Inspection Reports for Andara Senior Living
11415 N 114th St, Scottsdale, AZ 85259, United States, AZ, 85259
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Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 31
Oct 28, 2025
Visit Reason
State-compiled facility profile showing 5 inspections from 2023-2025 with deficiency history and complaint investigations.
Findings
Across multiple inspections, numerous deficiencies were identified including failures in documentation, medication administration, staff training, emergency response, and facility safety. Some inspections found no deficiencies, while others cited up to 17 deficiencies per inspection, highlighting ongoing compliance issues.
Complaint Details
The page includes complaint investigations for multiple complaints including 00131862, 00141416, 00148865, AZ00214152, AZ00209465, AZ00200208, and AZ00197543 with findings from complaint investigations and compliance inspections.
Deficiencies (31)
| Description |
|---|
| 36-420.04. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document: Failed to maintain a copy of the document provided to emergency responders for two residents. |
| C. A manager shall ensure that policies and procedures are established, documented, and implemented to protect the health and safety of a resident including how an employee may submit a complaint related to resident care. |
| C. A manager shall ensure that policies and procedures cover the requirements in A.R.S. Title 36, Chapter 4, Article 11 regarding health professional reports and confidentiality. |
| K. A manager shall provide written notification to the Department of a resident's death within one working day as required by A.R.S. § 11-593; failed to notify for one resident death. |
| A manager shall ensure a plan is established, documented, and implemented for an ongoing quality management program including data collection and evaluation. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan reviewed and updated after significant changes in condition; failed for one resident. |
| A. Except as required in subsection (B), a manager shall ensure that a resident's written service plan is signed and dated by required parties; failed for five residents. |
| C. A manager shall ensure caregivers are only assigned to provide services they have documented skills and knowledge to perform; failed for one caregiver. |
| C. A manager shall ensure caregivers document services provided in the resident's medical record; failed for one resident. |
| A. A manager shall ensure policies and procedures for medication services include procedures for responding to and reporting unexpected medication reactions; failed to implement vital sign reading policies. |
| B. If an assisted living facility provides medication administration, a manager shall ensure medication is administered in compliance with orders; failed for two residents. |
| A. A manager shall ensure documentation of each evacuation drill includes identification of residents needing assistance; failed to include this information. |
| D. When a resident has an accident, emergency, or injury requiring medical services, a manager shall ensure caregivers document required details; failed for three residents. |
| A. A manager shall ensure premises and equipment are cleaned and disinfected according to policies; failed to keep premises clean. |
| A. A manager shall ensure premises are free from conditions that may cause physical injury; failed due to exposed wiring and tripping hazards during remodel. |
| A. A manager shall ensure poisonous or toxic materials are stored in locked areas inaccessible to residents; failed due to unlocked storage with toxic materials accessible. |
| R9-10-120.F. For opioid administration, ensure documentation of the effect of opioid administered; failed to monitor and document patient response for two residents. |
| 36-420.01. Health care institutions; fall prevention and fall recovery training program; failed to administer fall recovery training to staff. |
| F. A manager shall ensure service plans for personal care include skin maintenance to prevent and treat injuries; failed for one resident. |
| A. A manager shall ensure personnel records include CPR training documentation; failed for one caregiver. |
| A. A manager shall ensure residents have written service plans including level of service expected; failed for eight residents. |
| A. A manager shall ensure service plans include how medications stored in resident units are stored and controlled; failed for two residents. |
| A. A manager shall ensure transport services include evaluations and documentation; failed for one resident's transport. |
| C. A manager shall ensure medical records contain copies of health care power of attorney; failed for three residents. |
| A. A manager shall ensure disaster plan is reviewed at least annually; failed to provide documentation of review. |
| A. A manager shall ensure disaster drills are conducted on each shift quarterly and documented; failed to provide dated documentation. |
| A. A manager shall ensure evacuation drills are conducted at least semiannually; failed to provide documentation within last year. |
| A. A manager shall ensure garbage and refuse are stored in covered containers; failed due to uncovered garbage containers. |
| A. A manager shall ensure poisonous or toxic materials are maintained in locked areas inaccessible to residents; failed due to unlocked closets with toxic materials. |
| R9-10-120.F. A manager shall establish and implement opioid administration policies; failed to have documented policies and procedures. |
| R9-10-120.F. A manager shall ensure documentation of patient's need for opioid and effect of opioid administered; failed for one resident. |
Report Facts
Inspections on page: 5
Total deficiencies: 32
Complaint inspections: 4
Facility capacity: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Named in multiple findings and interviews related to deficiencies and acknowledgments | |
| E2 | Named in multiple findings and interviews related to deficiencies and acknowledgments | |
| E11 | Caregiver from staffing agency | Named in findings related to lack of CPR training and opioid documentation |
| E9 | Caregiver | Named in finding related to improper transfer incident |
| E12 | Named in finding related to resident transportation | |
| O1 | Named in interviews acknowledging findings | |
| O4 | Named in progress note and interview related to resident care | |
| E3 | Named in finding related to fall prevention training | |
| E4 | Named in finding related to fall prevention training | |
| E5 | Named in findings related to caregiver skills verification and fall prevention training | |
| E7 | Named in finding related to fall prevention training | |
| E10 | Named in findings related to disaster drill documentation |
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