Inspection Reports for A Caring Manor
18642 E Cloud Rd, Queen Creek, AZ 85142, United States, AZ, 85142
Back to Facility ProfileDeficiencies per Year
28
21
14
7
0
Severe
High
Moderate
Low
Unclassified
Notice
Deficiencies: 0
Jun 30, 2025
Visit Reason
Enforcement action notice showing penalty payment and completion details for A CARING MANOR as of mid-2025.
Findings
This document provides details of an enforcement action including invoice, payment schedule, and completion status without inspection findings or deficiencies.
Report Facts
Total fines: 1000
Inspection Report
Enforcement
Deficiencies: 2
Apr 2, 2025
Visit Reason
Inspection conducted on April 2, 2025, to address violations related to facility safety and medication administration compliance, resulting in enforcement actions and civil fines.
Findings
The facility was found deficient in ensuring a means of exiting the facility that controlled or alerted employees of resident egress, and in ensuring medication was administered in compliance with orders. These deficiencies posed health and safety risks and included repeat violations.
Deficiencies (2)
| Description |
|---|
| The manager failed to ensure that there was a means of exiting the facility that controlled or alerted employees of the egress of a resident from the facility. |
| The manager failed to ensure a medication administered to a resident was administered in compliance with a medication order, for one of two residents sampled. |
Report Facts
Civil fines total amount: 1000
Number of violations cited: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen M. Lendon | Licensee/Director/Provider | Named in enforcement agreement and signed the enforcement notification of rights |
Inspection Report
Annual Inspection
Capacity: 5
Deficiencies: 25
Apr 2, 2025
Visit Reason
State-compiled facility profile showing 2 inspections from 2023-08 to 2025-04 with deficiency history including complaint and annual compliance inspections.
Findings
Across two inspections, multiple deficiencies were identified including failures in quality management, personnel records, medication administration, resident documentation, disaster planning, and environmental safety, posing risks to resident health and safety.
Complaint Details
Complaint #AZ00199469 investigated during the August 18, 2023 inspection, identifying multiple deficiencies related to staff training, personnel records, medication administration, resident documentation, and safety.
Deficiencies (25)
| Description |
|---|
| R9-10-804.1.a-e. Quality Management: Failed to implement the facility's quality management program as required. |
| R9-10-806.A.9. Personnel: Failed to ensure personnel records included documentation of completed orientation for one employee. |
| R9-10-807.A.1-2. Residency and Residency Agreements: Failed to ensure resident provided evidence of freedom from infectious tuberculosis as specified. |
| R9-10-807.B.1.a-b. Residency and Residency Agreements: Failed to ensure required documentation dated within 90 days before acceptance was submitted for one resident. |
| R9-10-811.C.13.b. Medical Records: Failed to ensure medication documentation included correct strength for one resident. |
| R9-10-815.F.2.a-c. Directed Care Services: Failed to ensure means of exiting the facility controlled or alerted employees of resident egress. |
| R9-10-816.B.3.b. Medication Services: Failed to ensure medication administered was in compliance with medication order for one resident; repeat deficiency. |
| R9-10-816.F.1. Medication Services: Failed to ensure medication was stored in a separate locked area. |
| R9-10-819.A.11. Environmental Standards: Failed to ensure poisonous or toxic materials were stored in locked area inaccessible to residents. |
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs: Failed to develop and administer fall prevention training for all staff; repeat deficiency. |
| C. A manager shall ensure that policies and procedures cover staffing and recordkeeping: Failed to implement awake staff policy as required. |
| A. A manager shall ensure caregiver training documentation: Failed to ensure caregivers provided documentation of approved training for three caregivers. |
| C. A manager shall ensure personnel records include fingerprint clearance card documentation: Failed for four employees. |
| C. A manager shall ensure complete personnel records: Failed to maintain complete personnel records for five employees. |
| B. A manager shall ensure required documentation dated within 90 days before acceptance: Failed for two residents. |
| D. A manager shall ensure documented residency agreement: Failed for one resident. |
| F. A manager shall provide resident rights copy at acceptance: Failed for three residents. |
| F. A manager shall provide policy on health care directives at acceptance: Failed for three residents. |
| A. A manager shall ensure written service plan completed within 14 days: Failed for one resident. |
| A. A manager shall ensure service plan includes description of medical or health problems: Failed for one resident. |
| B. A manager shall ensure medication administered is documented in medical record: Failed for two residents. |
| A. A manager shall ensure disaster plan developed, documented, maintained, and implemented: Failed to have disaster plan accessible to caregivers. |
| A. A manager shall ensure disaster plan review documentation includes date, participants, critique, and recommendations: Failed to provide disaster plan review documentation. |
| D. A manager shall ensure documentation of accidents/emergencies includes required details: Failed to document emergency services call and incident details for a resident fall. |
| A. A manager shall ensure premises free from conditions causing physical injury: Failed to ensure safety regarding baby gate placement causing fall risk. |
Report Facts
Inspections on page: 2
Total deficiencies: 26
Complaint inspections: 1
Inspection Report
Enforcement
Deficiencies: 0
Nov 28, 2023
Visit Reason
State-compiled enforcement action report for A CARING MANOR detailing enforcement action #00112140 with associated payment schedule.
Findings
The report documents an enforcement action completed with a penalty amount of $6,000.00 and payment status marked as paid.
Report Facts
Total fines: 6000
Inspection Report
Enforcement
Deficiencies: 8
Aug 18, 2023
Visit Reason
The document is an enforcement action related to multiple violations found at the assisted living facility 'A Caring Manor' during an inspection conducted on August 18, 2023.
Findings
The facility manager failed to comply with several regulatory requirements including caregiver training documentation, personnel records, resident assessments, service plans, medication administration, accident documentation, and staff training on fall prevention, resulting in risks to resident health and safety.
Deficiencies (8)
| Description |
|---|
| The manager failed to ensure a caregiver provided documentation of completion of a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers, for three of five sampled caregivers. |
| The manager failed to ensure a complete personnel record was available for five of five employees sampled. |
| The manager failed to ensure that before or at the time of acceptance of an individual, the individual submitted documentation dated within 90 days prior to acceptance, including required medical and care needs documentation, for two of three residents sampled. |
| The manager failed to ensure a documented residency agreement including required terms was in place for one of three residents sampled. |
| The manager failed to ensure a written service plan was completed no later than 14 calendar days after the resident's date of acceptance for one of two residents sampled. |
| The manager failed to ensure medication was administered in compliance with medication orders for two of three residents sampled. |
| The manager failed to ensure proper documentation of accidents, emergencies, or injuries including date, time, description, witnesses, actions taken, notifications, and prevention measures. |
| The administrator failed to ensure the health care institution developed and administered a training program for all staff regarding fall prevention and fall recovery. |
Report Facts
Civil fines total: 6000
Penalty amount: 1500
Penalty amount: 2500
Penalty amount: 250
Penalty amount: 250
Penalty amount: 500
Penalty amount: 250
Penalty amount: 500
Penalty amount: 250
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Karen M. London | Manager | Named as Licensee/Director/Provider in enforcement agreement and related to violations. |
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