Deficiencies per Year
12
9
6
3
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 11
Jul 8, 2025
Visit Reason
State-compiled facility profile showing 2 annual compliance inspections from 2023-08-01 to 2025-07-08 with deficiency history
Findings
Across two annual compliance inspections, multiple deficiencies were identified including failures in policy review, service plan documentation, resident consent, medication documentation, personnel record completeness, and pool safety measures.
Deficiencies (11)
| Description |
|---|
| R9-10-803.C.3. Administration C. A manager shall ensure that policies and procedures are: 3. Reviewed at least once every three years and updated as needed. |
| R9-10-808.A.5.a. Service Plans A. Except as required in subsection (B), a manager shall ensure that a resident has a service plan that is established, documented, and implemented that: 5. When initially developed and when updated, is signed and dated by: a. The resident or resident’s representative; |
| R9-10-810.B.3.b. Resident Rights B. A manager shall ensure that: 3. A resident or the resident’s representative: b. Consents to photographs of the resident before the resident is photographed, except that a resident may be photographed when accepted as a resident by an assisted living facility for identification and administrative purposes; |
| R9-10-814.B.1-2. Personal Care Services B. A manager of an assisted living facility authorized to provide personal care services may accept or retain a resident who is confined to a bed or chair because of an inability to ambulate even with assistance if: 1. The condition is a result of a short-term illness or injury; or 2. The following requirements are met at the onset of the condition or when the resident is accepted by the assisted living facility: a. The resident or resident’s representative requests that the resident be accepted by or remain in the assisted living facility; b. The resident’s primary care provider or other medical practitioner: i. Examines the resident at the onset of the condition, or within 30 calendar days before acceptance, and at least once every six months throughout the duration of the resident’s condition; ii. Reviews the assisted living facility’s scope of services; and iii. Signs and dates a determination stating that the resident’s needs can be met by the assisted living facility within the assisted living facility’s scope of services and, for retention of a resident, are being met by the assisted living facility; and c. The resident’s service plan includes the resident’s |
| R9-10-817.B.3.c. Medication Services 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. |
| R9-10-817.D.2. Medication Services D. A manager shall ensure that: 2. A current toxicology reference guide is available for use by personnel members. |
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411. |
| A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented: a. Before the caregiver or assistant caregiver provides physical health services or behavioral health services, and b. According to policies and procedures; |
| C. A manager shall ensure that a personnel record for each employee or volunteer: 1. Includes: a. The individual's name, date of birth, and contact telephone number; b. The individual's starting date of employment or volunteer service and, if applicable, the ending date; and c. Documentation of: i. The individual's qualifications, including skills and knowledge applicable to the individual's job duties; ii. The individual's education and experience applicable to the individual's job duties; iii. The individual's completed orientation and in-service education required by policies and procedures; iv. The individual's license or certification, if the individual is required to be licensed or certified in this Article or in policies and procedures; v. If the individual is a behavioral health technician, clinical oversight required in R9-10-115; vi. Evidence of freedom from infectious tuberculosis, if required for the individual according to subsection (A)(8); vii. Cardiopulmonary resuscitation training, if required for the individual in this Article or policies and procedures; viii First aid training, if required for the individual in this Article or policies and procedures; and ix. Documentation of compliance with the requirements in A.R.S. § 36-411(A) and (C); |
| F. If there is a swimming pool on the premises of the assisted living facility, a manager shall ensure that: 2. A life preserver or shepherd's crook is available and accessible in the swimming pool area; |
| F. If there is a swimming pool on the premises of the assisted living facility, a manager shall ensure that: 3. Pool safety requirements are conspicuously posted in the swimming pool area. |
Report Facts
Inspections on page: 2
Total deficiencies: 11
Complaint inspections: 0
Total capacity: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Seymour | Administrator | Named as person responsible for multiple deficiencies in 2025 inspection |
| Elizabeth Seymourr | Administrator | Named as person responsible for deficiencies #1 and #3 in 2025 inspection (possible typo variant) |
| E1 | Acknowledged personnel record and verification deficiencies in 2023 inspection | |
| E2 | Acknowledged multiple deficiencies in 2025 inspection | |
| E3 | Caregiver | Referenced in 2023 inspection deficiencies related to personnel records and skills verification |
| E4 | Caregiver | Referenced in 2023 inspection deficiencies related to personnel records and skills verification |
Inspection Report
Enforcement
Deficiencies: 0
Aug 15, 2023
Visit Reason
State-compiled enforcement action report for Arizona Sunset Assisted Living detailing enforcement action #00112766 with payment and penalty information.
Findings
The report documents an enforcement action completed with a penalty payment of $500.00. No specific deficiencies or inspection findings are detailed on the page.
Report Facts
Total fines: 500
Inspection Report
Enforcement
Deficiencies: 2
Aug 1, 2023
Visit Reason
The inspection was conducted due to enforcement concerns regarding repeat deficiencies and verification of caregiver skills and knowledge.
Findings
The facility had one repeat deficiency related to failure to ensure compliance with caregiver skills and knowledge verification, posing a risk to residents. Civil fines totaling $500 were assessed for these violations.
Deficiencies (2)
| Description |
|---|
| The governing authority failed to ensure compliance with A.R.S. § 36-411(C), for two of three caregivers sampled, posing a risk to vulnerable residents. |
| The manager failed to ensure a caregiver's or assistant caregiver's skills and knowledge were verified and documented before providing physical health services for two of three caregivers sampled. |
Report Facts
Civil fine amount: 250
Civil fine amount: 250
Total civil fines: 500
Number of caregivers sampled: 3
Number of caregivers with deficiencies: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Elizabeth Seymour | Licensee/Director/Provider | Signed enforcement agreement and notification of rights |
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