The most recent inspection on June 30, 2025, included enforcement action with a $1,000 fine that was paid in full. Earlier inspections showed multiple deficiencies related to medication administration, safety, quality management, personnel records, residency agreements, and environmental standards. Complaint investigations found substantiated issues involving fall prevention training, caregiver training, disaster planning, and resident safety. No license suspensions or warnings were listed in the available reports. The facility’s deficiencies have persisted over time, with repeated concerns about medication administration and safety contributing to enforcement actions.
Deficiencies (last 2 years)
Deficiencies (over 2 years)13 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The facility was found to have safety and medication administration deficiencies, including repeat violations, resulting in civil fines totaling $1000.
Fines & Penalties (2)
Amount
Reason
Status
$500.00
Failure to ensure a means of exiting the facility that controlled or alerted employees of resident egress.
—
$500.00
Failure to ensure medication was administered in compliance with orders, including repeat deficiency.
Nine deficiencies found related to quality management, personnel records, residency agreements, medication administration, environmental standards, and directed care services.
Findings
Nine deficiencies found related to quality management, personnel records, residency agreements, medication administration, environmental standards, and directed care services.
Deficiencies (9)
Description
R9-10-804.1.a-e. Quality Management
R9-10-806.A.9. Personnel
R9-10-807.A.1-2. Residency and Residency Agreements
R9-10-807.B.1.a-b. Residency and Residency Agreements
The enforcement resulted in a total fine of $6,000 for various violations posing risks to the health and safety of residents, including inadequate caregiver qualifications, incomplete personnel records, missing resident documentation, lack of service plans, improper medication administration, insufficient accident documentation, and lack of staff training on fall prevention.
Fines & Penalties (8)
Amount
Reason
Status
$1,500.00
Failure to ensure caregiver training documentation for three caregivers.
—
$2,500.00
Failure to ensure complete personnel records for five employees.
—
$250.00
Failure to ensure timely resident acceptance documentation for two residents.
—
$250.00
Failure to ensure documented residency agreement for one resident.
—
$500.00
Failure to complete a written service plan within 14 days for one resident.
—
$250.00
Medication not administered in compliance with orders for two residents.
—
$500.00
Inadequate documentation of accidents/emergencies resulting in medical services.
—
$250.00
Failure to provide staff training on fall prevention and recovery.
Seventeen deficiencies found related to fall prevention training, policies and procedures, caregiver training, personnel records, residency agreements, medication administration, disaster planning, and resident safety during complaint investigation.
Findings
Seventeen deficiencies found related to fall prevention training, policies and procedures, caregiver training, personnel records, residency agreements, medication administration, disaster planning, and resident safety during complaint investigation.
Complaint Details
Investigation of complaint #AZ00199469
Deficiencies (17)
Description
36-420.01. Health care institutions; fall prevention and training programs
Policies and procedures not established or implemented to protect resident health and safety
Caregiver training documentation incomplete
Personnel records missing required documentation
Incomplete personnel records for employees
Failure to submit documentation dated within 90 days before acceptance
No documented residency agreement at acceptance
Resident or representative not provided copy of policies at acceptance
Resident or representative not provided copy of policies at acceptance
Written service plan not completed timely
Written service plan missing required medical/health problem descriptions
Medication administered not in compliance with orders
Medication administration not documented in medical record
Disaster plan not developed, documented, or maintained accessibly
Disaster plan review documentation incomplete
Failure to ensure caregiver notification after resident accident/emergency
Premises not free from conditions causing physical harm
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