38 Reports
Inspection Report — Apr 9, 2026
Complaint Investigation
Date: Apr 9, 2026
Visit Reason
On-site complaint investigation of complaints 00164664 and 00164665 at an Assisted Living Center, conducted 9 April 2026.
Complaint Details
An on-site investigation of complaints 00164664 and 00164665 was conducted on April 9, 2026, and no deficiencies were found.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Apr 7, 2026
Enforcement
Date: Apr 7, 2026
Visit Reason
Civil monetary penalty, action 00157853 (invoice INV-331794), assessed 7 April 2026.
Findings
A $500.00 penalty was assessed and paid in full on 8 April 2026.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Mar 16, 2026
Complaint Investigation
Date: Mar 16, 2026
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On-site complaint investigation of complaints 00159460, 00159461 and 00160141 at an Assisted Living Center, conducted 25 February 2026 with documentation review completed 16 March 2026.
Complaint Details
An on-site investigation of complaints 00159460, 00159461 and 00160141 was conducted on February 25, 2026 and a documentation review was completed on March 16, 2026.
Findings
The inspection found one deficiency related to failure to update a resident's service plan within 14 days of a significant change in condition, posing a health and safety risk. A plan of correction was provided.
Deficiencies (1)
R9-10-808 — The manager failed to ensure a written service plan was updated no later than 14 days after a significant change in a resident's physical, cognitive, or functional condition. This deficiency posed a health and safety risk if caregivers did not know the resident's service needs.
Report Facts
Deficiencies cited: 1
Inspection Report — Mar 11, 2026
Annual Inspection
Date: Mar 11, 2026
Visit Reason
On-site complaint investigation and compliance (annual) inspection of complaints 00160845, 00161601, 00161590, 00160847, 00160864, 00160887, 00161232, and 00161233 at an Assisted Living Center, conducted March 10-11, 2026.
Complaint Details
An on-site compliance inspection and investigation of complaints 00160845, 00161601, 00161590, 00160847, 00160864, 00160887, 00161232, and 00161233 were conducted on March 10, 2026, and documentation review was completed on March 11, 2026.
Findings
The inspection found four deficiencies related to staff training on fall prevention, emergency responder documentation, tuberculosis clearance documentation, and incomplete resident service plans. All deficiencies were repeats from previous investigations.
Deficiencies (4)
A.R.S. § 36-420.01.A — The facility failed to ensure continued competency training on fall prevention and fall recovery for one of ten personnel sampled, despite initial training documentation being present.
A.R.S. § 36-420.04.A.1-9 — The facility failed to provide a written document containing required resident information to emergency responders for two residents sent to the hospital, lacking documentation of the required details.
R9-10-806 — The manager failed to ensure that three of ten sampled employees provided documentation of freedom from infectious tuberculosis, posing a potential exposure risk to residents.
R9-10-808 — The manager failed to ensure one resident had a current service plan reflecting hospice care services, which were not identified on the plan, posing a risk.
Report Facts
Deficiencies cited: 4
Complaints investigated: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #1 | Manager | Acknowledged training and documentation deficiencies in interviews. |
| Staff #4 | Personnel | Personnel record reviewed for fall prevention training documentation. |
| Staff #8 | Employee | Lacked documentation of freedom from infectious tuberculosis. |
| Staff #9 | Employee | Lacked documentation of freedom from infectious tuberculosis. |
| Staff #10 | Employee | Lacked documentation of freedom from infectious tuberculosis. |
Inspection Report — Feb 6, 2026
Complaint Investigation
Date: Feb 6, 2026
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On-site complaint investigation of complaints 00157044 and 00157045 at an Assisted Living Center, conducted 6 February 2026.
Complaint Details
An on-site investigation of complaints 00157044 and 00157045 was conducted on February 6, 2026, and no deficiencies were found.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Jan 22, 2026
Complaint Investigation
Date: Jan 22, 2026
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On-site complaint investigation of complaints 00156684, 00156724, 00156729 and 00156836 at an Assisted Living Center, conducted 22 January 2026.
Complaint Details
The following deficiency was found during the on-site investigation of complaints 00156684, 00156724, 00156729 and 00156836 conducted on January 22, 2026.
Findings
The inspection found two deficiencies related to failure to ensure resident safety and inadequate policies for monitoring resident whereabouts. Both deficiencies posed a risk to health and safety and plans of correction were provided.
Deficiencies (2)
R9-10-803 — The manager failed to ensure the health, safety, or welfare of a resident was not placed at risk of harm when a resident was found sitting on the floor in a closet with injuries and staff had not checked on the resident during the night shift.
R9-10-803 — The manager failed to ensure policies and procedures were implemented to protect resident health and safety by covering methods to monitor the whereabouts of residents according to the level of assisted living services provided.
Report Facts
Deficiencies cited: 2
Complaints investigated: 4
Inspection Report — Jan 2, 2026
Complaint Investigation
Date: Jan 2, 2026
Visit Reason
On-site complaint investigation of complaint 00154766 at an Assisted Living Center, conducted 2 January 2026.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00154766 conducted on January 2, 2026.
Findings
No deficiencies were found during this inspection.
Report Facts
Complaints investigated: 1
Inspection Report — Oct 30, 2025
Complaint Investigation
Date: Oct 30, 2025
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On-site complaint investigation of complaints 00149068 and 00149070 at an Assisted Living Center, conducted 30 October 2025.
Complaint Details
An on-site investigation of complaints 00149068 and 00149070 was conducted on October 30, 2025, and no deficiencies were found.
Findings
No deficiencies were found during this complaint investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Oct 8, 2025
Complaint Investigation
Date: Oct 8, 2025
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On-site complaint investigation of complaints 00147046 and 00147030 at an Assisted Living Center, conducted 8 October 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaints 00147046 and 00147030 conducted on October 8, 2025.
Findings
No deficiencies were found during the investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Sep 3, 2025
Complaint Investigation
Date: Sep 3, 2025
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On-site complaint investigation of complaints 00142464 and 00142477 at an Assisted Living Center, conducted 3 September 2025.
Complaint Details
An on-site investigation for complaints 00142464 and 00142477 was conducted on September 3, 2025, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Aug 18, 2025
Complaint Investigation
Date: Aug 18, 2025
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On-site complaint investigation of complaints 00141168, 00141208, and 00141494 at an Assisted Living Center, conducted 18 August 2025.
Complaint Details
No deficiencies were found for the on-site investigation for complaint(s) 00141168, 00141208, and 00141494 that was conducted on August 18, 2025.
Findings
No deficiencies were found during this complaint investigation.
Report Facts
Complaints investigated: 3
Inspection Report — Jun 6, 2025
Complaint Investigation
Date: Jun 6, 2025
Visit Reason
On-site complaint investigation of complaints 00132750 and 00132734 at an Assisted Living Center, conducted 6 June 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint 00132750 and 00132734 conducted on June 6, 2025.
Findings
No deficiencies were found during the on-site investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Jun 2, 2025
Enforcement
Date: Jun 2, 2025
Visit Reason
Civil monetary penalty, action 00126268 (invoice INV-275315), assessed 2 June 2025.
Findings
A $500.00 penalty was assessed and paid in full on 2 June 2025.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Apr 24, 2025
Annual Inspection
Date: Apr 24, 2025
Visit Reason
On-site complaint investigation of complaints 00128002, 00128016, 00126965, 00126982, 00126105, and 00125723 combined with a compliance (annual) inspection at an Assisted Living Center, conducted 24 April 2025.
Complaint Details
An on-site compliance inspection and complaints 00128002, 00128016, 00126965, 00126982, 00126105, and 00125723 were conducted on April 24, 2025 and a review of documentation was completed on May 2, 2025.
Findings
Two deficiencies were cited related to service plans: one involving missing signatures on initial and updated service plans for residents, and another involving a delayed service plan completion for a respite care resident. The deficiencies posed risks related to documentation and timely care planning.
Deficiencies (2)
R9-10-808 — The manager failed to ensure that service plans were signed and dated by the resident or resident's representative when initially developed and updated for two of six residents reviewed. This deficiency posed a risk if the service plan did not clearly articulate decisions and agreements.
R9-10-808 — The manager failed to ensure a written service plan was developed within three days of acceptance for one resident receiving respite care services. This posed a health and safety risk if caregivers were unaware of the services the resident needed.
Report Facts
Deficiencies cited: 2
Complaints investigated: 6
Inspection Report — Mar 20, 2025
Complaint Investigation
Date: Mar 20, 2025
Visit Reason
On-site complaint investigation of complaints 00123077 and 00123111 at an Assisted Living Center, conducted 20 March 2025.
Complaint Details
An on-site investigation of complaints 00123077 and 00123111 was conducted on March 20, 2025, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Report Facts
Complaints investigated: 2
Inspection Report — Mar 14, 2025
Complaint Investigation
Date: Mar 14, 2025
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On-site complaint investigation of complaints 122048 and 122052 at an Assisted Living Center, conducted 14 March 2025.
Complaint Details
An on-site investigation of complaint 122048 and 122052 was conducted on March 14, 2025. The following deficiency was cited:
Findings
The inspection found one deficiency related to failure to ensure a caregiver had current documentation of valid CPR training including hands-on demonstration before providing assisted living services.
Deficiencies (1)
R9-10-806 — The manager failed to ensure a caregiver provided current documentation of valid cardiopulmonary resuscitation (CPR) training including hands-on demonstration before providing assisted living services, posing a health and safety risk.
Report Facts
Deficiencies cited: 1
Inspection Report — Mar 3, 2025
Complaint Investigation
Date: Mar 3, 2025
Visit Reason
On-site complaint investigation of complaints 00120774 and 00120764 at an Assisted Living Center, conducted 3 March 2025.
Complaint Details
No deficiencies were found during the on-site investigation of complaint(s) 00120774 and 00120764 conducted on March 03, 2025.
Findings
No deficiencies were found during the investigation.
Report Facts
Complaints investigated: 2
Inspection Report — Feb 7, 2025
Complaint Investigation
Date: Feb 7, 2025
Visit Reason
On-site complaint investigation of complaint AZ0000223214 at an Assisted Living Center, conducted 7 February 2025.
Complaint Details
An on-site investigation of complaint AZ0000223214 was conducted on February 7, 2025, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Feb 6, 2025
Complaint Investigation
Date: Feb 6, 2025
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On-site complaint investigation of complaints AZ00220470 and AZ00220529 at an Assisted Living Center, conducted 16 December 2024 with document review completed 6 February 2025.
Complaint Details
An on-site investigation of complaints AZ00220470 and AZ00220529 were conducted on December 16, 2024 and a documention review was completed on February 6, 2025. No deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Jan 30, 2025
Complaint Investigation
Date: Jan 30, 2025
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On-site complaint investigation of complaint AZ00222666 at an Assisted Living Center, conducted 30 January 2025.
Complaint Details
An on-site investigation of complaint AZ00222666 was conducted on January 30, 2025, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Jan 8, 2025
Complaint Investigation
Date: Jan 8, 2025
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On-site complaint investigation of complaints AZ00221254 and AZ00221335 at an Assisted Living Center, conducted 8 January 2025.
Complaint Details
An on-site investigation of complaints AZ00221254 and AZ00221335 were conducted on January 8, 2025, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Jan 7, 2025
Enforcement
Date: Jan 7, 2025
Visit Reason
Civil monetary penalty, action 00109982 (invoice INV-264145), assessed 7 January 2025.
Findings
A $250.00 penalty was assessed and paid in full on 3 April 2025.
Report Facts
Penalty amount: 250
Amount paid: 250
Amount remaining: 0
Inspection Report — Dec 23, 2024
Complaint Investigation
Date: Dec 23, 2024
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On-site complaint investigation of complaint AZ00220830 at an Assisted Living Center, conducted 23 December 2024.
Complaint Details
An on-site investigation of complaint AZ00220830 was conducted on December 23, 2024 and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Dec 3, 2024
Enforcement
Date: Dec 3, 2024
Visit Reason
Civil monetary penalty, action 00110144 (invoice INV-257271), assessed 3 December 2024.
Findings
A $500.00 penalty was assessed and paid in full on 13 January 2025.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Nov 27, 2024
Complaint Investigation
Date: Nov 27, 2024
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On-site complaint investigation of complaints AZ00218773 and AZ00218980 at an Assisted Living Center, conducted 27 November 2024.
Complaint Details
An on-site investigation of complaints AZ00218773 and AZ00218980 were conducted on November 27, 2024 and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Nov 6, 2024
Complaint Investigation
Date: Nov 6, 2024
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On-site complaint investigation of complaint AZ00218286 at an Assisted Living Center, conducted 6 November 2024.
Complaint Details
An on-site investigation of complaint AZ00218286 was conducted on November 6, 2024 and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Nov 4, 2024
Complaint Investigation
Date: Nov 4, 2024
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On-site complaint investigation of complaint AZ00218210 at an Assisted Living Center, conducted 4 November 2024.
Complaint Details
An on-site investigation of complaint AZ00218210 was conducted on November 4, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Oct 29, 2024
Complaint Investigation
Date: Oct 29, 2024
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On-site complaint investigation of complaints AZ00217763 and AZ00217978 at an Assisted Living Center, conducted 29 October 2024.
Complaint Details
An on-site investigation of complaints AZ00217763 and AZ00217978 were conducted on October 29, 2024 and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Oct 18, 2024
Complaint Investigation
Date: Oct 18, 2024
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On-site complaint investigation of complaints AZ00215052, AZ00215326, and AZ00215384 at an Assisted Living Center, conducted 3 September 2024 with documentation review completed 18 October 2024.
Complaint Details
An on-site investigation of complaints AZ00215052, AZ00215326, and AZ00215384 were conducted on September 3, 2024 and documentation review was completed on October 18, 2024. No deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Report Facts
Complaints investigated: 3
Inspection Report — Aug 12, 2024
Complaint Investigation
Date: Aug 12, 2024
Visit Reason
On-site complaint investigation of complaint AZ00213178 at an Assisted Living Center, conducted 24 July 2024 with documentation review completed 12 August 2024.
Complaint Details
An on-site investigation of complaint AZ00213178 was conducted on July 24, 2024 and a documentation review was completed on August 12, 2024. No deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Jan 30, 2024
Complaint Investigation
Date: Jan 30, 2024
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On-site complaint investigation of complaints AZ00203890 and AZ00205699 at an Assisted Living Center, conducted 30 January 2024.
Complaint Details
An on-site investigation of complaint AZ00203890 and AZ00205699 was conducted on January 30, 2024, and no deficiencies were cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Sep 15, 2023
Complaint Investigation
Date: Sep 15, 2023
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On-site complaint investigation of complaint AZ00200128 at an Assisted Living Center, conducted 15 September 2023.
Complaint Details
An on-site investigation of complaint AZ00200128 was conducted on September 15, 2023 and no deficiencies were cited.
Findings
No deficiencies were cited during this inspection.
Inspection Report — Jul 18, 2023
Enforcement
Date: Jul 18, 2023
Visit Reason
Civil monetary penalty, action 00112967 (invoice INV-259356), assessed 18 July 2023.
Findings
A $500.00 penalty was assessed and paid in full on 1 September 2023.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Jun 26, 2023
Annual Inspection
Date: Jun 26, 2023
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00195045, AZ00195272, and AZ00196659 at an Assisted Living Center, conducted 26 June 2023.
Complaint Details
The following deficiencies were found during the compliance inspection and investigation of complaint #AZ00195045, #AZ00195272, and #AZ00196659 conducted on June 26, 2023.
Findings
This inspection found 11 deficiencies related to staff training, policy implementation, resident service plans, documentation, and medication administration. The deficiencies posed risks to resident health and safety.
Deficiencies (11)
36-420.01 — The manager failed to ensure the facility developed and administered a fall prevention and fall recovery training program for all staff, as two caregivers lacked documented training.
The manager failed to ensure policies and procedures were established, documented, and implemented covering cardiopulmonary resuscitation (CPR) training, as no policy was available.
The manager failed to ensure policies and procedures were established, documented, and implemented covering first aid training, as no policy was available.
The manager failed to provide current documentation of first aid and CPR training before providing assisted living services for one employee, whose training had expired.
The manager failed to ensure written service plans included a summary of residents' medical or health problems for three of four residents reviewed.
The manager failed to ensure written service plans included the level of service the resident was expected to receive for four of four residents reviewed.
The manager failed to ensure written service plans were updated at least once every three months for one of four residents receiving directed care services.
The manager failed to ensure caregivers documented services provided in residents' medical records for four of four residents reviewed, despite services being provided.
R9-10-814 — The manager failed to ensure the facility did not retain residents confined to a bed or chair without a medical practitioner's written determination that the facility could meet their needs, for two residents reviewed.
R9-10-808 — The manager failed to ensure service plans for residents receiving directed care included required elements such as cognitive stimulation, safety strategies, hydration encouragement, weight documentation, and communication coordination for four residents reviewed.
The manager failed to ensure medication was administered in compliance with a medication order for one resident, as the medication given did not match the order.
Report Facts
Deficiencies cited: 11
Complaints investigated: 3
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