20 Reports
Inspection Report — Feb 24, 2026
Date: Feb 24, 2026
Visit Reason
Inspection of type Other at a Nursing Care Institution conducted on 24 February 2026.
Findings
This inspection resulted in no citations or deficiency findings.
Inspection Report — Dec 19, 2025
Complaint Investigation
Date: Dec 19, 2025
Visit Reason
On-site complaint investigation of intake numbers 00151930 and 2679757 at a Nursing Care Institution, conducted 19 December 2025.
Complaint Details
The complaint survey was conducted on December 19, 2025, with the investigation of intake #00151930 and intake #:2679757. There were no deficiencies cited.
Findings
This inspection resulted in no deficiencies or citations.
Inspection Report — Nov 19, 2025
Complaint Investigation
Date: Nov 19, 2025
Visit Reason
On-site complaint investigation of complaints 00148546 and 2649859 at a Nursing Care Institution, conducted 19 November 2025.
Complaint Details
The onsite complaint survey was conducted on November 6, 2025 and investigated complaints #00148546. The onsite complaint survey was conducted on November 6, 2025 and investigated complaints #2649859. There were no deficiencies noted.
Findings
This inspection found no deficiencies.
Report Facts
Complaints investigated: 2
Inspection Report — Oct 8, 2025
Complaint Investigation
Date: Oct 8, 2025
Visit Reason
On-site complaint investigation of intake AZ00183212/228799 at a Nursing Care Institution, conducted 8 October 2025.
Complaint Details
The State Compliance Risk-Based complaint survey was conducted on October 8, 2025 for the investigation of intake: AZ00183212/ 228799. There were no deficiencies cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Jun 5, 2025
Complaint Investigation
Date: Jun 5, 2025
Visit Reason
On-site complaint investigation of intakes AZOO220739, AZOO214865, AZOO224677, AZ00220736, and AZ00214863 at a Nursing Care Institution, conducted 5 June 2025.
Complaint Details
A complaint investigation was conducted on June 5, 2025 through June 5, 2025 of intake # AZOO220739, AZOO214865, AZOO224677, AZ00220736, and AZ00214863. There were no deficiencies cited.
Findings
This inspection resulted in no deficiencies or citations.
Inspection Report — Oct 1, 2024
Date: Oct 1, 2024
Visit Reason
On-site inspection of type Other at a Nursing Care Institution, conducted 1 October 2024.
Findings
No deficiencies were found during this inspection.
Inspection Report — Sep 27, 2024
Complaint Investigation
Date: Sep 27, 2024
Visit Reason
The inspection was conducted based on complaints regarding failure to maintain resident dignity and privacy, and concerns about medication administration practices.
Complaint Details
The complaint investigation was substantiated with findings that the facility failed to maintain dignity and privacy for resident #338 and failed to follow physician orders for opioid administration for patient #8.
Findings
The facility failed to ensure dignity and privacy for one resident (#338) by staff entering the bathroom without knocking and withholding certain information citing HIPAA. Additionally, the facility failed to ensure opioid medication was administered according to physician-ordered parameters for one patient (#8), with multiple instances of oxycodone given outside prescribed pain level parameters without physician notification or documentation.
Deficiencies (2)
Failure to maintain resident dignity and privacy for resident #338, including staff entering bathroom without knocking and withholding information citing HIPAA.
Failure to ensure opioid medication regimen was administered according to physician's ordered parameters for patient #8, with oxycodone given outside pain level parameters without physician notification or documentation.
Report Facts
Medication administration outside ordered parameters: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse #28 | Nurse | Provided information about opioid medication administration practices and confirmed six instances of oxycodone given outside ordered parameters. |
| Director of Nursing | Director of Nursing | Discussed facility expectations for medication administration and confirmed no documentation of physician notification for parameter changes. |
Inspection Report — Sep 27, 2024
Routine
Date: Sep 27, 2024
Visit Reason
The inspection was conducted to assess compliance with resident rights, privacy, dignity, and medication administration practices at Advanced Health Care of Glendale.
Findings
The facility failed to maintain dignity and privacy for one resident (#338) by not knocking before entering the bathroom and improperly handling personal information. Additionally, the facility failed to ensure opioid medication was administered according to physician-ordered parameters for one patient (#8), with oxycodone given outside prescribed pain level parameters without physician notification or documentation.
Deficiencies (3)
Failed to ensure dignity and privacy for resident #338, including entering bathroom without knocking and improper disclosure of staff information.
Failed to keep residents' personal and medical records private and confidential for resident #338.
Failed to ensure opioid medication regimen was administered according to physician's ordered parameters for patient #8, with oxycodone given outside pain level parameters without physician notification.
Report Facts
Medication administration outside ordered parameters: 6
Dates of medication administration outside parameters: 9/04/2024, 9/11/2024, 9/12/2024, 9/16/2024, 9/18/2024, 9/19/2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nurse #28 | Nurse | Discussed opioid medication administration and policy adherence for patient #8 |
| Staff #27 | Unspecified staff | Involved in privacy and dignity issues with resident #338 |
| Staff #100 | Certified Nursing Assistant (CNA) | Described responsibilities and admission procedures |
| Staff #119 | Director of Nursing | Provided interview on admission process and opioid medication policy |
| Staff #126 | Regional Nurse | Present during interview with Director of Nursing |
| Staff #12 | Assistant Director of Nursing | Present during interview with Director of Nursing |
Inspection Report — Sep 27, 2024
Annual Inspection
Date: Sep 27, 2024
Visit Reason
On-site complaint investigation and annual compliance survey conducted September 24-27, 2024, in conjunction with investigation of complaints AZ00215222, AZ00214865, AZ00211042, AZ00208734, and AZ00213877 at a Nursing Care Institution.
Complaint Details
The state compliance survey was conducted September 24, 2024 to September 27, 2024 in conjunction with the investigation of complaints AZ00215222, AZ00214865, AZ00211042, AZ00208734, and AZ00213877.
Findings
The inspection found seven deficiencies related to resident rights, privacy, dignity, medication administration, and dietary services. The facility failed to maintain resident privacy and dignity, administer opioid medication according to physician orders, and ensure food preferences were honored for residents.
Deficiencies (7)
§483.10(a) Resident Rights — No evidence text provided for this deficiency.
§483.10(h) Privacy and Confidentiality — No evidence text provided for this deficiency.
§483.45(d) Unnecessary Drugs-General — No evidence text provided for this deficiency.
R9-10-410 — The facility failed to ensure dignity and privacy for resident #338, including staff entering the bathroom without knocking and withholding staff shift information citing HIPAA.
R9-10-410 — The facility failed to ensure resident #338 was treated with dignity and respect, including issues with communication about staff roles and resident care preferences.
R9-10-412 — The facility failed to ensure opioid medication was administered according to physician's ordered pain level parameters for resident #8, with six instances of administration outside prescribed parameters and no physician notification.
R9-10-423 — The facility failed to ensure resident #27 was served food consistent with their preferences, including being served seafood despite a 'No Seafood' order and receiving cold meals.
Report Facts
Deficiencies cited: 7
Complaints investigated: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #27 | Staff #27 stated they cannot disclose personal information due to HIPAA and answered call bells; implicated in privacy and dignity deficiencies. | |
| Staff #100 | Certified Nursing Assistant | Staff #100 described responsibilities including knocking before entering rooms; implicated in dignity and privacy deficiencies. |
| Staff #119 | Director of Nursing | DON described expectations for staff regarding resident privacy and communication; implicated in dignity and medication administration deficiencies. |
| Staff #12 | Assistant Director of Nursing | Present during interview with DON regarding dignity and privacy deficiencies. |
| Staff #126 | Regional Nurse | Present during interview with DON regarding dignity and privacy deficiencies. |
| Staff #28 | Licensed Practical Nurse | Nurse #28 interviewed about opioid medication administration and pain management; implicated in medication administration deficiency. |
| Staff #6 | Certified Nursing Assistant | Staff #6 described meal order process; implicated in dietary services deficiency. |
| Staff #96 | Pastry Cook | Staff #96 described food preparation and dietary procedures; implicated in dietary services deficiency. |
| Staff #88 | Nutrition Service Director | Staff #88 described oversight of kitchen and dietary services; implicated in dietary services deficiency. |
Inspection Report — Sep 10, 2024
Complaint Investigation
Date: Sep 10, 2024
Visit Reason
On-site complaint investigation of complaints AZ00215754 and AZ00215756 at a Nursing Care Institution, conducted 10 September 2024.
Complaint Details
The complaint survey was conducted on September 10, 2024 through September 11, 2024 of the following complaint # AZ00215754 and AZ00215756. The facility failed to ensure residents were treated with dignity and respect, with multiple resident interviews describing inappropriate and uncaring behavior by Staff #42 and inadequate administrative response.
Findings
The inspection found two deficiencies related to failure to ensure residents were treated with dignity and respect. The facility staff, specifically a CNA (Staff #42), demonstrated uncaring and inappropriate behavior toward residents, which was not adequately addressed by administration.
Deficiencies (2)
§483.10(e) — The facility failed to ensure residents were treated with dignity and respect, including a CNA (Staff #42) providing care without proper communication and causing residents to feel violated and disrespected.
R9-10-410 — The facility failed to ensure residents' rights to retain personal possessions and be treated with dignity, as evidenced by Staff #42's rude and uncaring behavior and inadequate administrative follow-up on complaints.
Report Facts
Deficiencies cited: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Staff #42 | Certified Nursing Assistant | CNA involved in multiple incidents of uncaring and inappropriate behavior toward residents. |
| Staff #108 | Registered Nurse | Evening charge nurse who received complaints and apologized, stating she would educate Staff #42. |
| Staff #101 | Administrator | Administrator who spoke with residents and was involved in grievance follow-up. |
| Staff #105 | Director of Nursing | DON who was informed of complaints and directed education for Staff #42. |
Inspection Report — Nov 29, 2023
Complaint Investigation
Date: Nov 29, 2023
Visit Reason
On-site complaint investigation of intake AZ00203216 and AZ00203217 at a Nursing Care Institution, conducted 28-29 November 2023.
Complaint Details
A complaint survey was conducted on November 28 through November 29, 2023 for the investigation of intake #AZ00203216 and intake #AZ00203217. There were no deficiencies cited.
Findings
No deficiencies were cited during this complaint investigation.
Inspection Report — Sep 29, 2023
Date: Sep 29, 2023
Visit Reason
On-site inspection of a Nursing Care Institution classified as 'Other' type, conducted 29 September 2023.
Findings
No deficiencies were found during this inspection. The facility met all applicable provisions of the Life Safety Code and emergency preparedness requirements.
Inspection Report — Sep 27, 2023
Date: Sep 27, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Advanced Health Care of Glendale, summarizing the results of a regulatory survey completed on 09/27/2023.
Findings
No health deficiencies were found during the survey.
Inspection Report — Sep 27, 2023
Annual Inspection
Date: Sep 27, 2023
Visit Reason
Recertification Survey conducted September 25 through September 27, 2023, in conjunction with the investigation of Complaints AZ00198755, AZ00194517, AZ00194414, AZ00187538, AZ00186529, AZ00186445, and AZ00186262 at a Nursing Care Institution.
Complaint Details
The Recertification Survey was conducted September 25 through September 27, 2023, in conjunction with the investigation of Complaints AZ00198755, AZ00194517, AZ00194414, AZ00187538, AZ00186529, AZ00186445, AZ00186262. There were no deficiencies cited.
Findings
No deficiencies were cited during this inspection.
Report Facts
Complaints investigated: 7
Inspection Report — Aug 3, 2023
Date: Aug 3, 2023
Visit Reason
The document is a statement of deficiencies and plan of correction for Advanced Health Care of Glendale, summarizing the findings of a facility survey completed on 08/03/2023.
Findings
No health deficiencies were found during the survey.
Inspection Report — Aug 3, 2023
Annual Inspection
Date: Aug 3, 2023
Visit Reason
Annual inspection survey conducted to assess compliance with health and safety regulations at Advanced Health Care of Glendale.
Findings
No health deficiencies were found during the inspection.
Inspection Report — Jul 5, 2023
Complaint Investigation
Date: Jul 5, 2023
Visit Reason
On-site complaint investigation of intakes AZ00195283 and AZ00195281 at a Nursing Care Institution, conducted 5 July 2023.
Complaint Details
An onsite survey was conducted on July 5, 2023 for the investigation of intake #AZ00195283. The complaint survey was conducted on July 5, 2023 for the investigation of intake #AZ00195281. There were no deficiencies cited.
Findings
This inspection found no deficiencies.
Inspection Report — Apr 25, 2023
Date: Apr 25, 2023
Visit Reason
The inspection was conducted to evaluate the facility's compliance with professional standards of quality, specifically regarding the monitoring and treatment of a resident (#15) with low oxygen levels.
Findings
The facility failed to ensure that resident #15's low oxygen level was properly monitored and treated, which could result in residents not receiving necessary care and developing complications. Documentation and staff interviews revealed lapses in oxygen level monitoring and delayed hospital transfer despite physician orders.
Deficiencies (1)
Failure to ensure one resident's (#15) low oxygen level was monitored and treated according to physician orders.
Report Facts
Oxygen saturation level: 85
Oxygen saturation level: 92
Oxygen saturation level: 88
Oxygen flow rate: 1
Time of hospital transport: 21
Employees mentioned
| Name | Title | Context |
|---|---|---|
| RN staff #13 | Registered Nurse | Wrote progress notes regarding resident #15's condition and oxygen administration |
| CNA staff #5 | Certified Nursing Assistant | Reported taking resident #15's vitals and concerns about breathing |
| Director of Nursing | Director of Nursing | Interviewed regarding resident #15's care and oxygen monitoring |
| LPN staff #42 | Licensed Practical Nurse | Interviewed about shift during resident #15's hospital transport and documentation |
Inspection Report — Apr 25, 2023
Complaint Investigation
Date: Apr 25, 2023
Visit Reason
The inspection was conducted due to a complaint investigation regarding the facility's failure to ensure that a resident (#15) with low oxygen levels was properly monitored and treated.
Complaint Details
The complaint investigation found that the resident was hypoxic with oxygen saturation dropping to 85% without appropriate monitoring or intervention by staff. The resident was transported to the hospital after a delay, and the facility's oxygen administration policy was not fully followed. The complaint was substantiated based on clinical record review and staff interviews.
Findings
The facility failed to monitor and treat resident #15's low oxygen levels as ordered, resulting in potential harm. Documentation showed oxygen saturation dropped to 85% without timely intervention, and staff did not adequately check or document oxygen levels after 4:37 p.m. on the day of the incident. The resident was eventually sent to the hospital where congestive heart failure was diagnosed.
Deficiencies (1)
Failed to ensure one resident's (#15) low oxygen level was monitored and treated according to physician orders.
Report Facts
Oxygen saturation level: 85
Oxygen saturation level: 92
Oxygen saturation level: 88
Oxygen flow rate: 1
Date of baseline care plan: Feb 10, 2023
Date of physician oxygen order: Feb 14, 2023
Date of incident: Feb 14, 2023
Date of interviews: Feb 25, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse (RN) | RN (staff #13) documented resident's condition and oxygen administration. | |
| Certified Nursing Assistant (CNA) | CNA (staff #5) worked with resident #15 and reported vitals to nurse. | |
| Director of Nursing (DON) | DON (staff #7) reviewed clinical record and oxygen monitoring procedures. | |
| Licensed Practical Nurse (LPN) | LPN (staff #42) provided shift details and clinical record documentation. |
Inspection Report — Aug 18, 2022
Routine
Date: Aug 18, 2022
Visit Reason
The inspection was conducted to evaluate compliance with professional standards of quality in medication administration, resident care including activities of daily living, skin assessment and treatment, and infection prevention and control practices at the nursing facility.
Findings
The facility failed to ensure medications were administered per professional standards for multiple residents, resulting in potential medication errors and adverse effects. Additionally, the facility did not provide adequate showers or timely skin assessments and treatments for a resident, risking altered skin integrity and psychosocial impact. Infection control practices during medication administration were also deficient, risking transmission of infections including COVID-19.
Deficiencies (7)
Failure to administer medications per pharmacy directions, including administering metformin without food and not observing residents taking medications.
Failure to hold blood pressure medication metoprolol tartrate when systolic blood pressure was below ordered parameters.
Failure to administer insulin as ordered due to medication unavailability and lack of physician notification.
Late administration of antibiotic medication doses beyond scheduled times.
Failure to provide adequate showers as scheduled, resulting in poor hygiene risk.
Failure to perform timely and documented nursing skin assessments despite documented skin alterations and CNA observations.
Failure to maintain infection control standards during medication administration, including improper gown securing and failure to perform hand hygiene and glove changes after handling contaminated items.
Report Facts
Medication doses administered late: 3
Metformin dosage: 1000
Metformin dosage: 500
Blood pressure medication dosage: 75
Insulin dosage: 100
Scheduled showers: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Registered Nurse | RN (staff #52) acknowledged not following pharmacy directions during medication administration | |
| Director of Nursing | DON (staff #40) stated expectations for medication administration and infection control | |
| Licensed Practical Nurse | LPN (staff #64) acknowledged medication administration errors and infection control breaches | |
| Certified Nursing Assistant | CNA (staff #33) described shower scheduling and skin observation documentation | |
| Licensed Practical Nurse | LPN (staff #58) described skin assessment and follow-up process |
6 CMS Surveys
CMS Survey — Apr 25, 2023
Apr 25, 2023
CMS Survey — Sep 10, 2024
Sep 10, 2024
CMS Survey — Aug 18, 2022
Aug 18, 2022
CMS Survey — Sep 27, 2023
Sep 27, 2023
CMS Survey — Sep 27, 2024
Sep 27, 2024
CMS Survey — Aug 3, 2023
Aug 3, 2023
Viewing
Loading inspection reports...
