Inspection Reports for
Celestial Care

1924 N Pennington Dr, Chandler, AZ 85224, United States, AZ, 85224

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12 Reports

All state 2023–2026

Inspection Report — Apr 16, 2026

Complaint Investigation State
Date: Apr 16, 2026

Visit Reason
On-site complaint investigation of complaints 00164345 and 00164668 at an Assisted Living Home, conducted 16 April 2026.

Complaint Details
No deficiencies were found during the on-site investigation of complaints 00164345 and 00164668 conducted on April 16, 2026.
Findings
No deficiencies were found during this inspection.

Report Facts
Complaints investigated: 2

Inspection Report — Oct 17, 2025

Enforcement State
Date: Oct 17, 2025

Visit Reason
Civil monetary penalty, action 00141245 (invoice INV-298690), assessed 17 October 2025.

Findings
A $500.00 penalty was assessed and paid in full on 24 October 2025.

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

Inspection Report — Jun 23, 2025

Annual Inspection State
Date: Jun 23, 2025

Visit Reason
On-site complaint investigation of complaints 00134219 and 00105134 combined with an annual compliance inspection at an Assisted Living Home, conducted 23 June 2025.

Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint 00134219 and 00105134 conducted on June 23, 2025.
Findings
The inspection found four deficiencies related to infection control documentation, tuberculosis testing documentation, resident egress alert systems, and refrigerator temperature monitoring. Plans of correction were provided for all deficiencies.

Deficiencies (4)
R9-10-803 — The manager failed to ensure that policies and procedures covering infection control were established, documented, and implemented. A resident's TB test documentation was incomplete and the facility's policies were not followed.
R9-10-807 — The manager failed to ensure that an employee and/or resident provided documentation of freedom from infectious Tuberculosis as required. This deficiency was repeated from a prior complaint inspection.
R9-10-815 — The manager failed to ensure that the means of exiting the facility alerted employees when a resident without a key or special knowledge exited. Staff were unaware when the front door was opened by the Compliance Officer.
R9-10-818 — The manager failed to ensure that refrigerators used to store food or medication contained a thermometer accurate to plus or minus 3° F at the warmest part. No thermometer was present in either refrigerator.
Report Facts
Deficiencies cited: 4 Complaints investigated: 2

Inspection Report — Sep 17, 2024

Enforcement State
Date: Sep 17, 2024

Visit Reason
Civil monetary penalty, action 00110586 (invoice INV-257575), assessed 17 September 2024.

Findings
A $2,000.00 penalty was assessed and paid in full on 9 November 2024.

Report Facts
Penalty amount: 2000 Amount paid: 2000 Amount remaining: 0

Inspection Report — Sep 4, 2024

Complaint Investigation State
Date: Sep 4, 2024

Visit Reason
On-site complaint investigation of complaint AZ00215446 at an Assisted Living Home, conducted 4 September 2024.

Complaint Details
An on-site investigation of complaint AZ00215446 was conducted on September 4, 2024, and the following deficiencies were cited.
Findings
This inspection found nine deficiencies related to staff training, documentation, and resident care plans. The facility failed to provide required training, orientation, and documentation for caregivers, and did not ensure proper resident service plan signatures or tuberculosis screening.

Deficiencies (9)
36-420.01 — The facility failed to administer a training program for all staff regarding fall prevention and fall recovery, as personnel records lacked documentation of such training for multiple caregivers.
The manager failed to ensure compliance with abuse reporting and investigation requirements, as documentation of reports, investigations, and preventive actions was missing despite incidents involving resident R1.
The manager failed to ensure a caregiver's skills and knowledge were verified and documented before providing services, as personnel records for one caregiver lacked this documentation.
The manager failed to ensure caregivers received orientation specific to their duties, as personnel records for four caregivers lacked documentation of such orientation despite it being provided.
The manager failed to ensure a caregiver provided documentation of current first aid training, as one caregiver's personnel record lacked this documentation.
The manager failed to ensure a personnel record included the individual's starting date of employment, as one employee's record lacked this information.
The manager failed to ensure a personnel record included documentation of good faith efforts to contact previous employers regarding a caregiver's fitness to work, as required by A.R.S. § 36-411(C)(1).
R9-10-808 — The manager failed to ensure a resident provided documentation of freedom from infectious tuberculosis as specified, lacking required risk assessment and symptom determination.
The manager failed to ensure a resident's written service plan was updated, signed, and dated by the resident's representative and the manager at least every three months.
Report Facts
Deficiencies cited: 9

Inspection Report — Apr 30, 2024

Enforcement State
Date: Apr 30, 2024

Visit Reason
Civil monetary penalty, action 00111310 (invoice INV-258083), assessed 30 April 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 State
Date: Apr 10, 2024

Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00200130, AZ00200211, and AZ00202992 at an Assisted Living Home, conducted 10 April 2024.

Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00200130, AZ00200211, AZ00202992 conducted on April 10, 2024.
Findings
The inspection found seven deficiencies related to medication administration policies, failure to immediately report suspected abuse, incomplete personnel records, lack of tuberculosis screening documentation, incomplete service plan reviews, failure to document services provided, and medication administration not compliant with orders.

Deficiencies (7)
The manager failed to ensure policies and procedures were implemented that covered medication administration, as a non-certified caregiver administered medications contrary to policy.
The manager failed to immediately report suspected abuse to Adult Protective Services as required, delaying reports of multiple incidents involving resident mistreatment.
The manager failed to ensure personnel records included documentation of good faith efforts to contact previous employers for eight of ten employees, risking unverified fitness to work.
R9-10-808 — The manager failed to ensure residents provided evidence of freedom from infectious tuberculosis, lacking required baseline symptom screenings for three residents.
The manager failed to ensure residents' written service plans were reviewed and updated at least once every three months for two residents receiving directed care services.
The manager failed to ensure caregivers documented the services provided in residents' medical records for three residents, preventing verification of services against plans.
The manager failed to ensure medication was administered in compliance with orders, as blood pressure was not taken prior to administering Amlodipine to a resident as required.
Report Facts
Deficiencies cited: 7 Complaints investigated: 3

Inspection Report — Oct 30, 2023

State
Date: Oct 30, 2023

Visit Reason
Off-site modification inspection to increase occupancy from 9 to 10 residents at an Assisted Living Home, conducted 30 October 2023.

Findings
No deficiencies were found during this inspection.

Inspection Report — Jun 2, 2023

Monitoring State
Date: Jun 2, 2023

Visit Reason
On-site initial monitoring inspection of an Assisted Living Home conducted on 2 June 2023.

Findings
No deficiencies were found during this abbreviated initial follow-up inspection.

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