Inspection Report
Complaint Investigation
Capacity: 54
Deficiencies: 8
Jun 5, 2025
Visit Reason
State-compiled facility profile showing 10 inspections from 2023-04 to 2025-06 with deficiency history and complaint investigations.
Findings
Across multiple inspections, the facility had several complaint investigations with deficiencies related to resident dignity, medication administration, and food service. Several inspections found no deficiencies, including recertification and life safety surveys.
Complaint Details
Multiple complaint investigations were conducted including intake numbers AZOO220739, AZ00215222, AZ00214865, AZ00211042, AZ00208734, AZ00213877, AZ00215754, AZ00215756, AZ00203216, AZ00195283, and AZ00194104. Deficiencies were cited in some complaint investigations related to resident dignity, medication administration, and care plans.
Deficiencies (8)
| Description |
|---|
| R9-10-410.B.1.b — Failed to ensure resident privacy in bathing and toileting for resident #338. |
| R9-10-410.B.2 — Failed to ensure resident #338 was treated with dignity, respect, and consideration. |
| R9-10-412.B.7 — Failed to ensure opioid medication was administered according to physician's ordered parameters for patient #8. |
| R9-10-423.B.2.d — Failed to ensure resident #27 was served food according to preferences, including food substitutions. |
| §483.10(e) — Failed to ensure residents were treated with respect and dignity, including personal possessions, involving residents #4, #20, and #60. |
| R9-10-410.C.5 — Failed to ensure residents retained personal possessions including furnishings and clothing as space permits, involving residents #4, #20, and #60. |
| §483.21(b)(3) — Failed to ensure resident #15 with low oxygen level was monitored and treated according to professional standards. |
| R9-10-414.B.3.b — Failed to ensure resident #15 was provided nursing care to maintain highest practicable well-being. |
Report Facts
Inspections on page: 10
Total deficiencies: 8
Complaint inspections: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff #27 | Staff member involved in privacy and dignity deficiencies | Named in privacy and dignity deficiency interviews |
| Staff #100 | Certified Nursing Assistant | Interviewed regarding resident care and privacy |
| Staff #119 | Director of Nursing | Interviewed regarding privacy, dignity, and medication administration deficiencies |
| Staff #126 | Regional Nurse | Present during interview about privacy and dignity deficiencies |
| Staff #12 | Assistant Director of Nursing | Present during interview about privacy and dignity deficiencies |
| Staff #28 | Licensed Practical Nurse | Interviewed regarding opioid medication administration deficiency |
| Staff #6 | Certified Nursing Assistant | Interviewed regarding food service deficiency |
| Staff #96 | Pastry Cook | Interviewed regarding food service deficiency |
| Staff #88 | Nutrition Service Director | Interviewed regarding food service deficiency |
| Staff #42 | Certified Nursing Assistant | Named in complaint deficiencies related to respect and dignity |
| Staff #101 | Administrator | Interviewed regarding complaint deficiencies related to respect and dignity |
| Staff #105 | Director of Nursing | Interviewed regarding complaint deficiencies related to respect and dignity |
| Staff #108 | Registered Nurse | Interviewed regarding complaint deficiencies related to respect and dignity |
| Staff #13 | Registered Nurse | Interviewed regarding oxygen monitoring deficiency |
| Staff #5 | Certified Nursing Assistant | Interviewed regarding oxygen monitoring deficiency |
| Staff #7 | Director of Nursing | Interviewed regarding oxygen monitoring deficiency |
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