2 Reports
Inspection Report — Oct 7, 2025
Annual Inspection
Date: Oct 7, 2025
Visit Reason
On-site compliance (annual) inspection of an Assisted Living Home conducted on October 7, 2025.
Findings
The inspection found 11 deficiencies related to staff training, documentation, medication storage, emergency preparedness, and environmental safety. Plans of correction were provided for all deficiencies.
Deficiencies (11)
A.R.S. § 36-420.01.A — The manager failed to ensure personnel records included initial and continued competency training in fall prevention and fall recovery for one of two employees sampled, posing a risk due to lack of organized instruction.
A.R.S. § 36-420.04.C — The assisted living home failed to maintain standardized emergency responder forms for two residents, lacking critical contact and medical information, posing a risk in emergencies.
R9-10-113 — The health care institution did not document or implement an annual tuberculosis risk assessment, posing a TB exposure risk to residents.
R9-10-803 — The manager failed to establish and implement policies verifying staff qualifications, skills, and knowledge, with no documentation of verification for an employee who worked during the inspection.
R9-10-806 — The manager failed to ensure an employee provided documentation of freedom from infectious tuberculosis, posing a potential TB exposure risk.
R9-10-808 — The manager failed to include the level of service the resident was expected to receive in a resident's service plan, risking unclear service expectations.
R9-10-808 — The manager failed to ensure caregivers documented services provided in residents’ medical records, risking inability to verify care delivery.
R9-10-814 — The manager failed to obtain a written medical determination that a resident confined to a chair or bed had needs that could be met by the facility, risking unmet resident needs.
R9-10-817 — The manager failed to ensure medication was stored in a separate locked area, with medications and ointments found unsecured, posing a risk of resident access.
R9-10-819 — The manager failed to conduct and document disaster drills on each shift at least quarterly, risking unpreparedness for emergencies.
R9-10-820 — The manager failed to maintain hot water temperatures between 95º F and 120º F in resident areas, with temperatures observed above 130º F, posing a safety risk.
Report Facts
Deficiencies cited: 11
Inspection Report — Dec 28, 2023
Original Licensing
Date: Dec 28, 2023
Visit Reason
On-site initial licensing inspection of WE CARE RECOVERY LLC, an Assisted Living Home, conducted from December 4 to December 28, 2023.
Findings
No deficiencies were found during the on-site initial inspection and off-site documentation review.
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