Inspection Reports for
The Hacienda at the River
2720 E River Rd, Tucson, AZ 85718, AZ, 85718
Back to Facility Profile16 Reports
Inspection Report — Apr 21, 2026
Complaint Investigation
Date: Apr 21, 2026
Visit Reason
On-site complaint investigation of complaints 00166525 and 00166786 at an Assisted Living Center, conducted 21 April 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00166525 and 00166786 conducted on April 24, 2026.
Findings
No deficiencies were found during the investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Mar 16, 2026
Annual Inspection
Date: Mar 16, 2026
Visit Reason
On-site annual compliance inspection of license AL10271C at an Assisted Living Center, conducted 16 March 2026. The inspection followed a Settlement Agreement executed 23 January 2026 after a Notice of Intent to Revoke was issued on 30 July 2025.
Findings
The inspection found the facility out of compliance with the Settlement Agreement terms, identifying four deficiencies related to emergency responder documentation, service plan documentation, medication administration, and hot water temperature standards.
Deficiencies (4)
A.R.S. § 36-420.04.D — The facility failed to maintain a copy of the document provided to emergency responders for two sampled incidents, including incomplete medication information and missing hospital names on HIPAA releases.
R9-10-808 — The manager failed to ensure a caregiver documented services provided in a resident's medical record, including incomplete and inaccurate activity documentation and missing emergency action records.
R9-10-817 — The manager failed to ensure medication was administered in compliance with the medication order, as Losartan was given despite a low systolic blood pressure without documentation of the error.
R9-10-820 — The manager failed to maintain hot water temperatures between 95º F and 120º F in resident areas; a private bathroom sink measured 81.7º F.
Report Facts
Deficiencies cited: 4
Inspection Report — Feb 5, 2026
Annual Inspection
Date: Feb 5, 2026
Visit Reason
On-site annual compliance inspection of an Assisted Living Center conducted 4-5 February 2026.
Findings
The inspection found 16 deficiencies, all with plans of correction provided. No evidence text was included for any deficiency.
Deficiencies (16)
No evidence text provided for the fall prevention and fall recovery training program requirement.
No evidence text provided for the governing authority's review and evaluation of the quality management program effectiveness at least once every 12 months.
No evidence text provided for ensuring compliance with A.R.S. § 36-411 by the governing authority.
No evidence text provided for the manager's requirement to provide documentation to the Department within two hours after a request.
R9-10-113 — No evidence text provided that staff or volunteers with more than eight hours per week of direct resident interaction provided evidence of freedom from infectious tuberculosis.
No evidence text provided that the manager did not accept or retain individuals whose needed services are outside the facility's scope without involvement of a home health or hospice agency.
No evidence text provided that a documented residency agreement including required elements was ensured before or at acceptance of an individual.
No evidence text provided that caregivers or assistant caregivers provided services as specified in the resident's service plan.
No evidence text provided that caregivers or assistant caregivers documented services provided in the resident's medical record.
R9-10-818 — No evidence text provided that resident medical records contained documentation of orientation to facility exits.
No evidence text provided that medications administered to residents complied with medication orders.
No evidence text provided that disaster drills for employees were conducted on each shift at least once every three months and documented.
No evidence text provided that evacuation drill documentation was created, maintained for 12 months, and included identification of residents needing assistance or not evacuated.
No evidence text provided that hot water temperatures were maintained between 95º F and 120º F in resident-used areas.
No evidence text provided that pets or animals allowed in the facility were licensed consistent with local ordinances.
No evidence text provided that dogs or cats allowed in the facility were vaccinated against rabies.
Report Facts
Deficiencies cited: 16
Inspection Report — Jan 30, 2026
Enforcement
Date: Jan 30, 2026
Visit Reason
Civil monetary penalty, action 00110330 (invoice INV-321403), assessed 30 January 2026.
Findings
A $5,000.00 penalty was assessed and paid in full on 23 February 2026.
Report Facts
Penalty amount: 5000
Amount paid: 5000
Amount remaining: 0
Inspection Report — Sep 29, 2025
Complaint Investigation
Date: Sep 29, 2025
Visit Reason
On-site complaint investigation of complaints 00144650, 00146170, and 00146144 at an Assisted Living Center, conducted 29 September 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00144650, 00146170, and 00146144 conducted on September 29, 2025.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 3
Inspection Report — Feb 3, 2025
Annual Inspection
Date: Feb 3, 2025
Visit Reason
On-site compliance (annual) inspection of an Assisted Living Center conducted on February 3, 2025.
Findings
This inspection found sixteen deficiencies related to staff training, documentation, resident care, and facility management. The facility failed to provide required documentation and maintain compliance with multiple regulatory requirements.
Deficiencies (16)
36-420.01 — The governing authority failed to administer a training program for all staff regarding fall prevention and fall recovery, including continued competency training, and did not provide policies and procedures for review.
The governing authority failed to review and evaluate the effectiveness of the quality management program at least once every 12 months and did not provide quality management reports for review.
The governing authority failed to ensure compliance with A.R.S. 36-411 by not documenting good faith efforts to contact prior employers and verify fingerprint clearance cards for three of six personnel records reviewed.
The manager failed to provide documentation required by the Article to the Department within two hours after a Department request, including resident medical records, policies and procedures, quality management reports, and work schedules.
R9-10-113 — The manager failed to ensure a caregiver and an assistant caregiver provided evidence of freedom from infectious tuberculosis on or before beginning services, with incomplete baseline screening and testing documentation for one employee.
C.3 — The manager accepted individuals needing services not within the facility's scope of services without involvement of a home health or hospice agency, for three of five residents sampled.
The manager failed to ensure documented residency agreements including required elements were in place before or at the time of acceptance for five residents sampled.
The manager failed to ensure a caregiver provided assisted living services as specified in a resident's service plan, including required actions for weight loss, for one resident sampled.
The manager failed to ensure a caregiver documented services provided in the resident's medical record for five residents sampled, preventing verification of services against service plans.
R9-10-818 — The manager failed to ensure resident medical records contained documentation of orientation to facility exits for five residents sampled.
The manager failed to ensure medications were administered in compliance with medication orders for four residents, including failure to hold medications as ordered based on blood pressure readings.
The manager failed to ensure disaster drills were conducted on each shift at least once every three months and documented, with gaps noted in overnight shift drills.
The manager failed to ensure evacuation drill documentation included identification of residents needing assistance and those not evacuated.
The manager failed to maintain hot water temperatures between 95º F and 120º F in resident areas, with observed temperature at 125.8º F posing a health and safety risk.
The manager failed to ensure animals residing at the facility were licensed consistent with local ordinances, with no pet records provided for review.
The manager failed to ensure animals residing at the facility were vaccinated against rabies, with no vaccination documentation provided for two dogs observed.
Report Facts
Deficiencies cited: 16
Inspection Report — Sep 26, 2024
Complaint Investigation
Date: Sep 26, 2024
Visit Reason
On-site complaint investigation of complaint AZ00216536 at an Assisted Living Center, conducted 26 September 2024.
Complaint Details
An on-site investigation of complaint AZ00216536 was conducted on September 26, 2024, and the following deficiencies were cited.
Findings
The inspection found three deficiencies related to incomplete service plan documentation, medication administration not in compliance with orders, and improper medication storage. These deficiencies posed risks to resident health and safety and included repeat violations.
Deficiencies (3)
R9-10-808 — The manager failed to ensure the service plan for a resident receiving directed care services included documentation of the resident's weight or a medical practitioner's statement that weighing was contraindicated. This deficiency was a repeat from previous inspections.
Medication administration — The manager failed to ensure medications were administered in compliance with current, signed medication orders for four of five residents sampled. Records were incomplete or inaccurate, and some medications were not administered as ordered.
Medication storage — The manager failed to ensure medications were stored in a separate locked area, as medications were found unsecured in a resident's bedside cabinet. This was a repeat deficiency from prior inspections.
Report Facts
Deficiencies cited: 3
Inspection Report — Aug 30, 2024
Complaint Investigation
Date: Aug 30, 2024
Visit Reason
On-site complaint investigation of complaint AZ00215379 at an Assisted Living Center, conducted 30 August 2024.
Complaint Details
An on-site investigation of complaint AZ00215379 was conducted on August 30, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Jul 2, 2024
Enforcement
Date: Jul 2, 2024
Visit Reason
Civil monetary penalty, action 00110965 (invoice INV-257828), assessed 2 July 2024.
Findings
A $1,500.00 penalty was assessed and paid in full on 22 August 2024.
Report Facts
Penalty amount: 1500
Amount paid: 1500
Amount remaining: 0
Inspection Report — Jun 7, 2024
Complaint Investigation
Date: Jun 7, 2024
Visit Reason
On-site complaint investigation of complaint AZ00210972 at an Assisted Living Center, conducted 7 June 2024.
Complaint Details
An on-site investigation of complaint AZ00210972 was conducted on June 7, 2024, and the following deficiencies were cited.
Findings
Two deficiencies were cited related to incomplete signatures on resident service plans and missing documentation of resident weight or contraindications for weighing. Both deficiencies were repeat findings from previous inspections.
Deficiencies (2)
The manager failed to ensure a resident had a written service plan signed and dated by the resident or representative, the manager, and the nurse when initially developed and updated. This posed a risk if the service plan did not clearly articulate decisions and agreements.
R9-10-808 — The manager failed to ensure the service plan for a resident receiving directed care services included documentation of the resident's weight or a medical practitioner's statement that weighing was contraindicated. This posed a risk if employees were unaware of significant changes in the resident's condition.
Report Facts
Deficiencies cited: 2
Inspection Report — Nov 7, 2023
Enforcement
Date: Nov 7, 2023
Visit Reason
Civil monetary penalty, action 00112223 (invoice INV-258775), assessed 7 November 2023.
Findings
A $1,500.00 penalty was assessed and paid in full on 28 December 2023.
Report Facts
Penalty amount: 1500
Amount paid: 1500
Amount remaining: 0
Inspection Report — Oct 17, 2023
Annual Inspection
Date: Oct 17, 2023
Visit Reason
On-site complaint investigation of complaint AZ00200287 combined with an annual compliance inspection at an Assisted Living Center, conducted 17 October 2023.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00200287 conducted on October 17, 2023.
Findings
This inspection found sixteen deficiencies related to personnel records, documentation timeliness, service plan accuracy and updates, documentation of services provided, medication storage, food safety, disaster and evacuation drills, water temperature, and animal licensing. Several deficiencies were repeats from prior inspections.
Deficiencies (16)
The governing authority failed to ensure compliance with A.R.S. § 36-411 regarding employment history verification for two caregivers, with gaps in employment not documented. This is a repeat deficiency from the prior inspection.
The manager failed to provide requested documentation to the Department within two hours after a request during the on-site inspection, including diet manuals, policies, medication orders, and work schedules. Technical assistance was previously provided.
The manager failed to comply with all requirements for investigating suspected exploitation, including timely documentation and reporting, posing a health and safety risk. The investigation report lacked required details and was not dated within five days.
The manager failed to ensure residents' written service plans accurately included the amount, type, and frequency of assisted living services and medication administration for six sampled residents.
The manager failed to ensure written service plans for three residents receiving directed care services were reviewed and updated at least once every three months.
The manager failed to ensure written service plans were signed and dated by the resident or representative, the manager, and the nurse when initially developed and updated for three residents. This is a repeat deficiency.
The manager failed to ensure caregivers documented all services provided in residents' medical records, with gaps in documentation for five sampled residents.
R9-10-808 — The manager failed to ensure service plans for residents receiving directed care included documentation of the resident's weight or a medical practitioner's statement that weighing was contraindicated for three residents. This is a repeat deficiency.
The manager failed to ensure medication was stored in a separate locked area, as a cabinet in a resident's bathroom was unlocked and accessible. This is a repeat deficiency from prior inspections.
The manager failed to ensure foods requiring refrigeration were maintained at 41°F or below, with a refrigerator observed at 45°F containing such foods.
The manager failed to ensure a refrigerator used to store food contained a thermometer accurate to plus or minus 3°F placed at the warmest part of the refrigerator.
The manager failed to ensure the disaster plan review was documented with the time, names of participants, and a critique, as required by R9-10-818(A)(3).
The manager failed to ensure disaster drills were conducted on each shift at least once every three months and documented, with missing documentation for some periods. This is a repeat deficiency.
The manager failed to ensure evacuation drills for employees and residents were conducted at least once every six months, with missing documentation for a drill due in May 2023.
The manager failed to ensure hot water temperature was maintained between 95°F and 120°F in resident areas, with a temperature observed at 125.1°F in a resident's bathroom.
The manager failed to ensure a dog residing at the facility was licensed consistent with local ordinances, lacking current licensure documentation.
Report Facts
Deficiencies cited: 16
Inspection Report — 500cs00000YnX6BAAV
Enforcement
Date: 500cs00000YnX6BAAV
Visit Reason
Enforcement action for facility HACIENDA AT THE RIVER, action number and invoice not specified, status closed (complete).
Findings
No penalty amount or payment details were provided in the document.
Report
Report
Report
Viewing
Loading inspection reports...
