12 Reports
Inspection Report — May 11, 2026
Complaint Investigation State
Date: May 11, 2026
Visit Reason
On-site complaint investigation of complaints 00169036 and 00169028 at an Assisted Living Center, conducted 11 May 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00169036 and 00169028 conducted on May 11, 2026.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Feb 23, 2026
Complaint Investigation State
Date: Feb 23, 2026
Visit Reason
On-site complaint investigation of complaints 00159628 and 00159765 at an Assisted Living Center, conducted 23 February 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00159628 and 00159765 conducted on February 23, 2026.
Findings
No deficiencies were found during the inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Jan 2, 2026
Enforcement State
Date: Jan 2, 2026
Visit Reason
Civil monetary penalty, action 00146498 (invoice INV-311426), assessed 2 January 2026.
Findings
A $250.00 penalty was assessed and paid in full on 5 December 2025.
Report Facts
Penalty amount: 250
Amount paid: 250
Amount remaining: 0
Inspection Report — Sep 23, 2025
Complaint Investigation State
Date: Sep 23, 2025
Visit Reason
On-site complaint investigation at an Assisted Living Center, conducted 23 September 2025.
Complaint Details
On September 23, 2025, an off-site review of the plan of correction was conducted. The plan of correction was accepted for all citations.
Findings
Two deficiencies were cited related to first aid provision and emergency responder documentation. The facility submitted and had accepted a plan of correction for all citations.
Deficiencies (2)
36-420.B.2 — The facility failed to ensure that staff certified in first aid were available at all times to provide appropriate first aid to residents in distress or who had fallen but appeared uninjured.
36-420.04.A — The facility failed to provide emergency responders with a written document containing required resident information, including medication lists, allergies, and contact information.
Report Facts
Deficiencies cited: 2
Inspection Report — Aug 22, 2025
Complaint Investigation State
Date: Aug 22, 2025
Visit Reason
On-site complaint investigation of complaints 00141814, 00141832, and 00121538 at an Assisted Living Center, conducted 22 August 2025.
Complaint Details
This revised Statement of Deficiencies replaces the SOD sent on September 30, 2025. Deficiencies were found during the on-site investigation of complaints 00141814, 00141832, and 00121538 conducted on August 22, 2025.
Findings
The inspection found five deficiencies related to emergency responder documentation, retention of emergency documents, notification of resident death, and residency agreements. The facility failed to provide required documentation to emergency responders and did not notify the Department timely of a resident's death.
Deficiencies (5)
A.R.S. § 36-420.04.A.1-9 — The manager failed to provide emergency responders with a written document including all required resident information, specifically a copy of the resident’s advance directives, during an emergency response for one resident.
A.R.S. § 36-420.04.D — The manager failed to maintain a copy of the document provided to emergency responders and documentation of required actions for two years after the emergency date.
R9-10-803.K.1 — The manager failed to provide written notification to the Department within one working day of a resident’s death as required by A.R.S. § 11-593.
R9-10-807 — The manager failed to ensure a documented residency agreement was available for one resident, posing a risk that the resident was uninformed of residency terms.
R9-10-807 — The manager failed to ensure one resident received a copy of the policy and procedure on health care directives at the time of acceptance.
Report Facts
Deficiencies cited: 5
Complaints investigated: 3
Inspection Report — Mar 24, 2025
Complaint Investigation State
Date: Mar 24, 2025
Visit Reason
On-site complaint investigation of complaint AZ00122464 at an Assisted Living Center, conducted 24 March 2025.
Complaint Details
The following deficiency was found during the on-site compliance inspection and investigation of complaint AZ00122464 conducted on March 24, 2025.
Findings
The inspection found one deficiency related to inadequate safeguards preventing unauthorized access to electronic resident medical records.
Deficiencies (1)
R9-10-811 — The manager failed to ensure safeguards exist to prevent unauthorized access to electronic resident medical records, as a laptop containing resident information was left on and accessible multiple times during the inspection.
Report Facts
Deficiencies cited: 1
Inspection Report — Jan 30, 2025
Annual Inspection State
Date: Jan 30, 2025
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00222788, AZ00220213, AZ00219207, and AZ00215248 at an Assisted Living Center, conducted 30 January 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00222788, AZ00220213, AZ00219207, and AZ00215248 conducted on January 30, 2025.
Findings
Two deficiencies were found related to first aid provision and emergency responder documentation. No evidence text was provided for either deficiency.
Deficiencies (2)
36-420. Health care institutions; cardiopulmonary resuscitation; first aid; immunity; falls; definition B.2 — The facility failed to provide appropriate first aid in accordance with certification training before emergency medical services arrival, as required.
36-420.04. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document A — The facility failed to provide required written documentation to emergency responders when contacted on behalf of a resident.
Report Facts
Deficiencies cited: 2
Inspection Report — Jul 30, 2024
Enforcement State
Date: Jul 30, 2024
Visit Reason
Civil monetary penalty, action 00110810 (invoice INV-257725), assessed 30 July 2024.
Findings
A $500.00 penalty was assessed and paid in full on 19 September 2024.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Jul 23, 2024
Complaint Investigation State
Date: Jul 23, 2024
Visit Reason
On-site complaint investigation of complaints AZ00213065, AZ00212953, AZ00212301, AZ00210337 and AZ00208646 at an Assisted Living Center, conducted 23 July 2024.
Complaint Details
An on-site investigation of complaint AZ00213065, AZ00212953, AZ00212301, AZ00210337 and AZ00208646 was conducted on July 23, 2024, and the following deficiencies were cited.
Findings
The inspection found three deficiencies related to emergency responder documentation, caregiver skills verification, and hazardous conditions blocking an exit. All deficiencies posed risks to resident safety and were cited with plans of correction provided.
Deficiencies (3)
36-420.04 — The manager failed to provide a written document with all required information to the emergency responder when EMS services were called, posing a risk if critical health information was not communicated.
Caregiver skills verification — The manager failed to ensure a caregiver's skills and knowledge were documented and verified before providing services, and no policy was available for review.
Premises safety — The manager failed to ensure the premises were free from conditions that could cause physical injury, as a bench was blocking a hallway exit in the memory care section.
Report Facts
Deficiencies cited: 3
Inspection Report — Feb 1, 2024
Annual Inspection State
Date: Feb 1, 2024
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00202431, AZ00204354, and AZ00205830 at an Assisted Living Center, conducted 1 February 2024.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00202431, AZ00204354, and AZ00205830 conducted on February 1, 2024:
Findings
Two deficiencies were found related to failure to review the disaster plan annually and failure to conduct a timely fire inspection. Both deficiencies posed risks to resident safety.
Deficiencies (2)
The manager failed to ensure the disaster plan was reviewed at least once every 12 months. This posed a risk if staff were unable to implement the disaster plan.
The manager failed to ensure a fire inspection was conducted by the local fire department or State Fire Marshal according to the required time-frame. This posed a risk to the physical health and safety of residents.
Report Facts
Deficiencies cited: 2
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