the on-site investigation of case ID 00128052 conducted on May 2, 2025:
Findings
The inspection found one deficiency related to the failure to include contact information for the State Long-Term Care Ombudsman in a written notice of termination of residency.
Deficiencies (1)
R9-10-807 — The manager failed to ensure that a written notice of termination included the contact information for the State Long-Term Care Ombudsman as required.
Report Facts
Deficiencies cited: 1
Inspection Report — Apr 1, 2025
Enforcement
Date: Apr 1, 2025
Visit Reason
Civil monetary penalty, action 00125483 (invoice INV-274984), assessed 1 April 2025.
Findings
A $1,000.00 penalty was assessed and paid in full on 8 June 2025.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Mar 28, 2025
Annual Inspection
Date: Mar 28, 2025
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On-site complaint investigation and annual compliance inspection of complaint 00124056 at an Assisted Living Center, conducted 28 March 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of case 00124056 conducted on March 27, 2025.
Findings
The inspection found three deficiencies related to ancillary services not meeting resident needs, failure to provide assistance with activities of daily living according to a resident's service plan, and unsecured oxygen containers.
Deficiencies (3)
R9-10-806 — The manager failed to ensure caregivers provided ancillary services that met the needs of five of six sampled residents, as documentation did not reflect services were provided as required.
R9-10-808 — The manager failed to ensure a caregiver provided assistance with activities of daily living according to one resident's service plan, with no documentation indicating required assistance was given.
R9-10-819 — The manager failed to ensure oxygen containers were secured in an upright position; several oxygen tanks were observed upright but unsecured in a hallway closet.
Report Facts
Deficiencies cited: 3
Inspection Report — Mar 26, 2025
Complaint Investigation
Date: Mar 26, 2025
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On-site complaint investigation of complaints 00123850 and 00123886 at an Assisted Living Center, conducted 26 March 2025.
Complaint Details
The following deficiencies were found during the on-site investigation of complaints 00123850 and 00123886 conducted on March 26, 2025.
Findings
The inspection found two deficiencies related to failure to investigate and document an allegation of sexual assault and failure to treat a resident with dignity, respect, and consideration. Both deficiencies posed potential risks to resident health and safety.
Deficiencies (2)
R9-10-803 — The manager failed to ensure the facility conducted an investigation and created an incident report for an allegation of sexual assault involving a resident. The deficient practice posed a potential danger to the health and safety of residents.
R9-10-810 — The manager failed to ensure that residents were treated with dignity, respect, and consideration, as evidenced by the lack of investigation and incident report for the sexual assault allegation. This posed a potential risk to resident health and safety.
Report Facts
Deficiencies cited: 2
Inspection Report — Feb 20, 2025
Complaint Investigation
Date: Feb 20, 2025
Visit Reason
On-site complaint investigation of complaint 00115552 at an Assisted Living Center, conducted 20 February 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00115552 conducted on February 20, 2025.
Findings
No deficiencies were found during this inspection.
Inspection Report — Feb 4, 2025
Enforcement
Date: Feb 4, 2025
Visit Reason
Civil monetary penalty, action 00109879 (invoice INV-262850), assessed 4 February 2025.
Findings
A $1,000.00 penalty was assessed and paid in full on 25 March 2025.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Feb 4, 2025
Complaint Investigation
Date: Feb 4, 2025
Visit Reason
On-site complaint investigation of complaints AZ00222731, AZ00222394, and AZ00221631 at an Assisted Living Center, conducted 4 February 2025.
Complaint Details
An on-site investigation of complaint AZ00222731, AZ00222394, AZ00221631 was conducted on February 4, 2025, and the following deficiencies were cited.
Findings
The inspection found three deficiencies related to incomplete service plans, missing medical records, and medication administration errors. The facility failed to ensure proper documentation and compliance with medication orders.
Deficiencies (3)
A manager failed to ensure a resident's written service plan included the amount, type, and frequency of assisted living services to be provided, risking insufficient care.
R9-10-807 — The manager failed to ensure two residents had medical records containing all required documents, including one resident's record that was unavailable for review.
A manager failed to ensure medication was administered in compliance with a medication order, as blood sugar was not checked before every insulin administration and doses were not fully documented.
Report Facts
Deficiencies cited: 3
Inspection Report — Jan 14, 2025
Enforcement
Date: Jan 14, 2025
Visit Reason
Civil monetary penalty, action 00109959 (invoice INV-267780), assessed 14 January 2025.
Findings
A $2,250.00 penalty was assessed and paid in full on 25 April 2025.
Report Facts
Penalty amount: 2250
Amount paid: 2250
Amount remaining: 0
Inspection Report — Dec 27, 2024
Complaint Investigation
Date: Dec 27, 2024
Visit Reason
On-site complaint investigation of complaints AZ00220888 and AZ00221078 at an Assisted Living Center, conducted 27 December 2024.
Complaint Details
An on-site investigation of complaints AZ00220888 and AZ00221078 was conducted on December 27, 2024, and the following deficiency was cited :
Findings
The inspection found one deficiency related to failure to document the names of individuals who observed accidents or injuries requiring medical services. This deficiency was cited based on record review and staff interview.
Deficiencies (1)
A manager failed to ensure that a caregiver documented the names of individuals who observed accidents or injuries that resulted in the resident needing medical services. Incident reports for resident R2 dated December 15 and 17, 2024, lacked these names, and staff acknowledged the omission.
Report Facts
Deficiencies cited: 1
Inspection Report — Dec 19, 2024
Complaint Investigation
Date: Dec 19, 2024
Visit Reason
On-site complaint investigation of complaints AZ00219983 and AZ00220431 at an Assisted Living Center, conducted 19 December 2024.
Complaint Details
An on-site investigation of complaint AZ00219983 and AZ00220431 was conducted on December 19, 2024, resulting in four deficiencies cited.
Findings
The inspection found four deficiencies related to documentation of caregiver work hours, missing written service plans, failure to provide services according to service plans, and medication administration not in compliance with orders. Several deficiencies were repeats from prior surveys.
Deficiencies (4)
The manager failed to maintain documentation of caregivers and assistant caregivers working each day, including hours worked, especially for agency staff not entered into the system.
The manager failed to ensure a written service plan was documented for one resident, R1, whose record lacked the required service plan.
The manager failed to ensure assisted living services were provided according to the resident's service plan for one resident, R2, with no documentation reflecting required assistance was given.
The manager failed to ensure medications were administered in compliance with orders for two residents; R1 did not receive Cephalexin as ordered, and R2's insulin administration lacked required blood sugar documentation and was inconsistently given.
Report Facts
Deficiencies cited: 4
Inspection Report — Nov 20, 2024
Complaint Investigation
Date: Nov 20, 2024
Visit Reason
On-site complaint investigation of complaints AZ00218934, AZ00217883, AZ00217417, AZ00218301, AZ00218502, and AZ00218862 at an Assisted Living Center, conducted 20 November 2024.
Complaint Details
An on-site investigation of complaints AZ00218934, AZ00217883, AZ00217417, AZ00218301, AZ00218502, and AZ00218862 was conducted on November 20, 2024, resulting in six deficiencies cited.
Findings
The inspection found six deficiencies related to caregiver skills verification, missing written service plans, failure to provide services as per service plans, lack of dignity and respect in resident care, inadequate alert systems for residents, and medication administration not in compliance with orders. All deficiencies are repeats from prior investigations.
Deficiencies (6)
The manager failed to ensure a caregiver's skills and knowledge were verified and documented before providing physical health services for one of six caregivers sampled. This posed a risk to resident health and safety.
The manager failed to ensure a written service plan was documented for one of five sampled residents, with no service plans found for residents R2 and R5 despite requirements. This is a repeat deficiency.
The manager failed to ensure caregivers provided assisted living services as specified in the service plans for two of five residents sampled. There was no documentation that residents R1 and R3 received required assistance with activities of daily living.
The manager failed to ensure residents were treated with dignity, respect, and consideration. Residents reported delayed or inadequate staff responses to call alerts, missed medications, lack of hygiene, and unclean rooms. This is a repeat deficiency.
The manager failed to ensure residents at the personal level of care had accessible alert systems and that staff responded appropriately. Residents reported long delays or no response to pull cord alerts or pendants, including incidents of falls and missed medications.
The manager failed to ensure medication was administered in compliance with orders for three of five residents. Multiple medications were not administered as ordered or lacked proper documentation, including residents R1, R3, and R4. This is a repeat deficiency.
Report Facts
Deficiencies cited: 6
Complaints investigated: 6
Inspection Report — Sep 27, 2024
Complaint Investigation
Date: Sep 27, 2024
Visit Reason
On-site complaint investigation of complaints AZ00216421, AZ00216452, AZ00216514, AZ00216513, AZ00216517, AZ00216633, and AZ00216634 at an Assisted Living Center, conducted 27 September 2024.
Complaint Details
An on-site investigation of complaints AZ00216421, AZ00216452, AZ00216514, AZ00216513, AZ00216517, AZ00216633, and AZ00216634 was conducted on September 27, 2024 and the following deficiencies were cited:
Findings
The inspection found five deficiencies related to failure to provide appropriate first aid, incomplete service plan signatures, failure to provide services as per service plans, inadequate documentation of services provided, and medication administration not in compliance with orders. Several deficiencies were uncorrected from a prior inspection.
Deficiencies (5)
36-420 — The facility failed to provide appropriate first aid to a non-injured resident who had fallen and was unable to recover independently, leaving the resident on the floor instead of assisting them off after the fall.
Service plan signatures — The manager failed to ensure that updated resident service plans were signed and dated by the resident or representative, the manager, and applicable medical reviewers for two of five residents.
Service provision — The manager failed to ensure a caregiver provided assisted living services as specified in the resident's service plan, including bathing and safety checks, for two of five residents sampled.
Documentation — The manager failed to ensure caregivers documented services provided in residents' medical records, preventing verification of service delivery for one of three sampled residents.
Medication administration — The manager failed to ensure medications were administered in compliance with orders for three of four residents, with multiple documented late or missed doses.
Report Facts
Deficiencies cited: 5
Complaints investigated: 7
Inspection Report — Sep 10, 2024
Complaint Investigation
Date: Sep 10, 2024
Visit Reason
On-site complaint investigation of complaint AZ00215239 at an Assisted Living Center, conducted 10 September 2024.
Complaint Details
An on-site investigation of complaint AZ00215239 was conducted on September 10, 2024 and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Aug 27, 2024
Complaint Investigation
Date: Aug 27, 2024
Visit Reason
On-site complaint investigation of complaints AZ00212300, AZ00212302, AZ00212555, AZ00212486, AZ00212612, AZ00213188, AZ00213524, AZ00214500, and AZ00215135 at an Assisted Living Center, conducted 27 August 2024.
Complaint Details
An on-site investigation of complaint AZ00212300, AZ00212302, AZ00212555, AZ00212486, AZ00212612, AZ00213188, AZ00213524, AZ00214500, and AZ00215135 was conducted on August 27, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Aug 6, 2024
Enforcement
Date: Aug 6, 2024
Visit Reason
Civil monetary penalty, action 00110765 (invoice INV-257693), assessed 6 August 2024.
Findings
A $500.00 penalty was assessed and paid in full on 28 November 2024.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Jun 24, 2024
Annual Inspection
Date: Jun 24, 2024
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00205566, AZ00202546, AZ00202554, AZ00202740, AZ00203527, AZ00205301, AZ00205417, AZ00205450, AZ00209955, AZ00211143, AZ00211655, and AZ00212090 at an Assisted Living Center, conducted 21 to 24 June 2024.
Complaint Details
This revised Statement of Deficiencies (SOD) replaces the SOD sent on July 31, 2024. The following deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00205566, AZ00202546, AZ00202554, AZ00202740, AZ00203527, AZ00205301, AZ00205417, AZ00205450, AZ00209955, AZ00211143, AZ00211655, and AZ00212090, conducted on June 21, 2024 and June 24, 2024.
Findings
The inspection found multiple deficiencies including failure to maintain a personnel record for the certified manager, incomplete verification of caregiver skills, missing written service plans, failure to provide services as per service plans, incomplete documentation of services provided, lack of dignity and respect in resident care, unauthenticated medical record entries, medication administration not in compliance with orders, lack of certified pest control applicators, and failure to ensure pets were licensed and vaccinated against rabies.
Deficiencies (11)
The governing authority failed to ensure the certified manager had a personnel record maintained at the facility, no notification of the facility's manager was provided, and no manager's certificate was posted in a conspicuous area.
The manager failed to ensure a caregiver's skills and knowledge were verified and documented before providing physical health services for two of nine caregivers sampled.
The manager failed to ensure a written service plan was documented for one of eight sampled residents reviewed.
The manager failed to ensure a caregiver provided a resident with the assisted living services in the resident's service plan for five of eight residents sampled.
The manager failed to ensure a caregiver documented the services provided to a resident in the resident's medical record for one of eight residents.
The manager failed to ensure a resident was treated with dignity, respect, and consideration, including issues with missed meals, showers, medication shortages, and uninvestigated concerns.
The manager failed to ensure entries in residents' medical records were authenticated for two of eight residents sampled.
The manager failed to ensure medications were administered in compliance with medication orders for two of seven residents receiving medication administration services.
R3-8-20l — The manager failed to ensure a pest control program compliant with Arizona Administrative Code R3-8-201(C)(4) was implemented, as pest control was performed by uncertified maintenance staff.
The manager failed to ensure pets were licensed consistent with local ordinances.
The manager failed to ensure a pet was vaccinated against rabies.
Report Facts
Deficiencies cited: 11
Complaints investigated: 12
Inspection Report — May 2, 2024
Complaint Investigation
Date: May 2, 2024
Visit Reason
On-site complaint investigation of complaints AZ00206605 and AZ00209827 at an Assisted Living Center, conducted 2 May 2024.
Complaint Details
An on-site investigation of complaints AZ00206605 and AZ00209827 was conducted on May 2, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Sep 8, 2023
Original Licensing
Date: Sep 8, 2023
Visit Reason
Off-site initial inspection for a change of ownership at an Assisted Living Center conducted on September 8, 2023.
Findings
No deficiencies were found during this inspection.
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