Inspection Report Summary
The most recent inspections on January 22, 2026, included deficiencies that resulted in monetary penalties totaling $10,000, all of which have been paid in full. Earlier inspections showed a pattern of citations related to medication administration, resident rights, environmental standards, personnel qualifications, and documentation, with multiple enforcement actions and fines issued over time. Inspectors frequently cited issues with opioid prescribing and administration, failure to maintain clean and safe premises, and inadequate staff training or certification. Complaint investigations were generally unsubstantiated or did not result in additional enforcement beyond the cited deficiencies. The facility’s record shows ongoing challenges with compliance, as recent enforcement actions reflect repeated and similar issues noted in prior inspections.
Deficiencies (last 1 years)
Deficiencies (over 1 years)
26 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
603% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Enforcement Action
Enforcement
Fines: 1
Total: $9,000.00
Jan 22, 2026
Summary
The facility was fined $9,000.00 which has been fully paid as of the due date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $9,000.00 | Fine imposed as part of enforcement action | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Jan 22, 2026
Summary
The enforcement resulted in a $1,000 fine which has been paid in full by the due date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Fine imposed as part of enforcement action against the facility | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $750.00
Dec 19, 2025
Summary
The enforcement action resulted in a $750 fine which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $750.00 | Fine associated with enforcement action #00142511 | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Dec 17, 2025
Summary
The facility was found to have a repeat deficiency related to improper medication administration, posing a health and safety risk to residents.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Failure to ensure medication was administered in compliance with a medication order, posing a health and safety risk. | — |
Enforcement Action
Enforcement
Fines: 2
Total: $750.00
Nov 7, 2025
Summary
The enforcement resulted in civil fines for two violations: one for failing to treat a resident with dignity and respect, and another for inadequate cleaning and disinfection of the facility, which was a repeat deficiency.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure that a resident was treated with dignity, respect, and consideration. | — |
| $250.00 | Failure to ensure premises and equipment were cleaned and disinfected according to policies to prevent illness; repeat deficiency. | — |
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 1
Oct 20, 2025
Visit Reason
On-site complaint inspection found noncompliance with Settlement Agreement Term #10 related to medication services.
Findings
On-site complaint inspection found noncompliance with Settlement Agreement Term #10 related to medication services.
Deficiencies (1)
| Description |
|---|
| R9-10-817.B.3.b. — Medication Services |
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 15
Sep 22, 2025
Visit Reason
On-site complaint and compliance inspection found multiple deficiencies including opioid prescribing, administration, personnel qualifications, service plans, resident rights, and environmental standards.
Findings
On-site complaint and compliance inspection found multiple deficiencies including opioid prescribing, administration, personnel qualifications, service plans, resident rights, and environmental standards.
Deficiencies (15)
| Description |
|---|
| R9-10-120.F.4.a-c. — Opioid Prescribing and Treatment |
| R9-10-803.A.10. — Administration |
| R9-10-806.A.5.a-c. — Personnel |
| R9-10-806.A.8.a-b. — Personnel |
| R9-10-807.D.10. — Residency and Residency Agreements |
| R9-10-808.A.3.a. — Service Plans |
| R9-10-808.A.4.a. — Service Plans |
| R9-10-810.B.1. — Resident Rights |
| R9-10-811.B.1-2. — Medical Records |
| R9-10-814.F.1. — Personal Care Services |
| R9-10-817.B.3.b. — Medication Services |
| R9-10-820.A.1.a. — Environmental Standards |
| R9-10-820.A.1.b. — Environmental Standards |
| R9-10-820.A.2. — Environmental Standards |
| R9-10-821.D.7.b. — Physical Plant Standards |
Enforcement Action
Enforcement
Fines: 11
Total: $9,000.00
Sep 22, 2025
Summary
The enforcement resulted in a total civil fine of $9,000 for repeated deficiencies posing risks to residents' health and safety, including improper opioid administration, inadequate staff qualifications, failure to update service plans, and failure to maintain a clean and safe facility environment.
Fines & Penalties (11)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Failure to ensure proper opioid administration and monitoring for residents with active malignancy or end of life condition. | — |
| $500.00 | Failure to ensure the health, safety, or welfare of a resident. | — |
| $500.00 | Failure to ensure caregiver qualifications, experience, skills, and knowledge to meet resident needs. | — |
| $1,750.00 | Failure to ensure employee provided evidence of freedom from infectious tuberculosis. | — |
| $250.00 | Failure to ensure written service plan included description of resident's medical or health problems. | — |
| $750.00 | Failure to ensure written service plan was updated within 14 days after significant change in resident's condition. | — |
| $750.00 | Failure to ensure resident was treated with dignity, respect, and consideration. | — |
| $500.00 | Failure to ensure service plan included skin maintenance to prevent and treat bruises, injuries, pressure sores, and infections. | — |
| $1,000.00 | Failure to ensure medication administered in compliance with medication order. | — |
| $1,000.00 | Failure to ensure premises and equipment were cleaned and disinfected to prevent illness or infection. | — |
| $1,000.00 | Failure to ensure premises and equipment were free from conditions that may cause physical injury. | — |
Inspection Report
Capacity: 103
Deficiencies: 0
Sep 18, 2025
Visit Reason
Off-site desktop review to change licensed level of care from directed care to personal care; no deficiencies cited.
Findings
Off-site desktop review to change licensed level of care from directed care to personal care; no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 3
Sep 2, 2025
Visit Reason
Complaint inspection found deficiencies related to documentation of services and medication administration.
Findings
Complaint inspection found deficiencies related to documentation of services and medication administration.
Deficiencies (3)
| Description |
|---|
| R9-10-808.C.1.g. — Service Plans |
| R9-10-817.A.1.a-g. — Medication Services |
| R9-10-817.B.3.b. — Medication Services |
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Aug 22, 2025
Visit Reason
On-site complaint investigation with no deficiencies found.
Findings
On-site complaint investigation with no deficiencies found.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 1
Aug 6, 2025
Visit Reason
Complaint investigation found deficiency related to residency agreements; resident refused to sign agreement despite multiple attempts.
Findings
Complaint investigation found deficiency related to residency agreements; resident refused to sign agreement despite multiple attempts.
Deficiencies (1)
| Description |
|---|
| R9-10-807.E.1-4. — Residency and Residency Agreements |
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 3
Jul 9, 2025
Visit Reason
Complaint inspection found deficiencies related to resident rights, environmental standards, and administration posing risks to residents.
Findings
Complaint inspection found deficiencies related to resident rights, environmental standards, and administration posing risks to residents.
Deficiencies (3)
| Description |
|---|
| R9-10-803.A.10. — Administration |
| R9-10-810.B.1. — Resident Rights |
| R9-10-820.A.1.a. — Environmental Standards |
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 2
Jun 3, 2025
Visit Reason
Complaint inspection found deficiencies related to resident dignity and environmental standards.
Findings
Complaint inspection found deficiencies related to resident dignity and environmental standards.
Deficiencies (2)
| Description |
|---|
| R9-10-810.B.1. — Resident Rights |
| R9-10-819.A.1.a. — Environmental Standards |
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 1
Jan 30, 2025
Visit Reason
Complaint investigation found deficiency related to environmental conditions posing risk to residents.
Findings
Complaint investigation found deficiency related to environmental conditions posing risk to residents.
Deficiencies (1)
| Description |
|---|
| A. — Environmental Conditions |
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Apr 9, 2024
Summary
The enforcement action resulted in a $250 fine which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Fine associated with enforcement action #00111281 | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Feb 27, 2024
Summary
The manager failed to ensure that one of three sampled residents submitted documentation signed by a medical practitioner or registered nurse indicating the need for continuous medical services or restraints, resulting in a civil fine.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Failure to ensure documentation signed by a medical practitioner or registered nurse for residents' medical service needs. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Dec 7, 2023
Summary
A fine of $500 was imposed and has been fully paid as part of the enforcement resolution.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine imposed as part of enforcement action | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Nov 13, 2023
Summary
The manager failed to ensure compliance with fingerprint clearance requirements for one of four employees sampled, posing a risk to a vulnerable population.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure compliance with fingerprint clearance card requirements for one employee. | — |
Enforcement Action
Enforcement
Fines: 2
Total: $1,000.00
Oct 26, 2023
Summary
The manager failed to establish and document adequate policies and procedures to ensure resident safety and failed to ensure proper documentation of actions taken after resident accidents or emergencies, resulting in risks to resident health and safety.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to establish and document policies and procedures to cover methods by which the facility was aware of resident whereabouts and to protect health and safety. | — |
| $500.00 | Failure to ensure documentation of actions taken to prevent accidents, emergencies, or injuries for three residents. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Oct 24, 2023
Summary
The facility was fined $1,000.00 which has been paid in full as of 11/3/2023.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Enforcement fine against the facility | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $2,000.00
Sep 21, 2023
Summary
The Department documented four violations in total during two inspections and referred the case to the Enforcement Team. The Licensee agreed to a settlement including a monetary penalty and compliance requirements.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $2,000.00 | Settlement amount for four cited violations documented during complaint investigations | — |
Enforcement Action
Enforcement
Fines: 1
Total: $2,000.00
Sep 21, 2023
Summary
The Department documented four violations across two inspections and referred the case to the Enforcement Team. The Licensee agreed to a settlement including a monetary penalty and compliance requirements.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $2,000.00 | Settlement amount for four cited violations ($500 for each violation) | — |
Enforcement Action
Enforcement
Fines: 4
Total: $1,750.00
May 17, 2023
Summary
The facility failed to ensure policies and procedures for CPR training, caregiver certification, personnel first aid training, and documentation of incident actions were properly implemented, resulting in civil fines.
Fines & Penalties (4)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure policies and procedures for CPR training including demonstration of CPR ability. | — |
| $500.00 | Failure to ensure caregiver provided documentation of completion of approved caregiver training program. | — |
| $500.00 | Failure to ensure personnel record included documentation of first aid training for one of nine personnel records sampled (repeat deficiency). | — |
| $250.00 | Failure to ensure documentation of action taken to prevent accident, emergency, or injury when a resident had such an event (repeat deficiency). | — |
Enforcement Action
Enforcement
Total: $0.00
Nodate Enforcement 2
Enforcement Action
Enforcement
Total: $0.00
Nodate Enforcement 3
Enforcement Action
Enforcement
Total: $0.00
Nodate Enforcement
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