9 Reports
Inspection Report — Jun 26, 2025
Date: Jun 26, 2025
Visit Reason
Off-site desktop review to modify the level of care from 135 Directed care to 34 Directed care and 101 Personal care at an Assisted Living Center, conducted 26 June 2025.
Findings
This inspection resulted in no citations or deficiency findings.
Inspection Report — Jun 3, 2025
Complaint Investigation
Date: Jun 3, 2025
Visit Reason
On-site complaint investigation of complaint 00132082 at an Assisted Living Center, conducted 2 June 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00132082 conducted on June 2, 2025.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 1
Inspection Report — Apr 9, 2025
Annual Inspection
Date: Apr 9, 2025
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints 00105529, 00106461, 00107946, and 00125974 at an Assisted Living Center, conducted 9 April 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints 00105529, 00106461, 00107946, and 00125974 conducted on April 9, 2025.
Findings
The inspection found one deficiency related to the facility allowing a licensed hospice to occupy a room without proper authorization. The hospice has since moved out as of June 2, 2025.
Deficiencies (1)
A.R.S. § 36-407.A — The manager failed to ensure the health care institution operated and maintained a valid license only for the establishment, operation and maintenance of the class or subclass of health care institution specified on the license, as evidenced by OnCare Hospice occupying a room without authorization.
Report Facts
Deficiencies cited: 1
Complaints investigated: 4
Inspection Report — Sep 19, 2024
Date: Sep 19, 2024
Visit Reason
Off-site modification inspection for a name change at an Assisted Living Center conducted on 19 September 2024.
Findings
No deficiencies were found during this inspection.
Inspection Report — Jan 30, 2024
Enforcement
Date: Jan 30, 2024
Visit Reason
Civil monetary penalty, action 00111784 (invoice INV-258452), assessed 30 January 2024.
Findings
A $750.00 penalty was assessed and paid in full on 26 March 2024.
Report Facts
Penalty amount: 750
Amount paid: 750
Amount remaining: 0
Inspection Report — Jan 24, 2024
Annual Inspection
Date: Jan 24, 2024
Visit Reason
On-site complaint investigation of complaints AZ00192523, AZ00204191, and AZ00204387 combined with an annual compliance inspection at an Assisted Living Center, conducted 24 January 2024.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00192523, AZ00204191, and AZ00204387 conducted on January 24, 2024.
Findings
This inspection found five deficiencies related to caregiver CPR training documentation, timely updating of resident service plans after condition changes, documentation of pneumonia vaccination offers, medical practitioner determinations for residents confined to bed or chair, and licensing of facility pets. Plans of correction were provided for all deficiencies.
Deficiencies (5)
The manager failed to ensure a caregiver provided current documentation of CPR training that included a demonstration of ability before providing assisted living services. The deficient practice posed a risk if an employee was unable to meet a resident's needs during an emergency.
The manager failed to ensure a resident's written service plan was updated within 14 days after a significant change in physical, cognitive, or functional condition. This posed a health and safety risk if caregivers did not know the resident's current service needs.
A.R.S. 36-406(1)(d) — The manager failed to ensure resident medical records contained documentation of notification of pneumonia vaccination availability for four of six residents reviewed. This posed a potential illness risk to residents.
R9-10-814 — The manager failed to ensure the facility did not accept or retain residents confined to a bed or chair without a written medical determination upon acceptance and every six months thereafter. This posed a risk if the facility was unable to meet resident needs.
The manager failed to ensure a dog was licensed with Maricopa County as required. This posed a risk if a dog allowed into the facility did not meet local licensing requirements.
Report Facts
Deficiencies cited: 5
Complaints investigated: 3
Inspection Report — 500cs00000ehzcQAAQ
Enforcement
Date: 500cs00000ehzcQAAQ
Visit Reason
Enforcement action for facility ORCHARD POINTE AT TERRAZZA with action number 500cs00000ehzcQAAQ.
Findings
No penalty amount or payment information was provided in the document.
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