Inspection Reports for
Pendo 1 Care Homes Llc

A.R.S. § 36-420.04.C — The assisted living home failed to maintain a standardized emergency responder information form for each resident including all required elements such as medication lists, allergies, physician contacts, and advance directives.

R9-10-113 — The manager failed to ensure annual tuberculosis training and education was provided to two of three employees sampled, posing a potential risk of illness to residents.

R9-10-803 — The governing authority failed to ensure annual adult protective services registry reverification for three employees in 2025, risking employment of individuals who may pose danger to vulnerable populations.

R9-10-807 — The manager failed to ensure admitting documentation dated within 90 days and signed by a qualified practitioner indicating residents' expected level of care for two of three residents sampled.

R9-10-807 — The manager failed to ensure residency agreements included all required elements such as additional services fees, nighttime caregiver presence, termination policies, and manager's signature for two residents.

R9-10-808 — The manager failed to ensure a resident's service plan included a description of medical or health problems for one of two residents sampled.

R9-10-808 — The manager failed to ensure a resident's service plan included the frequency of assisted living services provided for one of two residents sampled.

R9-10-808 — The manager failed to ensure a resident's service plan was reviewed and updated at least once every 12 months for a resident receiving supervisory care services.

R9-10-808 — The manager failed to ensure a resident's service plan was reviewed and updated at least once every six months for a resident receiving personal care services.

R9-10-808 — The manager failed to ensure service plans were signed and dated by the manager for two residents sampled, risking lack of managerial oversight.

R9-10-808 — The manager failed to ensure a resident's service plan was signed and dated by the nurse or medical practitioner who reviewed the plan for one resident.

R9-10-808 — The manager failed to ensure caregivers provided assisted living services as documented in the resident’s service plan, including bathing frequency discrepancies for one resident.

R9-10-808 — The manager failed to ensure caregivers documented the services provided in the resident’s medical record for two residents, risking incomplete care documentation.

R9-10-811 — The manager failed to ensure a resident's medical record contained documentation of freedom from infectious tuberculosis, lacking a completed TB skin test for one resident.

R9-10-811 — The manager failed to ensure a resident's medical record contained medication orders from a medical practitioner for all medications administered or assisted with for one resident.

R9-10-817 — The manager failed to ensure a resident’s medication was stored by the assisted living facility, as medications were found stored in the resident’s personal room.

R9-10-817 — The manager failed to ensure assistance in self-administration of medication was documented in the resident’s medical record for one resident, omitting several topical medications.

R9-10-819 — The manager failed to ensure a rechargeable fire extinguisher was serviced at least once every 12 months; the last service was over 12 months prior to inspection.

R9-10-820 — The manager failed to ensure the premises was free from conditions that may cause physical injury, as unidentified loose pills were found in a resident’s medication container.

R9-10-820 — The manager failed to ensure poisonous or toxic materials were stored in locked areas inaccessible to residents; air fresheners and dishwasher pods were found unsecured in resident-accessible areas.

R9-10-808 — The manager failed to ensure service plans for residents receiving personal care services included skin maintenance, hydration, and incontinence care for multiple residents.

The manager failed to ensure a means of exiting the facility provided an alarm that alerted employees when a resident exited; the alarm was broken and turned off due to noise, posing a risk to resident safety.

A manager failed to ensure that the facility's means of exiting did not alert employees when residents exited. The front door alarm and patio door alarm were not working, and the gate leading to the street was left unlocked without any alert system.