10 Reports
Inspection Report — Feb 23, 2026
Complaint Investigation State
Date: Feb 23, 2026
Visit Reason
On-site complaint investigation of complaints 00159846 and 00159849 at an Assisted Living Center, conducted 23 February 2026.
Complaint Details
The following deficiencies were found during the on-site investigation of complaints 00159846 and 00159849 conducted on February 23, 2026.
Findings
The inspection found two deficiencies related to missing policies on caregiver response to resident behavior and unsigned resident service plans. Plans of correction were provided for both deficiencies.
Deficiencies (2)
R9-10-803 — The manager failed to ensure policies and procedures were established and documented to cover how a caregiver would respond to a resident’s sudden, intense, or out-of-control behavior to prevent harm to the resident or others.
R9-10-808 — The manager failed to ensure that resident service plans were signed and dated by the resident or representative, the manager, and the nurse or medical practitioner for four residents sampled.
Report Facts
Deficiencies cited: 2
Inspection Report — Feb 4, 2026
Annual Inspection State
Date: Feb 4, 2026
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On-site complaint investigation of complaints 00144199, 00157940, and 00157941 combined with a compliance (annual) inspection at an Assisted Living Center, conducted 4 February 2026.
Complaint Details
No deficiencies were found during the on-site compliance inspection and investigation of complaints 00144199, 00157940, and 00157941 conducted on February 4, 2026.
Findings
No deficiencies were found during this inspection and complaint investigation.
Report Facts
Complaints investigated: 3
Inspection Report — Aug 11, 2025
Complaint Investigation State
Date: Aug 11, 2025
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On-site complaint investigation of complaint 00137968 at an Assisted Living Center, conducted 11 August 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00137968 conducted on August 11, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 1
Inspection Report — Jul 21, 2025
Complaint Investigation State
Date: Jul 21, 2025
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On-site complaint investigation of complaint 00137017 at an Assisted Living Center, conducted 21 July 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00137017 conducted on July 21, 2025.
Findings
No deficiencies were found during the investigation.
Inspection Report — Apr 30, 2025
Complaint Investigation State
Date: Apr 30, 2025
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On-site complaint investigation of complaint 00129004 at an Assisted Living Center, conducted 30 April 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00129004 conducted on April 30, 2025.
Findings
No deficiencies were found during the inspection.
Inspection Report — Mar 27, 2025
Complaint Investigation State
Date: Mar 27, 2025
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On-site complaint investigation of complaint 00123257 at an Assisted Living Center, conducted 27 March 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00123257 conducted on March 27, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 1
Inspection Report — Feb 21, 2025
Annual Inspection State
Date: Feb 21, 2025
Visit Reason
On-site complaint investigation and compliance (annual) inspection of complaints 00109087, 00109092, 00116025, 00116024, 00108209, 00106008, and 00102742 at an Assisted Living Center, conducted 21 February 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint 00109087, 00109092, 00116025, 00116024, 00108209, 00106008, and 00102742 conducted on February 21, 2025:
Findings
The inspection found four deficiencies related to medical record alterations, unsafe environmental conditions, unsecured oxygen containers, and incomplete personnel records. Plans of correction were provided for all deficiencies.
Deficiencies (4)
R9-10-811 — The manager failed to ensure an entry in a resident's medical record was not changed to make the initial entry illegible, as corrective tape was used over the resident’s name and the name was written over the tape.
R9-10-819 — The manager failed to ensure the premises were free from conditions that could cause physical injury, including unlocked bedroom doors with accessible medications and chemicals.
R9-10-819 — The manager failed to ensure oxygen containers were secured in an upright position, as an unsecured oxygen container was observed in a resident’s room.
R9-10-803 — The manager failed to ensure personnel records included documentation of good faith efforts to contact previous employers for four of eight employees, risking employee fitness verification.
Report Facts
Deficiencies cited: 4
Complaints investigated: 7
Inspection Report — Aug 8, 2023
Enforcement State
Date: Aug 8, 2023
Visit Reason
Civil monetary penalty, action 00112830 (invoice INV-259243), assessed 8 August 2023.
Findings
A $1,000.00 penalty was assessed and paid in full on 5 October 2023.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Jul 20, 2023
Annual Inspection State
Date: Jul 20, 2023
Visit Reason
On-site complaint investigation of complaint AZ00189961 combined with an annual compliance inspection at an Assisted Living Center, conducted 20 July 2023.
Complaint Details
This new Statement of Deficiencies superseded the previous one sent August 1, 2023. Deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00189961 conducted on July 20, 2023.
Findings
The inspection found eight deficiencies related to staff training, policy review, documentation timeliness, personnel records, and resident care documentation.
Deficiencies (8)
36-420.01 — The facility failed to administer a fall prevention and fall recovery training program for all staff including continued competency training, with missing documentation for several employees.
The manager failed to ensure policies and procedures were reviewed at least once every three years, with no documentation available to confirm timely review.
The manager failed to provide documentation required by Article 8 to the Department within two hours after a request, delaying compliance verification.
The manager failed to ensure personnel records included employees' dates of birth, missing this information for one of nine records reviewed.
R9-10-101.116 — The manager failed to ensure personnel records included documentation of completed in-service education, missing this for one of ten employees sampled.
The manager failed to ensure personnel records included current cardiopulmonary resuscitation and first aid training documentation for two of nine employees sampled.
The manager failed to ensure personnel records included documentation of compliance with A.R.S. § 36-411(A) and (C), missing this for seven of nine employees sampled.
The manager failed to ensure a caregiver documented services provided in a resident's medical record, with tasks marked as not completed on multiple dates.
Report Facts
Deficiencies cited: 8
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