Inspection Reports for
Catalina Springs Memory Care
9685 N Oracle Rd, Oro Valley, AZ 85704, United States, AZ, 85704
Back to Facility Profile7 Reports
Inspection Report — Mar 24, 2025
Complaint Investigation
Date: Mar 24, 2025
Visit Reason
On-site complaint investigation of complaints 00123700 and 00123687 at an Assisted Living Center, conducted 24 March 2025.
Complaint Details
No deficiencies were found during the on-site compliance inspection and investigation of complaints 00123700 and 00123687 conducted on March 24, 2025.
Findings
No deficiencies were found during the inspection and investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Mar 20, 2025
Annual Inspection
Date: Mar 20, 2025
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints 00108951, 00105589, 00104066, and 00108395 at an Assisted Living Center, conducted 20 March 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint 00108951, 00105589, 00104066, and 00108395 conducted on March 20, 2025:
Findings
The inspection found three deficiencies related to tuberculosis screening documentation, incomplete caregiver service documentation, and incomplete incident report documentation. Plans of correction were provided for all deficiencies.
Deficiencies (3)
R9-10-113 — The chief administrative officer failed to implement tuberculosis infection control activities, including baseline screening, for two of five personnel and four of five residents sampled. Documentation forms were either unsigned by an occupational health reviewer or lacked required risk assessments.
R9-10-808 — The manager failed to ensure caregivers documented services provided in residents' medical records for five of six residents sampled. Care Tracking Sheets contained multiple gaps and numerous services marked as “Not Completed” without explanation.
R9-10-818 — The manager failed to ensure a caregiver documented an incident where a resident had an accident requiring medical services. The incident report lacked documentation of first aid provided despite paramedics being called.
Report Facts
Deficiencies cited: 3
Complaints investigated: 4
Inspection Report — Sep 11, 2024
Complaint Investigation
Date: Sep 11, 2024
Visit Reason
On-site complaint investigation of complaint AZ00214947 at an Assisted Living Center, conducted 11 September 2024.
Complaint Details
An on-site investigation of complaint AZ00214947 was conducted on September 11, 2024, and the following no deficiencies were cited:
Findings
The inspection found one deficiency related to medication administration not being in compliance with a medication order for one resident.
Deficiencies (1)
Medication administration — The manager failed to ensure a medication was administered in compliance with a medication order for one resident, including missed doses due to medication unavailability and delayed delivery.
Report Facts
Deficiencies cited: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #1 | Manager | In an interview, E1 acknowledged the medication was not administered in compliance with a medication order. |
Inspection Report — Aug 15, 2024
Complaint Investigation
Date: Aug 15, 2024
Visit Reason
On-site complaint investigation of complaints AZ00212465 and AZ00212128 at an Assisted Living Center, conducted 15 August 2024.
Complaint Details
An on-site investigation of complaints AZ00212465 and AZ00212128 were conducted on August 15, 2024, and the following deficiencies were cited.
Findings
Two deficiencies were cited related to the failure to update and fully include required elements in residents' written service plans for directed care services.
Deficiencies (2)
The manager failed to ensure a written service plan was updated at least once every three months for one of four residents receiving directed care services. The lack of timely updates posed a health and safety risk if employees were unaware of needed services.
R9-10-808 — The manager failed to ensure the service plan for a resident receiving directed care services included required elements such as offering sufficient fluids to maintain hydration and encouragement to eat meals and snacks.
Report Facts
Deficiencies cited: 2
Inspection Report — Apr 3, 2024
Complaint Investigation
Date: Apr 3, 2024
Visit Reason
On-site complaint investigation of complaint AZ00208102 at an Assisted Living Center, conducted 3 April 2024.
Complaint Details
An on-site investigation of complaint AZ00208102 was conducted on April 8, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Dec 19, 2023
Annual Inspection
Date: Dec 19, 2023
Visit Reason
On-site complaint investigation of complaints AZ00197685 and AZ00197642 combined with an annual compliance inspection at an Assisted Living Center, conducted 19 December 2023.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00197685 and AZ00197642 conducted on December 19, 2023.
Findings
The inspection found two deficiencies related to employee background checks and incomplete service plans for directed care residents. Plans of correction were provided for both deficiencies.
Deficiencies (2)
A.R.S. 36-411 — The governing authority failed to ensure documented good faith efforts were made to contact previous employers for three of five employees reviewed to verify their fitness to work in a residential care institution.
R9-10-808 — The manager failed to ensure service plans for five directed care residents included required elements such as incontinence care, skin maintenance, cognitive stimulation, personal safety strategies, and encouragement to eat meals and snacks.
Report Facts
Deficiencies cited: 2
Inspection Report — 500cs00000UhzTMAAZ
Enforcement
Date: 500cs00000UhzTMAAZ
Visit Reason
Enforcement action for facility CATALINA SPRINGS MEMORY CARE, document ID 500cs00000UhzTMAAZ.
Findings
No penalty amount or payment information was provided in the document.
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