Inspection Reports for Andara Senior Living
11415 N 114th St, Scottsdale, AZ 85259, United States, AZ, 85259
Back to Facility ProfileInspection Report Summary
The most recent inspection on October 28, 2025, found no deficiencies during the complaint investigation. Earlier inspections showed a pattern of deficiencies related primarily to medication administration, opioid documentation, caregiver training and verification, and storage of toxic materials. Enforcement actions included fines totaling several thousand dollars, with a $1,000 fine in October 2024 and prior fines in 2023 and 2024 related to medication errors and staff training issues. Complaint investigations were mostly substantiated in earlier reports, but the most recent complaints were unsubstantiated. The facility’s record shows some improvement with no deficiencies noted in the latest inspection after a period of multiple citations and enforcement actions.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
9.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
162% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 0
Date: Oct 28, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00131862, 00141416, and 00148865.
Findings
No deficiencies were found during the on-site investigation of complaints 00131862, 00141416, and 00148865.
Inspection Report
Capacity: 120
Deficiencies: 0
Date: Dec 16, 2024
Visit Reason
No deficiencies were found during the on-site amend to modify the facility and add a secured memory care unit with 20 directed care beds.
Findings
No deficiencies were found during the on-site amend to modify the facility and add a secured memory care unit with 20 directed care beds.
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Date: Oct 29, 2024
Summary
A fine of $1,000.00 was imposed and has been fully paid as of the completion date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Fine imposed as part of enforcement action | Paid |
Enforcement Action
Enforcement
Fines: 3
Total: $1,000.00
Date: Sep 12, 2024
Summary
The enforcement resulted in identification of repeat deficiencies related to opioid medication documentation, medication administration errors causing harm, and unsafe storage of toxic materials accessible to residents.
Fines & Penalties (3)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Two residents were administered opioid medications; response to opioids was not documented in medical records | — |
| $500.00 | Two residents' medications were not administered in compliance with medication orders, resulting in actual harm | — |
| $250.00 | Toxic materials were stored in an unlocked area accessible to residents | — |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 14
Date: Sep 11, 2024
Visit Reason
Seventeen deficiencies were found during the compliance inspection and investigation of complaints AZ00214152 and AZ00209465.
Complaint Details
Complaints AZ00214152 and AZ00209465 investigated
Findings
Seventeen deficiencies were found during the compliance inspection and investigation of complaints AZ00214152 and AZ00209465.
Deficiencies (14)
36-420.04. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document — failure to maintain required documentation
C. A manager shall ensure that policies and procedures are established, documented, and implemented to protect resident health and safety — failures in policy implementation
K. A manager shall provide written notification to the Department of a resident's death — failure to notify
A manager shall ensure an ongoing quality management program is established and implemented — failure to implement
A. Except as required in subsection (B), a manager shall ensure residents have written service plans that are reviewed and updated — failures in service plan documentation and updates
C. A manager shall ensure caregivers are assigned only to services they are qualified for and document services provided — failures in caregiver assignment and documentation
A. A manager shall ensure medication services policies and procedures include procedures for unexpected events — failures in medication administration policies
B. If medication administration is provided, a manager shall ensure medication is administered in compliance with policies — failures in medication administration
A. A manager shall ensure documentation of evacuation drills is maintained — failures in evacuation drill documentation
D. When a resident has an accident or emergency needing medical services, a manager shall ensure caregiver response — failures in emergency response
A. A manager shall ensure premises and equipment are cleaned and disinfected — failures in cleanliness
A. A manager shall ensure premises are free from hazardous conditions — failures in safety
A. A manager shall ensure poisonous or toxic materials are stored in labeled containers in locked areas — failures in storage
R9-10-120. Opioid Prescribing and Treatment — failures in opioid medication administration and policy documentation
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 2
Date: Apr 25, 2024
Visit Reason
Two deficiencies were cited during the on-site investigation of complaints AZ00209465 and AZ00200208.
Complaint Details
Complaints AZ00209465 and AZ00200208 investigated
Findings
Two deficiencies were cited during the on-site investigation of complaints AZ00209465 and AZ00200208.
Deficiencies (2)
36-420.01. Health care institutions; fall prevention and training programs — failures in staff training
F. In addition to R9-10-808(A)(3), a manager shall ensure service plans include skin maintenance to prevent breakdown — failure in service plan
Enforcement Action
Enforcement
Fines: 3
Total: $1,250.00
Date: Aug 28, 2023
Summary
The enforcement resulted in civil fines totaling $1250 for multiple violations including caregiver skills verification, CPR training documentation, and evacuation drills.
Fines & Penalties (3)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Two caregivers' skills and knowledge were not verified and documented before providing physical health services to residents. | — |
| $500.00 | One employee had no documentation of CPR training. | — |
| $500.00 | No evacuation drills for employees and residents were conducted during the past twelve months. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $1,250.00
Date: Aug 15, 2023
Summary
The facility was fined $1,250.00 which has been paid in full as of the completion date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,250.00 | Fine related to enforcement action against the facility | Paid |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 13
Date: Jul 18, 2023
Visit Reason
Thirteen deficiencies were found during the compliance inspection and investigation of complaint #AZ00197543.
Complaint Details
Complaint #AZ00197543 investigated
Findings
Thirteen deficiencies were found during the compliance inspection and investigation of complaint #AZ00197543.
Deficiencies (13)
A. A manager shall ensure caregiver skills and knowledge are verified and documented before providing services — failures in caregiver verification
A. A manager shall ensure personnel records include documentation of CPR certification — failure in personnel record documentation
A. Except as required in subsection (B), a manager shall ensure residents have written service plans including level of service — failures in service plans
A. Except as required in subsection (B), a manager shall ensure service plans include medication storage instructions — failures in service plans
A. Except as provided in subsection (B), a manager shall ensure caregiver or employee coordinates transport services and resident evaluations — failures in transport evaluation
C. A manager shall ensure resident medical records contain contact info of representative — failures in medical record documentation
A. A manager shall ensure disaster plan is reviewed annually — failure in disaster plan review
A. A manager shall ensure employee disaster drills are conducted quarterly and documented — failure in disaster drills
A. A manager shall ensure evacuation drills for employees and residents are conducted semiannually — failure in evacuation drills
A. A manager shall ensure garbage and refuse are stored in covered containers — failure in refuse storage
A. A manager shall ensure poisonous or toxic materials are maintained in locked containers — failure in storage
R9-10-120. Opioid Prescribing and Treatment — failure to establish and document opioid administration policies
R9-10-120. Opioid Prescribing and Treatment — failure to ensure authorized individuals administer opioid medication
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