Inspection Reports for
Peaceful and Comfort Assisted Living

A.R.S. § 36-420.01.A — The facility failed to administer a training program for all staff regarding fall prevention and fall recovery for three of three personnel sampled, posing a risk due to lack of organized instruction related to resident care and safety.

R9-10-803 — The governing authority failed to ensure compliance with A.R.S. § 36-411 by not documenting good faith efforts to contact previous employers and verify employees were not on the adult protective services registry for three personnel sampled.

R9-10-804 — The manager failed to ensure a quality management plan was implemented at the frequency determined by the facility's policies and procedures, as no documentation was available for review.

R9-10-806 — The manager failed to ensure verification and documentation of caregivers' skills and knowledge before providing health services for two of three personnel sampled.

R9-10-806 — The manager failed to maintain documentation of caregivers and assistant caregivers working each day, including hours worked, posing a risk due to lack of staff presence records.

R9-10-806 — The manager failed to ensure one employee provided evidence of freedom from infectious tuberculosis as required, with documentation missing for one personnel sampled.

R9-10-808 — The manager failed to ensure a calendar of planned activities was prepared at least one week in advance of the activity date, as no calendar was available for April 2025.

R9-10-811 — The manager failed to ensure residents' medical records contained all required elements for two residents sampled, with only unsigned medication lists available.

R9-10-817 — The manager failed to ensure a food menu was prepared at least one week in advance, as no menu was available for April 2025.

R9-10-817 — The manager failed to ensure foods requiring refrigeration were maintained at 41° F or below, with unrefrigerated opened food items observed in the pantry.

R9-10-818 — The manager failed to ensure the disaster plan was reviewed at least once every 12 months, with the last review dated July 8, 2023.

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, as one shift lacked documentation.

R9-10-818 — The manager failed to ensure evacuation drills for employees and residents were conducted at least once every six months, with documentation missing for required frequency.

R9-10-819 — The manager failed to ensure oxygen containers were secured in an upright position, posing a risk of explosion or gas leak.