8 Reports
Inspection Report — Oct 7, 2025
Annual Inspection
Date: Oct 7, 2025
Visit Reason
On-site complaint investigation of complaints 00146956, 00147109, 00147040 and 00142226 combined with a compliance (annual) inspection at an Assisted Living Center, conducted 7 October 2025.
Complaint Details
No deficiencies were found during the on-site compliance inspection and investigation of complaints 00146956, 00147109, 00147040 and 00142226 conducted on October 7, 2025.
Findings
No deficiencies were found during this inspection and complaint investigation.
Report Facts
Complaints investigated: 4
Inspection Report — Jul 16, 2024
Complaint Investigation
Date: Jul 16, 2024
Visit Reason
On-site complaint investigation of complaint AZ00213092 at an Assisted Living Center, conducted 16 July 2024.
Complaint Details
An on-site investigation of complaint AZ00213092 was conducted on July 16, 2024, and the following deficiencies were cited.
Findings
Two deficiencies were cited related to failure to administer a fall prevention and recovery training program for all staff and failure to provide timely written notification to the Department of a resident's death as required.
Deficiencies (2)
36-420.01 — The facility failed to administer a training program for all staff regarding fall prevention and fall recovery, as documentation and interviews confirmed the training program did not include these components.
Notification failure — The manager did not provide written notification to the Department within one working day after a resident's death as required, preventing timely assessment of health and safety concerns for other residents.
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Deficiencies cited: 2
Inspection Report — May 7, 2024
Enforcement
Date: May 7, 2024
Visit Reason
Civil monetary penalty, action 00111280 (invoice INV-258058), assessed 7 May 2024.
Findings
A $500.00 penalty was assessed and paid in full on 4 June 2024.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Apr 10, 2024
Annual Inspection
Date: Apr 10, 2024
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00207745, AZ00208149, and AZ00208665 at an Assisted Living Center, conducted 9 and 10 April 2024.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00207745, AZ00208149, and AZ00208665 conducted on April 9, 2024 and April 10, 2024.
Findings
This inspection found eight deficiencies related to employee fingerprint clearance documentation, incomplete policies and procedures, verification of caregiver skills, tuberculosis screening, residency agreement termination provisions, resident service plan updates, dietary needs compliance, and opioid administration documentation.
Deficiencies (8)
A governing authority failed to ensure compliance with fingerprint clearance card requirements for six employees, including lack of documentation of good faith efforts to contact previous employers and failure to submit new fingerprints after employment gaps.
The manager failed to ensure all required policies and procedures were established, documented, and implemented, including policies covering job descriptions, orientation, cardiopulmonary resuscitation training, first aid training, contracted services, and equipment maintenance.
The manager failed to ensure verification and documentation of caregivers' skills and knowledge before providing physical health services for two of four caregivers sampled, posing a health and safety risk to residents.
R9-10-113 — The manager failed to ensure a caregiver provided evidence of freedom from infectious tuberculosis on or before beginning services, lacking required second-step TST documentation.
The manager failed to ensure residency agreements contained termination provisions compliant with R9-10-807(G) for seven residents, including improper immediate termination clauses.
The manager failed to ensure written service plans were reviewed and updated at least every six months for personal care and every three months for directed care services for sampled residents.
The manager failed to ensure a resident was provided a diet meeting nutritional needs as specified in the service plan, resulting in the resident being served foods to which they were allergic.
R9-10-120 — The manager failed to ensure documentation of the patient's need for opioids before administration and monitoring of the opioid's effect in the medical record for one resident.
Report Facts
Deficiencies cited: 8
Complaints investigated: 3
Inspection Report — Dec 27, 2023
Complaint Investigation
Date: Dec 27, 2023
Visit Reason
On-site complaint investigation of complaints AZ00197800, AZ00200579, and AZ00204287 at an Assisted Living Center, conducted 27 December 2023.
Complaint Details
An on-site investigation of complaint AZ00197800, AZ00200579, and AZ00204287 was conducted on December 27, 2023, and no deficiency was cited.
Findings
No deficiencies were cited during this complaint investigation.
Report Facts
Complaints investigated: 3
Inspection Report — Jun 6, 2023
Enforcement
Date: Jun 6, 2023
Visit Reason
Civil monetary penalty, action 00113246 (invoice INV-259599), assessed 6 June 2023.
Findings
A $250.00 penalty was assessed and paid in full on 14 August 2023.
Report Facts
Penalty amount: 250
Amount paid: 250
Amount remaining: 0
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