Inspection Reports for Aloha Assisted Living Home
3414 North 81st Street, Scottsdale, AZ 85251, AZ, 85251
Back to Facility ProfileDeficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Enforcement
Deficiencies: 0
Dec 17, 2024
Visit Reason
State-compiled enforcement action report for Aloha Assisted Living LLC detailing enforcement action #00110071 with payment and penalty information.
Findings
The report documents an enforcement action completed with a penalty payment of $750.00. No specific deficiency findings or inspection details are provided on this page.
Report Facts
Total fines: 750
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 14
Oct 17, 2024
Visit Reason
State-compiled facility profile showing 4 inspections from 2022-12 to 2024-10 with deficiency history including complaint and annual compliance inspections.
Findings
Across all inspections, multiple deficiencies were found including failures in resident supervision and wandering safety policies, incomplete or outdated service plans, medication administration and documentation errors, and improper termination of residency notices.
Complaint Details
The page includes complaint investigations for complaints AZ00217458, AZ00193245, and AZ00186717 with substantiated allegations and deficiencies cited.
Deficiencies (14)
| 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 that: m. Cover methods by which the assisted living facility is aware of the general or specific whereabouts of a resident, based on the level of assisted living services provided to the resident and the assisted living services the assisted living facility is authorized to provide; |
| 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 7.1; |
| F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 1. Policies and procedures are established, documented, and implemented that ensure the safety of a resident who may wander; |
| 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 changes in the requirements in subsections (A)(3)(a) through (f): b. As follows: iii. At least once every three months for a resident receiving directed care services; |
| 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 service plan; |
| 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 calendar days after the resident's date of acceptance; |
| F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 1. Policies and procedures are established, documented, and implemented that ensure the safety of a resident who may wander; |
| 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 facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort that meets one of the following: a. Provides access to an outside area that: i. Allows the resident to be at least 30 feet away from the facility, and ii. Controls or alerts employees of the egress of a resident from the facility; |
| C. A manager shall ensure that policies and procedures are: 1. Established, documented, and implemented to protect the health and safety of a resident that: j. Cover termination of residency, including: i. Termination initiated by the manager of an assisted living facility, and |
| 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 of fees, charges, or deposit; or b. Under any of the conditions in subsection (C); or |
| 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 termination; 3. The policy for refunding fees, charges, or deposits; 4. The deposition of a resident's fees, charges, and deposits; and 5. Contact information for the State Long-Term Care Ombudsman. |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order, and |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: c. Is documented in the resident's medical record. |
Report Facts
Inspections on page: 4
Total deficiencies: 14
Complaint inspections: 3
Total capacity: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Named in multiple deficiency findings and interviews related to supervision, medication errors, and termination notices | |
| E2 | Named in interviews related to wandering policy and service plan deficiencies | |
| E3 | Named in interviews related to service plan and care provision deficiencies | |
| E4 | Assistant Caregiver | Named in deficiency related to unsupervised care provision |
| E5 | Named in interviews related to wandering policy deficiencies |
Inspection Report
Enforcement
Deficiencies: 2
Oct 17, 2024
Visit Reason
The inspection was conducted due to enforcement concerns regarding one assistant caregiver working without supervision and the failure to maintain a medical record for one former resident.
Findings
The facility was found to have violations including an assistant caregiver working without supervision and the manager failing to maintain a medical record for a former resident, resulting in civil fines.
Deficiencies (2)
| Description |
|---|
| One assistant caregiver was working without supervision. |
| The manager failed to maintain a medical record for one former resident. |
Report Facts
Civil fines total amount: 750
Civil fine amount: 500
Civil fine amount: 250
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brian Hawk | Manager | Named as Licensee/Director/Provider and involved in enforcement agreement. |
| Dawn Butler | Bureau Chief | Signed enforcement agreement. |
| Thomas Salow | Assistant Director | Signed enforcement agreement. |
| James Tiffany | Compliance Officer Supervisor | Signed enforcement agreement. |
Inspection Report
Enforcement
Deficiencies: 0
May 9, 2023
Visit Reason
State-compiled enforcement action report for Aloha Assisted Living LLC detailing enforcement action #00113372 with associated penalty and payment information.
Findings
The document details an enforcement action completed with a penalty of $500.00, including payment schedule and completion dates.
Report Facts
Total fines: 500
Inspection Report
Complaint Investigation
Deficiencies: 1
Apr 6, 2023
Visit Reason
The inspection was conducted due to a complaint regarding the failure to ensure one resident had a written service plan.
Findings
The manager failed to ensure that one resident had a written service plan, resulting in a penalty assessment.
Complaint Details
Complaint inspection conducted on April 6, 2023. The deficiency was substantiated as the manager failed to ensure one resident had a written service plan.
Deficiencies (1)
| Description |
|---|
| The manager failed to ensure one resident had a written service plan. |
Report Facts
Civil fine amount: 500
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