Inspection Reports for
Paradise Valley Senior Living
16621 N 38th St, Phoenix, AZ 85032, United States, AZ, 85032
Back to Facility Profile31 Reports
Inspection Report — Apr 21, 2026
Complaint Investigation State
Date: Apr 21, 2026
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On-site complaint investigation of complaints 00165106, 00165113, 00166466, and 00166488 at an Assisted Living Center, conducted 21 April 2026.
Complaint Details
The following deficiencies were found during the on-site investigation of complaints 00165106, 00165113, 00166466, and 00166488 conducted on April 21, 2026.
Findings
The inspection found four deficiencies related to personnel tuberculosis documentation, nonworking call bell system, failure to immediately notify emergency contacts after a resident incident, and unsafe premises conditions including unstable benches and tripping hazards.
Deficiencies (4)
R9-10-806 — The manager failed to ensure an employee provided documentation of freedom from infectious tuberculosis for three of six personnel sampled, posing a potential TB exposure risk to residents.
R9-10-815 — The manager failed to ensure a working bell, intercom, or other mechanical alert system was available in a bedroom used by a resident receiving directed care services, posing a risk to resident safety.
R9-10-819 — The manager failed to ensure immediate notification of a resident's emergency contact and primary care provider after an incident requiring medical services, posing a health and safety risk.
R9-10-820 — The manager failed to ensure the premises were free from conditions that could cause physical injury, including unstable wooden benches and metal fasteners posing tripping hazards.
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Deficiencies cited: 4
Complaints investigated: 4
Inspection Report — Mar 10, 2026
Annual Inspection State
Date: Mar 10, 2026
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On-site complaint investigation and annual compliance inspection of complaint 00154585 at an Assisted Living Center, conducted 10 March 2026.
Complaint Details
The deficiency was found during the on-site compliance inspection and investigation of complaint 00154585 conducted on March 10, 2026.
Findings
The inspection found two deficiencies related to resident safety and timely reporting of an elopement incident. The facility failed to ensure a resident was not placed at risk of harm and did not provide written notification of the elopement within 24 hours.
Deficiencies (2)
R9-10-803 — The manager failed to ensure the health, safety, or welfare of a resident was not placed at risk of harm when a resident eloped and was missing for approximately two hours before being located by police.
R9-10-803 — The manager failed to provide written notification to the Department of a resident’s elopement within 24 hours of discovery, reporting it three days later due to issues with the state website.
Report Facts
Deficiencies cited: 2
Inspection Report — Dec 24, 2025
Complaint Investigation State
Date: Dec 24, 2025
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On-site complaint investigation of complaints 00152295, 00145589, 00142992, 00142915, 00141976, 00138252, 00134619, 00154175, and 00154264 at an Assisted Living Center, conducted 24 December 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00152295, 00145589, 00142992, 00142915, 00141976, 00138252, 00134619, 00154175, and 00154264 conducted on December 24, 2025.
Findings
No deficiencies were found during this complaint investigation.
Report Facts
Complaints investigated: 9
Inspection Report — Oct 31, 2025
Enforcement State
Date: Oct 31, 2025
Visit Reason
Civil monetary penalty, action 00132143 (invoice INV-285175), assessed 31 October 2025.
Findings
A $2,250.00 penalty was assessed and paid in full on 9 August 2025.
Report Facts
Penalty amount: 2250
Amount paid: 2250
Amount remaining: 0
Inspection Report — Jun 16, 2025
Complaint Investigation State
Date: Jun 16, 2025
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On-site complaint investigation of complaints 00132783 and 00133675 at an Assisted Living Center, conducted 16 June 2025.
Complaint Details
The following deficiencies were found during the on-site investigation of complaints 00132783 and 00133675 conducted on June 16, 2025.
Findings
The inspection found two deficiencies related to medication administration and equipment maintenance. The facility failed to administer medications according to orders and did not maintain air conditioning equipment in working order.
Deficiencies (2)
R9-10-816 — The manager failed to ensure medication was administered in compliance with orders for two residents, including improper timing and missed doses of gabapentin and lack of documentation for a topical medication.
R9-10-819 — The manager failed to ensure equipment was maintained in working order, as the air conditioning in cottage seven was not functioning properly and required replacement and repair.
Report Facts
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #E1 | Acknowledged medication administration issues and equipment problems in interviews. |
Inspection Report — Jun 3, 2025
Complaint Investigation State
Date: Jun 3, 2025
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On-site complaint investigation of complaint 00127676 at an Assisted Living Center, conducted 3 June 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00127676 conducted on June 3, 2025.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 1
Inspection Report — May 15, 2025
Enforcement State
Date: May 15, 2025
Visit Reason
Civil monetary penalty, action 00122466 (invoice INV-271345), assessed 15 May 2025.
Findings
A $750.00 penalty was assessed and paid in full on 22 May 2025.
Report Facts
Penalty amount: 750
Amount paid: 750
Amount remaining: 0
Inspection Report — Apr 30, 2025
Annual Inspection State
Date: Apr 30, 2025
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On-site complaint investigation of complaint 00127676 combined with an annual compliance inspection at an Assisted Living Center, conducted 30 April 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint 00127676 conducted on April 30, 2025.
Findings
This inspection found 15 deficiencies related to tuberculosis infection control, opioid prescribing documentation, personnel records, policy reviews, medication administration, emergency preparedness, environmental safety, and pest control. Several deficiencies were repeats from prior inspections. Plans of correction were provided for all deficiencies.
Deficiencies (15)
R9-10-113 — The chief administrative officer failed to ensure documentation of an annual assessment of the health care institution's risk of exposure to infectious tuberculosis was completed and available for review.
R9-10-120 — The manager failed to ensure identification of the patient's need for opioids before administration or assistance in self-administration for two residents, despite documentation of patient response.
R9-10-803 — The manager failed to ensure personnel records for four employees included valid fingerprint clearance cards and documented efforts to contact previous employers to verify fitness to work.
R9-10-803 — The manager failed to ensure policies and procedures were reviewed at least once every three years and updated as needed, with no documentation available to confirm such review.
R9-10-803 — The manager failed to ensure conspicuous posting of the location where the most recent Department inspection report and plan of correction could be viewed.
R9-10-806 — The manager failed to ensure a caregiver provided current documentation of first aid and CPR training before providing assisted living services.
R9-10-806 — The manager failed to ensure five employees provided documentation of freedom from infectious tuberculosis on or before the date they began providing services, including required TB screening and training.
R9-10-807 — The manager failed to ensure five residents provided evidence of freedom from infectious tuberculosis before or within seven days after occupancy.
R9-10-808 — The manager failed to ensure a resident's written service plan included the amount, type, and frequency of assisted living services provided, specifically repositioning every two hours for a resident with a wound.
R9-10-816 — The manager failed to ensure medication was administered in compliance with a medication order for one resident, including missed doses, refusals, and administration of a medication not ordered.
R9-10-816 — The manager failed to ensure medication was stored in a separate locked area used only for medication storage, as medications were found in a resident's room.
R9-10-818 — The manager failed to ensure an evacuation drill for employees and residents was conducted at least once every six months, with no documentation available for the last 12 months.
R9-10-818 — The manager failed to ensure documentation of a current fire inspection was maintained and available for review during the inspection.
R9-10-819 — The manager failed to ensure poisonous or toxic materials were stored in labeled containers in a locked area separate from food, medications, and dining areas, making them accessible to residents.
R9-10-819 — The manager failed to ensure pest control was conducted by a certified applicator, as pest control materials were used by unlicensed staff, posing a risk of unsafe exposure.
Report Facts
Deficiencies cited: 15
Inspection Report — Mar 5, 2025
Complaint Investigation State
Date: Mar 5, 2025
Visit Reason
On-site complaint investigation of complaints 115752 and 115714 at an Assisted Living Center, conducted 5 March 2025.
Complaint Details
The following deficiencies were found during the on-site investigation of complaints 115752 and 115714 conducted on March 5, 2025.
Findings
The inspection found three deficiencies related to service plan reviews, documentation of services provided, and means of exiting the facility. The facility failed to update service plans quarterly, document daily assistance provided, and maintain functional exit alarms.
Deficiencies (3)
R9-10-808 — The manager failed to ensure a resident's written service plan was reviewed and updated at least once every three months, posing a risk if caregivers were unaware of required services.
R9-10-808 — The manager failed to ensure caregivers documented the services provided in residents' medical records for three of four residents sampled, risking unverified care delivery.
R9-10-815 — The manager failed to ensure there was a means of exiting the facility that provided access to an outside area at least 30 feet away and alerted employees of resident egress due to a deactivated alarm.
Report Facts
Deficiencies cited: 3
Inspection Report — Dec 20, 2024
Complaint Investigation State
Date: Dec 20, 2024
Visit Reason
On-site complaint investigation of complaint AZ00220075 at an Assisted Living Center, conducted 20 December 2024.
Complaint Details
An on-site investigation of complaint AZ00220075 was conducted on December 20, 2024 and the following deficiencies were cited.
Findings
Two deficiencies were cited related to fall prevention training and documentation of actions taken after a resident incident. The deficiencies posed risks to resident health and safety.
Deficiencies (2)
36-420.01 — The manager failed to ensure the facility developed and administered a fall prevention and fall recovery training program for all staff, including initial and continued competency training. No current training documentation or policy was available at the time of inspection.
Documentation failure — The manager failed to ensure that when a resident required medical services after an incident, any action taken to prevent recurrence was documented. The medical record for one resident lacked documentation of preventive actions following an injury.
Report Facts
Deficiencies cited: 2
Inspection Report — Dec 18, 2024
State
Date: Dec 18, 2024
Visit Reason
Off-site inspection for a Change of Service at an Assisted Living Center, specifically a name change, completed on 18 December 2024.
Findings
No deficiencies were found during this inspection.
Inspection Report — Sep 27, 2024
Complaint Investigation State
Date: Sep 27, 2024
Visit Reason
On-site complaint investigation of complaints AZ00216518 and AZ00216550 at an Assisted Living Center, conducted 27 September 2024.
Complaint Details
An on-site investigation of complaints AZ00216518 and AZ00216550 was conducted on September 27, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Sep 12, 2024
Complaint Investigation State
Date: Sep 12, 2024
Visit Reason
On-site complaint investigation of complaint AZ00215871 at an Assisted Living Center, conducted 12 September 2024.
Complaint Details
An on-site investigation of complaint AZ00215871 was conducted on September 12, 2024 and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Sep 9, 2024
Complaint Investigation State
Date: Sep 9, 2024
Visit Reason
On-site complaint investigation of complaint AZ00215751 at an Assisted Living Center, conducted 9 September 2024.
Complaint Details
An on-site investigation of complaint AZ00215751 was conducted on September 9, 2024, and the following deficiency was cited.
Findings
The inspection found one deficiency related to incomplete documentation by the manager regarding suspected abuse. The manager failed to document witness names and preventive actions after a reasonable basis to believe abuse occurred.
Deficiencies (1)
The manager failed to document the names of witnesses to the suspected abuse and the actions taken to prevent future occurrences after having a reasonable basis to believe abuse occurred on the premises. This deficient practice posed a risk of the suspected abuse occurring again.
Report Facts
Deficiencies cited: 1
Inspection Report — Aug 23, 2024
Complaint Investigation State
Date: Aug 23, 2024
Visit Reason
On-site complaint investigation of complaint AZ00215027 at an Assisted Living Center, conducted 23 August 2024.
Complaint Details
An on-site investigation of complaint AZ00215027 was conducted on August 23, 2024, and the following deficiency was cited.
Findings
The inspection found one deficiency related to the failure to report suspected abuse or neglect as required by Arizona law. The facility did not properly report an incident involving a resident and another resident wandering into their bedroom.
Deficiencies (1)
The manager failed to ensure suspected abuse or neglect was reported immediately as required by A.R.S. § 46-454. The deficient practice posed a risk as the facility did not report or document an incident where a resident was exposed to another resident wandering naked into their bedroom.
Report Facts
Deficiencies cited: 1
Inspection Report — Jul 2, 2024
Complaint Investigation State
Date: Jul 2, 2024
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On-site complaint investigation of complaints AZ00212510, AZ00211688, and AZ00210362 at an Assisted Living Center, conducted 2 July 2024.
Complaint Details
An on-site investigation of complaints AZ00212510, AZ00211688, and AZ00210362 was conducted on July 2, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Report Facts
Complaints investigated: 3
Inspection Report — Jun 25, 2024
Enforcement State
Date: Jun 25, 2024
Visit Reason
Civil monetary penalty, action 00110992 (invoice INV-257852), assessed 25 June 2024.
Findings
A $7,540.00 penalty was assessed and paid in full on 6 September 2024.
Report Facts
Penalty amount: 7540
Amount paid: 7540
Amount remaining: 0
Inspection Report — May 8, 2024
Annual Inspection State
Date: May 8, 2024
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00209160, AZ00209638, AZ00210098, and AZ00210099 at an Assisted Living Center, conducted 8 May 2024.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00209160, AZ00209638, AZ00210098, and AZ00210099 conducted on May 8, 2024.
Findings
The inspection found ten deficiencies related to employee fingerprint clearance, supervision of assistant caregivers, verification of caregiver skills, tuberculosis screening, resident service plans, disaster and evacuation drills, fire inspections, and storage of poisonous materials. These deficiencies posed risks to resident safety and care.
Deficiencies (10)
The manager failed to ensure two employees had valid fingerprint clearance cards during their employment periods, posing a risk to vulnerable residents.
The manager failed to ensure assistant caregivers E5 and E7 interacted with residents under supervision, allowing unqualified staff to provide unsupervised care.
The manager failed to verify and document the skills and knowledge of three assistant caregivers before they provided physical health services, risking resident health and safety.
R9-10-113 — The administrator failed to ensure four personnel provided evidence of freedom from infectious tuberculosis, posing a potential infection risk to residents.
The manager failed to ensure a resident had a written service plan completed within 14 calendar days of acceptance, risking lack of directed care.
The manager failed to ensure two residents' written service plans were reviewed and updated at least once every three months, risking unclear service direction.
The manager failed to ensure disaster drills were conducted and documented on each shift at least once every three months, risking employee preparedness.
The manager failed to ensure evacuation drills for employees and residents were conducted at least once every six months, risking emergency evacuation safety.
The manager failed to ensure a fire inspection was conducted by the local fire department according to the required timeframe, posing a fire safety risk.
The manager failed to ensure poisonous or toxic materials were stored in locked, labeled containers inaccessible to residents, posing a health and safety risk.
Report Facts
Deficiencies cited: 10
Inspection Report — Jan 2, 2024
Enforcement State
Date: Jan 2, 2024
Visit Reason
Civil monetary penalty, action 00111969 (invoice INV-258587), assessed 2 January 2024.
Findings
A $1,000.00 penalty was assessed and paid in full on 19 February 2024.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Dec 18, 2023
Complaint Investigation State
Date: Dec 18, 2023
Visit Reason
On-site complaint investigation of complaints AZ00201895, AZ00202033, AZ00202440, and AZ00204050 at an Assisted Living Center, conducted 18 December 2023.
Complaint Details
An on-site investigation of complaints #AZ00201895, #AZ00202033, #AZ00202440, and AZ00204050 was conducted on December 18, 2023, resulting in 11 deficiencies cited.
Findings
This inspection found multiple deficiencies related to policies and procedures, resident service plans, posting of activity calendars and menus, storage of garbage and toxic materials, and opioid medication documentation. Eleven deficiencies were cited, including repeat violations and risks to resident health and safety.
Deficiencies (11)
The manager failed to ensure policies and procedures were established, documented, and implemented to cover methods by which the facility was aware of the general or specific whereabouts of a resident, resulting in a resident wandering away unnoticed.
The manager failed to ensure two residents had written service plans completed no later than 14 calendar days after their date of acceptance.
The manager failed to ensure three residents' written service plans included the amount, type, and frequency of assisted living services provided.
The manager failed to ensure two residents' written service plans were reviewed and updated at least once every three months as required.
The manager failed to ensure a calendar of activities was posted in a location easily seen by residents and updated to reflect substitutions.
R9-10-808 — The manager failed to ensure two residents' written service plans included strategies to ensure the residents' personal safety.
The manager failed to implement policies and procedures to ensure the safety of a resident who wandered and eloped from the facility, including failure to screen for elopement risk and monitor door alarms.
The manager failed to ensure that a food menu was conspicuously posted at least one calendar day before the first meal and accessible to residents.
The manager failed to ensure garbage and refuse were stored in covered containers lined with plastic bags, posing a health and safety risk.
The manager failed to ensure poisonous or toxic materials were maintained in a locked area inaccessible to residents.
R9-10-120 — The manager failed to ensure an individual authorized to administer opioids documented the resident's need for the opioid and monitored the effect of the opioid administered.
Report Facts
Deficiencies cited: 11
Inspection Report — Oct 31, 2023
Enforcement State
Date: Oct 31, 2023
Visit Reason
Civil monetary penalty, action 00112261 (invoice INV-258801), assessed 31 October 2023.
Findings
A $500.00 penalty was assessed and paid in full on 11 January 2024.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Oct 10, 2023
Complaint Investigation State
Date: Oct 10, 2023
Visit Reason
On-site complaint investigation of complaints AZ00199947, AZ00200385, AZ00200936, AZ00200980, AZ00201096, AZ00201124, AZ00201233, and AZ00201629 at an Assisted Living Center, conducted 10 October 2023.
Complaint Details
An on-site investigation of complaints AZ00199947, AZ00200385, AZ00200936, AZ00200980, AZ00201096, AZ00201124, AZ00201233, and AZ00201629 was conducted on October 10, 2023 and the following deficiencies were cited.
Findings
The inspection found five deficiencies related to staff training, verification of caregiver skills, resident dietary needs, notification of emergency contacts and primary care providers after incidents, and documentation of preventive actions following resident injuries.
Deficiencies (5)
36-420.01 — The facility failed to administer a fall prevention and fall recovery training program for all staff, including initial and continued competency training, as evidenced by lack of documentation and staff interviews.
Caregiver skills verification — The manager failed to ensure that caregivers' skills and knowledge were verified and documented before providing physical health services for two of six personnel sampled.
Care plan diet compliance — The manager failed to ensure a resident was provided a diet meeting the resident's nutritional needs as specified in the service plan; the service plan lacked documentation of a meat-restricted diet for the resident.
Incident notification — The manager failed to ensure immediate notification of the resident's primary care physician after an accident requiring medical services, although the emergency contact was notified.
Incident documentation — The manager failed to ensure documentation of actions taken to prevent future accidents after a resident injury requiring medical services, with no such documentation found in incident reports or progress notes.
Report Facts
Deficiencies cited: 5
Complaints investigated: 8
Inspection Report — Jul 25, 2023
Enforcement State
Date: Jul 25, 2023
Visit Reason
Civil monetary penalty, action 00112918 (invoice INV-259319), assessed 25 July 2023.
Findings
A $1,500.00 penalty was assessed and paid in full on 17 September 2023.
Report Facts
Penalty amount: 1500
Amount paid: 1500
Amount remaining: 0
Inspection Report — Jul 3, 2023
Complaint Investigation State
Date: Jul 3, 2023
Visit Reason
On-site complaint investigation of complaints AZ00196242, AZ00196492, AZ00196929, and AZ00197249 at an Assisted Living Center, conducted 3 July 2023.
Complaint Details
An on-site investigation of complaints AZ00196242, AZ00196492, AZ00196929, and AZ00197249 was conducted on July 3, 2023 and the following deficiencies were cited:
Findings
The inspection found 11 deficiencies related to policies and procedures, personnel records, resident service plans, medication administration, restraint use, and notification of emergencies. The facility failed to meet several regulatory requirements, posing risks to resident health and safety.
Deficiencies (11)
The manager failed to establish and document policies and procedures covering cardiopulmonary resuscitation (CPR) training requirements including method, qualifications, renewal timeframe, and documentation verification.
The manager failed to ensure caregivers provided current documentation of first aid and CPR training certification specific to adults for two of seven personnel sampled.
The manager failed to ensure personnel records included documentation of completed orientation required by policies and procedures for two of seven employees sampled.
The manager failed to ensure a resident's written service plan was reviewed and updated within 14 calendar days after a significant change in the resident's condition.
The manager failed to ensure a resident's written service plan was reviewed and updated at least once every three months for a resident receiving directed care services.
The manager failed to ensure a caregiver or assistant caregiver documented the services provided in a resident's medical record, preventing verification of services against the service plan.
R9-10-101(201) — The manager failed to ensure a resident was not subjected to restraint when a tray was placed over the resident's lap in a geriatric chair without justification.
The manager failed to ensure a resident's medical record contained a medication order from a medical practitioner for each medication administered.
The manager failed to ensure medications were administered in compliance with a medication order for one resident.
The manager failed to ensure immediate notification of the resident's emergency contact and primary care provider following an accident or injury requiring medical services.
The manager failed to ensure alarms were activated to alert employees of a resident's egress from the facility at multiple patio and side doors, posing a risk of unmonitored resident exit.
Report Facts
Deficiencies cited: 11
Inspection Report — Jun 27, 2023
Enforcement State
Date: Jun 27, 2023
Visit Reason
Civil monetary penalty, action 00113108 (invoice INV-259484), assessed 27 June 2023.
Findings
A $1,000.00 penalty was assessed and paid in full on 18 August 2023.
Report Facts
Penalty amount: 1000
Amount paid: 1000
Amount remaining: 0
Inspection Report — Jun 5, 2023
Annual Inspection State
Date: Jun 5, 2023
Visit Reason
On-site complaint investigation and compliance (annual) inspection of complaints AZ00185368, AZ00188791, AZ00191649, AZ00192168, AZ00192540, AZ00192747, and AZ00195589 at an Assisted Living Center, conducted 5 June 2023.
Complaint Details
The following deficiencies were found during the compliance inspection and investigation of complaints AZ00185368, AZ00188791, AZ00191649, AZ00192168, AZ00192540, AZ00192747, and AZ00195589 conducted on June 5, 2023.
Findings
This inspection found ten deficiencies related to failure to notify the Department of a manager change, incomplete implementation of resident whereabouts policies, delayed documentation submission, missing or incomplete resident service plans, incomplete documentation of services provided, use of restraints, missing service plans for discharged residents, missing medication orders, medication administration not in compliance with orders, and improper hot water temperatures.
Deficiencies (10)
The governing authority failed to notify the Department of a change in the facility manager and identify the new manager's qualifications, preventing the Department from ensuring a qualified manager was maintained.
The manager failed to implement policies and procedures to ensure awareness of residents' general or specific whereabouts, and required safety checks were not documented as provided for multiple residents on various shifts.
The manager failed to provide required documentation to the Department within two hours after a request, including complete medical records and medication orders for several residents.
The manager failed to ensure a resident had a written service plan completed within 14 calendar days after acceptance, leaving no service plan to direct care for one resident.
The manager failed to ensure caregivers documented services provided in residents' medical records for two residents, preventing verification of services against service plans.
The manager failed to ensure residents were not subjected to restraint, as four residents were observed with tray components on geriatric chairs restricting movement outside mealtime.
The manager failed to ensure a discharged resident's medical record contained the resident's service plan and updates, leaving the record incomplete.
The manager failed to ensure residents' medical records contained medication orders from a medical practitioner for each medication administered, for three residents.
The manager failed to ensure medications were administered in compliance with medication orders for three residents, risking improper medication administration.
The manager failed to maintain hot water temperatures between 95º F and 120º F in resident areas, with observed temperature at 141.5º F in a bathroom.
Report Facts
Deficiencies cited: 10
Complaints investigated: 7
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