Inspection Reports for
Silver Birch of Avondale
295 E Van Buren St, Avondale, AZ 85323, AZ, 85323
Back to Facility Profile22 Reports
Inspection Report — Jun 16, 2026
Complaint Investigation
Date: Jun 16, 2026
Visit Reason
On-site complaint investigation of complaint 00173415 at an Assisted Living Center, conducted 16 June 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00173415 conducted on June 16, 2026.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 1
Inspection Report — Jun 9, 2026
Complaint Investigation
Date: Jun 9, 2026
Visit Reason
On-site complaint investigation of complaints 00172960 and 00172528 at an Assisted Living Center, conducted 9 June 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00172960 and 00172528 conducted on June 9, 2026.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — May 11, 2026
Complaint Investigation
Date: May 11, 2026
Visit Reason
On-site complaint investigation of complaints 00169009, 00169170, and 00169215 at an Assisted Living Center, conducted 11 May 2026.
Complaint Details
The following deficiencies were found during the on-site investigation of complaint 00169009, 00169170, and 00169215 conducted on May 11, 2026:
Findings
The inspection found two deficiencies related to incomplete documentation of services provided and medication administration in residents' medical records. The facility failed to ensure caregivers documented services and medication administration accurately, posing risks to resident care verification.
Deficiencies (2)
R9-10-808 — The manager failed to ensure a caregiver documented the services provided in the resident’s medical record for three residents, with multiple instances of missing documentation marked by dashes on activities of daily living records.
R9-10-817 — The manager failed to ensure medication administration was documented in the resident’s medical record for two residents, with multiple medications marked with dashes indicating missing documentation on medication administration records.
Report Facts
Deficiencies cited: 2
Inspection Report — Mar 18, 2026
Complaint Investigation
Date: Mar 18, 2026
Visit Reason
On-site complaint investigation of complaint 00162455 at an Assisted Living Center, conducted 18 March 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00162455 conducted on March 18, 2026.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 1
Inspection Report — Mar 5, 2026
Annual Inspection
Date: Mar 5, 2026
Visit Reason
On-site complaint investigation of complaints 00159029 and 00159043 combined with an annual compliance inspection at an Assisted Living Center, conducted 5 March 2026.
Complaint Details
No deficiencies were found during the on-site compliance inspection and investigation of complaints 00159029 and 00159043 were conducted on March 5, 2026.
Findings
No deficiencies were found during the inspection and complaint investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Feb 5, 2026
Complaint Investigation
Date: Feb 5, 2026
Visit Reason
On-site complaint investigation of complaints 00156829 and 00156813 at an Assisted Living Center, conducted 5 February 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00156829 and 00156813, conducted on February 5, 2026.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Feb 4, 2026
Enforcement
Date: Feb 4, 2026
Visit Reason
Civil monetary penalty, action 00146330 (invoice INV-321474), assessed 4 February 2026.
Findings
A $2,000.00 penalty was assessed and paid in full on 26 February 2026.
Report Facts
Penalty amount: 2000
Amount paid: 2000
Amount remaining: 0
Inspection Report — Jan 15, 2026
Complaint Investigation
Date: Jan 15, 2026
Visit Reason
On-site complaint investigation of complaints 00154918, 00154917, 00154419, 00151651 and 00151616 at an Assisted Living Center, conducted 15 January 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00154918, 00154917, 00154419, 00151651 and 00151616 conducted on January 15, 2026.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 5
Inspection Report — Nov 24, 2025
Complaint Investigation
Date: Nov 24, 2025
Visit Reason
On-site complaint investigation of complaints 00137871, 00138170, 00151127, and 00151392 at an Assisted Living Center, conducted 24 November 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00137871, 00138170, and 00151127, and 00151392, conducted on November 24, 2025.
Findings
No deficiencies were found during this complaint investigation.
Report Facts
Complaints investigated: 4
Inspection Report — Sep 30, 2025
Complaint Investigation
Date: Sep 30, 2025
Visit Reason
On-site complaint investigation of complaints 00143441 and 00146142 at an Assisted Living Center, conducted 30 September 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00143441 and 00146142 conducted on September 30, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Aug 14, 2025
Complaint Investigation
Date: Aug 14, 2025
Visit Reason
On-site complaint investigation of complaints 00141038 and 00138860 at an Assisted Living Center, conducted 14 August 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00141038 and 00138860 conducted on August 14, 2025.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Aug 13, 2025
Complaint Investigation
Date: Aug 13, 2025
Visit Reason
On-site complaint investigation of complaints 00140834, 00140949, and 00140946 at an Assisted Living Center, conducted 13 August 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00140834, 00140949, and 00140946 conducted on August 13, 2025.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 3
Inspection Report — Jul 29, 2025
Complaint Investigation
Date: Jul 29, 2025
Visit Reason
On-site complaint investigation of complaint 00137802 at an Assisted Living Center, conducted 29 July 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00137802 conducted on July 29, 2025.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 1
Inspection Report — Jul 24, 2025
Complaint Investigation
Date: Jul 24, 2025
Visit Reason
On-site complaint investigation of complaints 00137358, 00137871, and 00105126 at an Assisted Living Center, conducted 24 July 2025.
Complaint Details
The following deficiencies were found during the on-site investigation of complaints 00137358, 00137871, and 00105126 conducted on July 24, 2025.
Findings
The inspection found four deficiencies related to resident safety and monitoring. The facility failed to ensure the health and safety of a resident who experienced a medical emergency and later passed away, and deficiencies were found in policies, service plans, and door alert systems related to resident whereabouts and monitoring.
Deficiencies (4)
R9-10-803 — The manager failed to ensure the health, safety, or welfare of a resident who was found unresponsive outside the memory care unit after alerts were turned off and monitoring was insufficient. Staff did not check the resident's whereabouts timely, and the service plan lacked specific monitoring frequency.
R9-10-803 — The manager failed to establish, document, and implement sufficient policies and procedures to ensure awareness of residents' whereabouts, as frequent checks could not be verified and a resident was found outside without staff monitoring.
R9-10-808 — The manager failed to ensure service plans included the amount, type, and frequency of assisted living services provided, as one resident's plan did not specify monitoring frequency, posing a risk of unclear service provision.
R9-10-815 — The manager failed to ensure door alert systems provided access to an outside area that monitored or alerted staff of resident egress, as residents could disable alerts and staff were unaware when a resident exited to the courtyard, risking resident safety.
Report Facts
Deficiencies cited: 4
Complaints investigated: 3
Inspection Report — May 28, 2025
Complaint Investigation
Date: May 28, 2025
Visit Reason
On-site complaint investigation of complaints 00120880, 00121150, and 00131163 at an Assisted Living Center, conducted 28 May 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00120880, 00121150, and 00131163 conducted on May 28, 2025.
Findings
No deficiencies were found during the complaint investigation.
Report Facts
Complaints investigated: 3
Inspection Report — Mar 6, 2025
Complaint Investigation
Date: Mar 6, 2025
Visit Reason
On-site complaint investigation of complaints 00121527 and 00121528 at an Assisted Living Center, conducted 6 March 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00121527 and 00121528 conducted on March 6, 2025.
Findings
No deficiencies were found during the investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Feb 26, 2025
Annual Inspection
Date: Feb 26, 2025
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints 00116425 and AZ00221527 at an Assisted Living Center, conducted 26 February 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints 00116425 and AZ00221527 conducted on February 26, 2025.
Findings
Two deficiencies were found related to resident medical record documentation. The facility failed to ensure evidence of freedom from infectious tuberculosis and documentation of pneumonia vaccination offers were properly maintained.
Deficiencies (2)
R9-10-807 — The manager failed to ensure that a resident provided evidence of freedom from infectious tuberculosis as specified in R9-10-113 for one of ten residents sampled, posing a potential illness risk.
R9-10-811 — The manager failed to ensure a resident's medical record contained documentation showing the pneumonia vaccination was offered every 12 months for one of ten residents reviewed, posing a potential illness risk.
Report Facts
Deficiencies cited: 2
Complaints investigated: 2
Inspection Report — Dec 3, 2024
Complaint Investigation
Date: Dec 3, 2024
Visit Reason
On-site complaint investigation of complaints AZ00219656 and AZ00214886 at an Assisted Living Center, conducted 3 December 2024.
Complaint Details
An on-site investigation of complaint AZ00219656 and AZ00214886 was conducted on December 3, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Aug 12, 2024
Complaint Investigation
Date: Aug 12, 2024
Visit Reason
On-site complaint investigation of complaint AZ00214010 at an Assisted Living Center, conducted 12 August 2024.
Complaint Details
An on-site investigation of complaint AZ00214010 was conducted on August 12, 2024, and the following deficiency was cited.
Findings
The inspection found one deficiency related to the manager's failure to document an investigation of suspected abuse within five working days, posing a health and safety risk.
Deficiencies (1)
J. — The manager failed to document an investigation of suspected abuse within five working days after the report, despite evidence of suspected abuse and actions taken to stop it.
Report Facts
Deficiencies cited: 1
Inspection Report — Jun 25, 2024
Complaint Investigation
Date: Jun 25, 2024
Visit Reason
On-site complaint investigation of complaints AZ00212138, AZ00211180, AZ00207220 and AZ00205788 at an Assisted Living Center, conducted 25 June 2024.
Complaint Details
An on-site investigation of complaints AZ00212138, AZ00211180, AZ00207220 and AZ00205788 was conducted on June 25, 2024, and the following deficiencies were cited.
Findings
The inspection found one deficiency related to improper medication storage that posed a risk to resident safety.
Deficiencies (1)
The manager failed to ensure medication was stored in a separate locked area used only for medication storage, allowing residents access to unsecured medication.
Report Facts
Deficiencies cited: 1
Inspection Report — Dec 7, 2023
Annual Inspection
Date: Dec 7, 2023
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00195010, AZ00197064, AZ00198711, AZ00199024, AZ00199997, AZ00201149, AZ00202254, and AZ00203988 at an Assisted Living Center, conducted 7 December 2023.
Complaint Details
The following deficiencies were found during the compliance inspection and investigation of complaints #AZ00195010, #AZ00197064, #AZ00198711, #AZ00199024, #AZ00199997, #AZ00201149, #AZ00202254, and #AZ00203988 conducted on December 7, 2023.
Findings
This inspection found 11 deficiencies related to caregiver training and documentation, residency termination policies, service plan updates, vaccination documentation, resident acceptance criteria, hot water temperature, pet licensing and vaccination, and tuberculosis infection control. Plans of correction were provided for all deficiencies.
Deficiencies (11)
The manager failed to ensure a caregiver's skills and knowledge were verified and documented before providing physical health services and according to policies and procedures for one of three caregivers reviewed.
The manager failed to ensure a caregiver received orientation specific to the duties to be performed before providing assisted living services for two of nine caregivers reviewed.
The manager failed to ensure the policy and residency agreements contained provisions allowing termination of residency in compliance with R9-10-807(G) for six residents reviewed, missing required terms for 14-day termination notices.
The manager failed to ensure a written service plan was updated no later than 14 days after a significant change in a resident's physical, cognitive, or functional condition for one resident reviewed.
The manager failed to ensure a written service plan was updated at least once every three months for one resident receiving directed care services.
The manager failed to ensure resident medical records contained documentation of notification of the availability of influenza and pneumonia vaccinations for six residents reviewed.
R9-10-814 — The manager failed to ensure the facility did not retain a resident confined to a bed or chair due to inability to ambulate without a written determination every six months that the resident's needs could be met and were within the facility's scope of services.
The manager failed to ensure hot water temperatures were maintained between 95º F and 120º F in areas used by residents; hot water was observed at 124.2º F in a resident's bathroom.
The manager failed to ensure dogs were licensed with Maricopa County; documentation was missing or expired for three dogs allowed in the facility.
The manager failed to ensure dogs or cats were vaccinated against rabies; several pets had expired vaccinations or lacked documentation.
R9-10-113 — The facility failed to implement tuberculosis infection control activities including training and documentation of TB screening and risk assessments for staff, posing a TB exposure risk.
Report Facts
Deficiencies cited: 11
Complaints investigated: 8
Report
Viewing
Loading inspection reports...
