Inspection Report Summary
The most recent inspection on October 1, 2025, found no deficiencies during the complaint investigation. Earlier inspections showed a pattern of deficiencies primarily related to caregiver training, documentation, and service plans, with several enforcement actions including fines ranging from $250 to $1,000. Inspectors cited repeated issues with ensuring caregivers had current first aid and CPR training before providing services, as well as documentation and medication administration concerns. Complaint investigations conducted over time were consistently unsubstantiated, with no deficiencies found. The facility’s record suggests some improvement in recent complaint investigations, although enforcement actions and deficiencies appeared more frequently in prior years.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
38% better than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Oct 1, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaint 00146368 conducted on October 1, 2025.
Findings
No deficiencies were found during the on-site investigation of complaint 00146368 conducted on October 1, 2025.
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Jul 25, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaint 00136100 and 00136950 conducted on July 25, 2025.
Findings
No deficiencies were found during the on-site investigation of complaint 00136100 and 00136950 conducted on July 25, 2025.
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Jun 11, 2025
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
May 2, 2025
Summary
A fine of $1,000.00 was imposed and has been paid in full as of the due date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Fine imposed as part of enforcement action | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Mar 25, 2025
Summary
The enforcement found a repeat deficiency related to health and safety where the deficient practice posed a risk if an employee was unable to meet a resident's needs during an emergency.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Failure to ensure CPR and first aid training documentation for a caregiver, posing a health and safety risk. | — |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Jun 5, 2024
Visit Reason
An on-site investigation of complaints AZ00208332, AZ00211087, AZ00211088, were conducted on June 5, 2024, and no deficiencies were cited.
Findings
An on-site investigation of complaints AZ00208332, AZ00211087, AZ00211088, were conducted on June 5, 2024, and no deficiencies were cited.
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Mar 28, 2024
Visit Reason
An on-site investigation of complaint AZ00205600 was conducted on March 28, 2024, and no deficiencies were cited.
Findings
An on-site investigation of complaint AZ00205600 was conducted on March 28, 2024, and no deficiencies were cited.
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Jan 30, 2024
Summary
The manager failed to ensure that two of four caregivers had current first aid training documentation, posing a risk to residents during emergencies.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure current documentation of first aid training for caregivers. | Pending |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Jan 9, 2024
Summary
A fine of $500.00 was imposed and has been paid in full as part of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine imposed as part of enforcement action | Paid |
Inspection Report
Annual Inspection
Capacity: 100
Deficiencies: 4
Dec 27, 2023
Visit Reason
Four deficiencies were found related to documentation and service plans during the on-site compliance inspection conducted on December 27, 2023.
Findings
Four deficiencies were found related to documentation and service plans during the on-site compliance inspection conducted on December 27, 2023.
Deficiencies (4)
| Description |
|---|
| A. A manager shall ensure that: 10. Before providing assisted living services to a resident, a manager or caregiver provides current documentation of ... |
| C. A manager shall ensure that a resident's medical record contains: 17. Documentation of notification of the resident of the availability of vaccinat... |
| F. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving personal care services in... |
| C. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving directed care services in... |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Sep 19, 2023
Visit Reason
An on-site investigation of complaints AZ00197192, and AZ00197754 were conducted on September 19, 2023 and no deficiencies were cited.
Findings
An on-site investigation of complaints AZ00197192, and AZ00197754 were conducted on September 19, 2023 and no deficiencies were cited.
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Feb 17, 2023
Summary
The enforcement resulted in a civil fine of $250 for a repeat deficiency from a prior compliance inspection.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Failure to submit requested documents within two hours, a repeat deficiency from a prior inspection. | Pending |
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Jan 17, 2023
Summary
A fine of $250.00 was imposed and has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Enforcement action fine | Paid |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Dec 27, 2022
Visit Reason
An on-site investigation of complaint AZ00186747 was conducted on December 27, 2022. Two of two allegations were unable to be substantiated and no deficiencies were cited.
Findings
An on-site investigation of complaint AZ00186747 was conducted on December 27, 2022. Two of two allegations were unable to be substantiated and no deficiencies were cited.
Inspection Report
Annual Inspection
Capacity: 100
Deficiencies: 5
Dec 27, 2022
Visit Reason
Five deficiencies were found related to training, policies, documentation, and medication administration during the on-site compliance inspection conducted on December 27, 2022.
Findings
Five deficiencies were found related to training, policies, documentation, and medication administration during the on-site compliance inspection conducted on December 27, 2022.
Deficiencies (5)
| Description |
|---|
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition A. Each health care institution shall develop an... |
| C. A manager shall ensure that policies and procedures are: 3. Reviewed at least once every three years and updated as needed. |
| E. A manager shall ensure that, unless otherwise stated: 1. Documentation required by this Article is provided to the Department within two hours afte... |
| B. A manager shall ensure that before or at the time of acceptance of an individual, the individual submits documentation that is dated within 90 cale... |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 2. Policies and procedures for medication administr... |
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