Inspection Reports for
Silver Creek Inn – Mesa

6345 E Baseline Rd, Mesa, AZ 85206, United States, AZ, 85206

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25 Reports

2023–2026

Inspection Report — Apr 13, 2026

Enforcement
Date: Apr 13, 2026

Visit Reason
Civil monetary penalty, action 00162022 (invoice INV-337445), assessed 13 April 2026.

Findings
A $1,000.00 penalty was assessed and paid in full on 1 May 2026.

Report Facts
Penalty amount: 1000 Amount paid: 1000 Amount remaining: 0

Inspection Report — Feb 2, 2026

Complaint Investigation
Date: Feb 2, 2026

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On-site complaint investigation of complaint 00157760 at an Assisted Living Center, conducted 2 February 2026.

Complaint Details
The following deficiencies were found during the on-site investigation of complaint 00157760 conducted on February 2, 2026.
Findings
The inspection found two deficiencies involving violations of resident rights, including failure to treat a resident with dignity and the use of restraint. Both deficiencies were repeats from prior complaint inspections.

Deficiencies (2)
R9-10-810 — The manager failed to ensure that a resident was treated with dignity, respect, and consideration, as evidenced by staff berating the resident with derogatory statements.
R9-10-810 — The manager failed to ensure that a resident was not subjected to restraints, demonstrated by a staff member blocking a shower door to prevent the resident from leaving.
Report Facts
Deficiencies cited: 2

Inspection Report — Dec 3, 2025

Complaint Investigation
Date: Dec 3, 2025

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On-site complaint investigation of complaints 00141302 and 00152228 at an Assisted Living Center, conducted 3 December 2025.

Complaint Details
The following deficiencies were found during the on-site investigation of complaints 00141302 and 00152228 conducted on December 3, 2025.
Findings
This inspection found five deficiencies related to failure to maintain standardized emergency responder forms, failure to timely report a resident death, incomplete service plans lacking medical problem documentation and directed care components, and inadequate documentation of actions taken to prevent incidents. Plans of correction were provided for all deficiencies.

Deficiencies (5)
A.R.S. § 36-420.04.C — The manager failed to maintain a standardized form for each resident that included required information for emergency responders, posing a risk if responders were unaware of critical health information.
R9-10-803 — The manager failed to provide written notification to the Department of a resident's death within one working day as required, preventing timely assessment of potential dangers to other residents.
R9-10-808 — The manager failed to ensure service plans included documentation of residents' medical or health problems, including physical, behavioral, cognitive, or functional impairments, for all sampled residents.
R9-10-815 — The manager failed to ensure service plans for residents receiving directed care included required elements such as skin maintenance, incontinence care, safety strategies, meal encouragement, weight documentation, and communication coordination.
R9-10-819 — The manager failed to ensure caregivers documented actions taken to prevent incidents from recurring after residents had accidents or emergencies requiring medical services.
Report Facts
Deficiencies cited: 5

Inspection Report — Aug 14, 2025

Annual Inspection
Date: Aug 14, 2025

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On-site complaint investigation and annual compliance inspection of complaints 00140829, 00140822, and 00133187 at an Assisted Living Center, conducted 14 August 2025.

Complaint Details
No deficiencies were found during the on-site compliance inspection and investigation of complaints 00140829, 00140822, and 00133187 conducted on August 14, 2025.
Findings
No deficiencies were found during this inspection and complaint investigation.

Report Facts
Complaints investigated: 3

Inspection Report — Jun 2, 2025

Enforcement
Date: Jun 2, 2025

Visit Reason
Civil monetary penalty, action 00127932 (invoice INV-274607), assessed 2 June 2025.

Findings
A $500.00 penalty was assessed and paid in full on 2 June 2025.

Report Facts
Penalty amount: 500 Amount paid: 500 Amount remaining: 0

Inspection Report — Apr 11, 2025

Complaint Investigation
Date: Apr 11, 2025

Visit Reason
On-site complaint investigation of complaint 00124677 at an Assisted Living Center, conducted 11 April 2025.

Complaint Details
The following deficiencies were found during the on-site investigation of complaint 00124677 conducted on April 11, 2025:
Findings
The inspection found one deficiency involving the improper use of restraint on a resident during care. The facility took corrective actions including staff suspension, termination, and in-service training.

Deficiencies (1)
R9-10-810 — The manager failed to ensure a resident was not subjected to restraint, resulting in marks and bruises on the resident's hands during a shower. The deficient practice posed a risk to the resident's physical health and safety.
Report Facts
Deficiencies cited: 1

Inspection Report — Feb 6, 2025

Complaint Investigation
Date: Feb 6, 2025

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On-site complaint investigation of complaints AZ00223199, AZ00222991, AZ00222501 and AZ00221303 at an Assisted Living Center, conducted 6 February 2025.

Complaint Details
An on-site investigation of complaint AZ00223199, AZ00222991, AZ00222501 and AZ00221303 was conducted on February 6, 2025, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.

Inspection Report — Dec 24, 2024

Enforcement
Date: Dec 24, 2024

Visit Reason
Civil monetary penalty, action 00110047 (invoice INV-257216), assessed 24 December 2024.

Findings
A $500.00 penalty was assessed and paid in full on 6 February 2025.

Report Facts
Penalty amount: 500 Amount paid: 500 Amount remaining: 0

Inspection Report — Nov 21, 2024

Complaint Investigation
Date: Nov 21, 2024

Visit Reason
On-site complaint investigation of complaints AZ00219086, AZ00219105, and AZ00219107 at an Assisted Living Center, conducted 21 November 2024.

Complaint Details
An on-site investigation of complaint AZ00219086, AZ00219105, and AZ00219107 were conducted on November 21, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.

Inspection Report — Nov 18, 2024

Complaint Investigation
Date: Nov 18, 2024

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On-site complaint investigation of complaints AZ00218767 and AZ00218871 at an Assisted Living Center, conducted 18 November 2024.

Complaint Details
An on-site investigation of complaints AZ00218767 and AZ00218871 was conducted on November 18, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.

Inspection Report — Oct 18, 2024

Complaint Investigation
Date: Oct 18, 2024

Visit Reason
On-site complaint investigation of complaint AZ00217587 at an Assisted Living Center, conducted 18 October 2024.

Complaint Details
An on-site investigation of complaint AZ00217587 was conducted on October 18, 2024, and the following deficiencies were cited.
Findings
The inspection found one deficiency related to missing documentation of CPR and first aid training for an employee. A plan of correction was provided and accepted.

Deficiencies (1)
The manager failed to ensure personnel records included documentation of cardiopulmonary resuscitation (CPR) and first aid training certification for one of two employees sampled. This deficiency posed a risk if an employee was unable to meet a resident's needs during an emergency.
Report Facts
Deficiencies cited: 1

Inspection Report — Sep 17, 2024

Complaint Investigation
Date: Sep 17, 2024

Visit Reason
On-site complaint investigation of complaint AZ00216100 at an Assisted Living Center, conducted 17 September 2024.

Complaint Details
An on-site investigation of complaint AZ00216100 was conducted on September 17, 2024 and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.

Inspection Report — Sep 5, 2024

Enforcement
Date: Sep 5, 2024

Visit Reason
Civil monetary penalty, action 00110684 (invoice INV-257631), assessed 5 September 2024.

Findings
A $500.00 penalty was assessed and paid in full on 30 October 2024.

Report Facts
Penalty amount: 500 Amount paid: 500 Amount remaining: 0

Inspection Report — Aug 9, 2024

Annual Inspection
Date: Aug 9, 2024

Visit Reason
On-site complaint investigation of complaint AZ00213801 combined with an annual compliance inspection at an Assisted Living Center, conducted 9 August 2024.

Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00213801 conducted on August 09, 2024.
Findings
The inspection found four deficiencies related to failure to provide requested documentation timely, incomplete tuberculosis screening documentation for employees, improper medication storage, and inaccurate disaster drill documentation.

Deficiencies (4)
The manager failed to provide required documentation within two hours after a Department request, preventing determination of substantial compliance.
R9-10-113 — The manager failed to ensure two employees provided documentation of freedom from infectious tuberculosis on or before their hire dates, posing a potential TB exposure risk.
The manager failed to ensure medication was stored by the facility for one resident who required medication administration, risking resident safety.
The manager failed to ensure employee disaster drills were accurately documented, as drills were provided with future dates, posing a risk of false documentation.
Report Facts
Deficiencies cited: 4

Inspection Report — Jul 8, 2024

Complaint Investigation
Date: Jul 8, 2024

Visit Reason
On-site complaint investigation of complaints AZ00212747, AZ00211206, and AZ00211199 at an Assisted Living Center, conducted 8 July 2024.

Complaint Details
An on-site investigation of complaint AZ00212747, AZ00211206, and AZ00211199 was conducted on July 8, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.

Report Facts
Complaints investigated: 3

Inspection Report — Jun 4, 2024

Enforcement
Date: Jun 4, 2024

Visit Reason
Civil monetary penalty, action 00111106 (invoice INV-257934), assessed 4 June 2024.

Findings
A $1,000.00 penalty was assessed and paid in full on 24 July 2024.

Report Facts
Penalty amount: 1000 Amount paid: 1000 Amount remaining: 0

Inspection Report — May 23, 2024

Complaint Investigation
Date: May 23, 2024

Visit Reason
On-site complaint investigation of complaint AZ00210621 at an Assisted Living Center, conducted 23 May 2024.

Complaint Details
An on-site investigation of complaint AZ00210621 was conducted on May 23, 2024, and the following deficiencies were cited.
Findings
The inspection found two deficiencies related to caregiver training documentation and failure to treat residents with dignity and respect. Both deficiencies posed risks to resident care and rights.

Deficiencies (2)
The manager failed to ensure a caregiver provided documentation of completion of a caregiver training program approved by the Department or the Board of Examiners. One caregiver lacked valid training documentation despite being scheduled to work in May 2024.
The manager failed to ensure a resident was treated with dignity, respect, and consideration. A caregiver was observed using a personal cell phone while on duty, resulting in residents remaining soiled for long periods.
Report Facts
Deficiencies cited: 2

Inspection Report — Aug 1, 2023

Enforcement
Date: Aug 1, 2023

Visit Reason
Civil monetary penalty, action 00112895 (invoice INV-259298), assessed 1 August 2023.

Findings
A $1,750.00 penalty was assessed and paid in full on 15 October 2023.

Report Facts
Penalty amount: 1750 Amount paid: 1750 Amount remaining: 0

Inspection Report — Jul 13, 2023

Annual Inspection
Date: Jul 13, 2023

Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00197572, AZ00197606, AZ00197492, AZ00192926, and AZ00192249 at an Assisted Living Center, conducted 13 July 2023.

Complaint Details
The following deficiencies were found during the compliance inspection and investigation of complaints AZ00197572, AZ00197606, AZ00197492, AZ00192926, and AZ00192249 conducted on July 13, 2023.
Findings
The inspection found six deficiencies related to staff training, documentation, and resident care. Deficiencies included lack of fall prevention training, incomplete personnel documentation, missing caregiver orientation, absent CPR and first aid certification, and failure to provide assistance with activities of daily living according to service plans.

Deficiencies (6)
36-420.01 — The administrator failed to ensure the facility developed and administered a fall prevention and fall recovery training program for all staff, posing a risk if employees were unable to assist residents in emergencies.
The owner failed to ensure compliance with A.R.S. § 36-411 by not documenting good faith efforts to contact previous employers and verify fingerprint clearance cards for two of six employees sampled.
The manager failed to ensure two of three caregivers provided documentation of completion of a caregiver training program approved by the Department or NCIA Board.
The manager failed to ensure one caregiver received orientation specific to the duties to be performed before providing assisted living services, posing a risk if the employee was unable to meet resident needs.
The manager failed to ensure two of three caregivers provided current documentation of first aid and CPR training before providing assisted living services, posing a risk during emergencies.
R9-10-101(5) — The manager failed to ensure a caregiver provided assistance with activities of daily living according to the resident's service plan for three of four residents sampled.
Report Facts
Deficiencies cited: 6 Complaints investigated: 5

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