The most recent inspection on November 10, 2025, identified deficiencies related to unmonitored resident access to an outside area and unsecured medication storage, resulting in civil fines. Earlier inspections showed a pattern of issues with medication storage, documentation, personnel records, service plan updates, and emergency drills. Prior enforcement actions included fines of $250 each for violations involving caregiver designation, medication storage, and other compliance matters, all of which were paid. Complaint investigations were limited, with one complaint in 2024 resulting in deficiencies but no enforcement actions. The facility’s record shows recurring challenges with medication security and documentation, with enforcement actions occurring intermittently over time.
Deficiencies (last 2 years)
Deficiencies (over 2 years)3.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The facility was found to have deficiencies posing health and safety risks, including lack of monitored egress for residents and unsecured medication storage, resulting in civil fines.
Fines & Penalties (2)
Amount
Reason
Status
$500.00
Failure to provide monitored access to an outside area for residents, posing health and safety risks.
—
$250.00
Failure to store medication in a separate locked, self-contained unit, posing health and safety risks; repeat deficiency.
Four deficiencies found related to documentation, personnel records, service plan updates, and disaster drills during complaint and compliance inspection.
Findings
Four deficiencies found related to documentation, personnel records, service plan updates, and disaster drills during complaint and compliance inspection.
Complaint Details
Complaint AZ00216114 investigated during this inspection
Deficiencies (4)
Description
A. Documentation maintenance — failure to maintain caregiver documentation
C. Personnel records — incomplete documentation of compliance
A. Service plan — failure to review and update written service plans quarterly
A. Disaster drills — failure to conduct and document quarterly drills on each shift
