15 Reports
Inspection Report — Apr 16, 2026
Complaint Investigation
Date: Apr 16, 2026
Visit Reason
On-site complaint investigation of complaints 00163740 and 00163881 at an Assisted Living Center, conducted 16 April 2026.
Complaint Details
The following deficiency was found during the on-site investigation of complaints 00163740 and 00163881 conducted on April 16, 2026.
Findings
One deficiency was found related to the improper storage of poisonous or toxic materials accessible to residents. The facility corrected the deficiency on the day of the survey and implemented permanent locking mechanisms.
Deficiencies (1)
R9-10-820 — The manager failed to ensure poisonous or toxic materials stored by the assisted living facility were inaccessible to residents. Cleaning supplies were found under a sink cabinet with a loose mechanism allowing access.
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Deficiencies cited: 1
Inspection Report — Mar 23, 2026
Complaint Investigation
Date: Mar 23, 2026
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On-site complaint investigation of complaints 00161923, 00162701, 00161922, 00162915, 00162950, 00162984, and 00163038 at an Assisted Living Center, conducted 23 March 2026.
Complaint Details
The following deficiencies were found during the on-site investigation of complaints 00161923, 00162701, 00161922, 00162915, 00162950, 00162984, and 00163038 conducted on March 23, 2026.
Findings
The inspection found one deficiency related to staffing coverage in the Memory Care unit. The facility failed to ensure a designated caregiver was awake and physically present in each required area at all times.
Deficiencies (1)
R9-10-816 — The manager failed to ensure that a designated caregiver was available in each building and each segregated area at all times, posing a risk that personnel could not timely respond to residents' needs or emergencies.
Report Facts
Deficiencies cited: 1
Inspection Report — Feb 3, 2026
Complaint Investigation
Date: Feb 3, 2026
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On-site complaint investigation of complaint 00156564 at an Assisted Living Center, conducted 3 February 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00156564 conducted on February 3, 2026.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 1
Inspection Report — Dec 8, 2025
Annual Inspection
Date: Dec 8, 2025
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On-site complaint investigation of complaint 00151983 combined with an annual compliance inspection at an Assisted Living Center, conducted 8 December 2025.
Complaint Details
No deficiencies were found during the on-site compliance inspection and investigation of complaint 00151983 conducted on December 8, 2025.
Findings
No deficiencies were found during this inspection and complaint investigation.
Report Facts
Complaints investigated: 1
Inspection Report — Apr 24, 2025
Complaint Investigation
Date: Apr 24, 2025
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On-site complaint investigation of complaint AZ00128011 at an Assisted Living Center, conducted 24 April 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint AZ00128011 conducted on April 24, 2025.
Findings
No deficiencies were found during the inspection.
Inspection Report — Mar 18, 2025
Complaint Investigation
Date: Mar 18, 2025
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On-site complaint investigation at an Assisted Living Center, conducted 18 March 2025.
Findings
Three deficiencies were found during the complaint investigation. No evidence text was provided for any of the deficiencies.
Deficiencies (3)
A manager failed to ensure that a caregiver or assistant caregiver provided a resident with the assisted living services in the resident's service plan.
A manager failed to ensure that a bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies was available in a bedroom used by a resident receiving directed care services.
A manager failed to ensure that when a resident has an accident, emergency, or injury requiring medical services, a caregiver or assistant caregiver immediately notifies the resident's emergency contact and primary care provider.
Report Facts
Deficiencies cited: 3
Inspection Report — Mar 13, 2025
Complaint Investigation
Date: Mar 13, 2025
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On-site complaint investigation of complaints 00122117, 00122125, and 00122126 at an Assisted Living Center, conducted 13 March 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00122117, 00122125, and 00122126 conducted on March 13, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 3
Inspection Report — Jan 14, 2025
Complaint Investigation
Date: Jan 14, 2025
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On-site complaint investigation of complaints AZ00221645 and AZ00221675 at an Assisted Living Center, conducted 14 January 2025.
Complaint Details
The following deficiencies were found during the investigation of complaints AZ00221645 and AZ00221675 conducted on January 14, 2025.
Findings
The inspection found three deficiencies related to failure to provide services as specified in the resident's service plan, lack of an adequate alert system for residents needing directed care, and failure to immediately notify a resident's emergency contact after an injury requiring medical services.
Deficiencies (3)
The manager failed to ensure a caregiver provided a resident with the assisted living services in the resident's service plan, including missed checks during the 12am to 6am shift on multiple dates in September 2024.
The manager failed to ensure that a bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies was available in a bedroom used by a resident receiving directed care services.
The manager failed to ensure that when a resident had an injury requiring medical services, the resident's emergency contact was immediately notified; notification occurred several hours late.
Report Facts
Deficiencies cited: 3
Inspection Report — Oct 21, 2024
Complaint Investigation
Date: Oct 21, 2024
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On-site complaint investigation of complaint AZ00217000 at an Assisted Living Center, conducted 21 October 2024.
Complaint Details
No deficiencies were found during the investigation of complaint AZ00217000 conducted on October 21, 2024.
Findings
No deficiencies were found during the investigation.
Inspection Report — Oct 1, 2024
Complaint Investigation
Date: Oct 1, 2024
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On-site complaint investigation of complaint AZ00216335 at an Assisted Living Center, conducted 1 October 2024.
Complaint Details
No deficiencies were found during the investigation of complaint AZ00216335 conducted on October 1, 2024.
Findings
No deficiencies were found during the investigation.
Inspection Report — Aug 19, 2024
Annual Inspection
Date: Aug 19, 2024
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On-site complaint investigation of complaints AZ00214358 and AZ00214415 combined with an annual compliance inspection at an Assisted Living Center, conducted 19 August 2024.
Complaint Details
No deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00214358 and AZ00214415 conducted on August 19, 2024.
Findings
No deficiencies were found during this inspection and complaint investigation.
Report Facts
Complaints investigated: 2
Inspection Report — May 30, 2024
Complaint Investigation
Date: May 30, 2024
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On-site complaint investigation of complaints AZ00207530 and AZ00204904 at an Assisted Living Center, conducted 30 May 2024.
Complaint Details
No deficiencies were found during the investigation of complaints AZ00207530 and AZ00204904 conducted on May 30, 2024.
Findings
No deficiencies were found during the investigation of the complaints.
Inspection Report — Sep 5, 2023
Enforcement
Date: Sep 5, 2023
Visit Reason
Civil monetary penalty, action 00112574 (invoice INV-259036), assessed 5 September 2023.
Findings
A $250.00 penalty was assessed and paid in full on 18 November 2023.
Report Facts
Penalty amount: 250
Amount paid: 250
Amount remaining: 0
Inspection Report — Aug 9, 2023
Annual Inspection
Date: Aug 9, 2023
Visit Reason
On-site complaint investigation of complaint AZ00198001 combined with a compliance (annual) inspection at an Assisted Living Center, conducted 9 August 2023.
Complaint Details
The following deficiencies were found during the compliance inspection and investigation of complaint AZ00198001 conducted on August 9, 2023.
Findings
The inspection found seven deficiencies related to documentation and procedural failures in resident care and facility management.
Deficiencies (7)
The manager failed to submit a documented report to the governing authority quarterly as required; the last report was dated August 4, 2022 and no current documentation was available.
The manager failed to ensure that one of two sample resident service plans included how medication stored in the resident's bedroom would be stored and controlled.
The manager failed to ensure that two sample resident service plans were signed and dated by the nurse or medical practitioner who reviewed the plans when updated.
The manager failed to ensure documentation that a resident was notified annually of the availability of influenza and pneumonia vaccinations was present in the resident's medical record.
R9-10-814 — The manager failed to obtain documentation that a non-ambulatory resident or their representative requested to remain in the facility and a medical practitioner's statement that the resident's needs could be met per the facility's scope of services.
The manager failed to ensure medication administration policies and procedures were reviewed and approved by a medical practitioner, registered nurse, or pharmacist as required.
The manager failed to ensure that snacks provided by the facility were served according to posted menus; no snack menu documentation was available.
Report Facts
Deficiencies cited: 7
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