Inspection Report Summary The most recent inspection on December 17, 2024, included enforcement action resulting in a $750 fine that has been paid in full. Earlier inspections showed recurring deficiencies related to policies and procedures, supervision, medical records, service plan completion and reviews, and safety measures. Prior enforcement actions included fines for missing or incomplete written service plans and issues with directed care policies and facility exit means. Complaint investigations mostly found deficiencies but did not note any substantiated complaints or license suspensions. The facility’s inspection history shows ongoing challenges with documentation and policy implementation, with enforcement actions occurring periodically, indicating a need for continued attention to compliance.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
4.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% worse than Arizona average
Arizona average: 3.7 deficiencies/year
Enforcement Action
Enforcement
Fines: 1
Total: $750.00
Dec 17, 2024
Summary
The enforcement resulted in a fine of $750.00 which has been paid in full.
Fines & Penalties (1)
Amount Reason Status $750.00 Fine associated with enforcement action #00110071 Paid
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Enforcement Action
Enforcement
Fines: 2
Total: $750.00
Oct 17, 2024
Summary
The facility was found to have violations including unsupervised assistant caregiver and missing medical record, resulting in civil fines totaling $750.00.
Fines & Penalties (2)
Amount Reason Status $500.00 One assistant caregiver was working without supervision. — $250.00 The manager failed to maintain a medical record for one former resident. —
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Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 4
Oct 17, 2024
Visit Reason
Deficiencies found during complaint and compliance inspection related to policies, supervision, medical records, and safety procedures.
Findings
Deficiencies found during complaint and compliance inspection related to policies, supervision, medical records, and safety procedures.
Deficiencies (4)
Description C. A manager shall ensure that policies and procedures are: 1. Established, documented, and implemented to protect the health and safety of a resident A. A manager shall ensure that: 2. An assistant caregiver: b. Interacts with residents under the supervision of a manager or caregiver A. A manager shall ensure that: 1. A medical record is established and maintained for each resident according to A.R.S. Title 12, Chapter 13, Article F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 1. Policies and procedures are established
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Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 2
Jul 10, 2023
Visit Reason
Deficiencies related to service plan reviews and provision of assisted living services were found during annual compliance inspection.
Findings
Deficiencies related to service plan reviews and provision of assisted living services were found during annual compliance inspection.
Deficiencies (2)
Description A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on c C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: a. Provides a resident with the assisted living services in the resident's s
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Enforcement Action
Enforcement
Fines: 1
Total: $500.00
May 9, 2023
Summary
The enforcement resulted in a $500 fine which has been paid in full.
Fines & Penalties (1)
Amount Reason Status $500.00 Fine associated with enforcement action #00113372 Paid
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Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Apr 6, 2023
Summary
The enforcement resulted in a civil fine of $500 for the violation of not having a written service plan for one resident.
Fines & Penalties (1)
Amount Reason Status $500.00 Failure to ensure one resident had a written service plan. —
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Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 3
Apr 6, 2023
Visit Reason
Deficiencies cited related to timely completion of service plans, policies for directed care services, and means of exiting the facility.
Findings
Deficiencies cited related to timely completion of service plans, policies for directed care services, and means of exiting the facility.
Deficiencies (3)
Description A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 1. Is completed no later than 14 cale F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 1. Policies and procedures are established F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 2. There is a means of exiting the facilit
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Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 5
Dec 21, 2022
Visit Reason
Deficiencies found related to termination of residency policies, medication administration, and documentation during complaint investigation.
Findings
Deficiencies found related to termination of residency policies, medication administration, and documentation during complaint investigation.
Deficiencies (5)
Description C. A manager shall ensure that policies and procedures are: 1. Established, documented, and implemented to protect the health and safety of a resident G. A manager may terminate residency of a resident as follows: 2. With a 14-calendar-day written notice of termination of residency: a. For nonpayment H. A manager shall ensure that the written notice of termination of residency in subsection (G) includes: 1. The date of notice; 2. The reason for ter B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is a B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: c. Is d
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