Inspection Reports for All Stars Assisted Living

16477 West Yucatan Drive, Surprise, AZ 85388 , AZ, 85388

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Inspection Report Summary

The most recent inspection on August 22, 2024, found no deficiencies during the on-site modification to the floor plan. Earlier inspections showed some issues, including deficiencies related to resident documentation and orientation to exits in August 2024, as well as safety concerns and overcrowding in bedrooms noted in April 2023. Enforcement actions were taken in mid-2023 due to occupancy violations, resulting in a $500 fine that has been paid in full. Complaint investigations were not listed in the available reports. The facility appears to have addressed prior issues, with the latest inspection showing improvement.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 2.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

32% better than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

4 3 2 1 0
2023
2024

Inspection Report

Change Of Service
Capacity: 8 Deficiencies: 0 Date: Aug 22, 2024

Visit Reason
No deficiencies were found during the on-site modification to the floor plan completed on August 22, 2024.

Findings
No deficiencies were found during the on-site modification to the floor plan completed on August 22, 2024.

Inspection Report

Annual Inspection
Capacity: 8 Deficiencies: 2 Date: Aug 13, 2024

Visit Reason
Two deficiencies found related to resident documentation and orientation to exits.

Findings
Two deficiencies found related to resident documentation and orientation to exits.

Deficiencies (2)
B. A manager shall ensure that before or at the time of acceptance of an individual, the individual submits documentation that is dated within 90 calendar days — resident documentation
B. A manager shall ensure that: 1. A resident receives orientation to the exits from the assisted living facility and the route to be used when evacuating — resident orientation to exits

Enforcement Action

Enforcement
Fines: 1 Total: $500.00 Date: Aug 10, 2023

Summary
The facility was found to have used the master bedroom's closet as a bedroom for personnel members, resulting in a fine for exceeding the allowed number of residents per bedroom.

Fines & Penalties (1)
AmountReasonStatus
$500.00The manager allowed more than two individuals to reside in a bedroom.

Enforcement Action

Enforcement
Fines: 1 Total: $500.00 Date: Jul 11, 2023

Summary
A fine of $500.00 was imposed and has been paid in full.

Fines & Penalties (1)
AmountReasonStatus
$500.00Fine imposed as part of enforcement actionPaid

Inspection Report

Annual Inspection
Capacity: 8 Deficiencies: 3 Date: Apr 17, 2023

Visit Reason
Three deficiencies found related to oxygen container safety, toxic materials storage, and overcrowding in bedrooms.

Findings
Three deficiencies found related to oxygen container safety, toxic materials storage, and overcrowding in bedrooms.

Deficiencies (3)
A. A manager shall ensure that: 10. Oxygen containers are secured in an upright position — oxygen container safety
A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area — toxic materials storage
D. A manager shall ensure that: 3. Except as provided in subsection (E), no more than two individuals reside in a residential unit or bedroom — overcrowding in bedrooms

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