Inspection Reports for Baraka at Rose Garden I

10435 East Monterey Avenue, Mesa, AZ 85209, AZ, 85209

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Inspection Report Summary

The most recent inspection on July 14, 2025, identified fifteen deficiencies related to personnel, service plans, medication management, and physical plant standards. Earlier inspections showed a pattern of issues with emergency egress, medication documentation, and safety, including a prior enforcement action with a $500 fine for failing to ensure safe exit means for residents. Complaint investigations included one substantiated case leading to the latest findings, while other complaints were not noted. Enforcement actions were documented in 2024, including fines and citations related to resident safety and facility conditions. The inspection history indicates ongoing challenges with compliance, particularly in personnel training and medication management, with no clear improvement trend.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 9.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

157% worse than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

16 12 8 4 0
2024
2025
Inspection Report Enforcement Capacity: 5 Deficiencies: 15 Jul 14, 2025
Visit Reason
Fifteen deficiencies found during complaint compliance inspection and follow-up related to personnel, service plans, medication, and physical plant standards.
Findings
Fifteen deficiencies found during complaint compliance inspection and follow-up related to personnel, service plans, medication, and physical plant standards.
Complaint Details
Complaint 00134604 investigated
Deficiencies (15)
Description
A.R.S. § 36-420.04.C. — Emergency responders; patient information; discharge planning
R9-10-113.A.2.a-f. — Tuberculosis Screening
R9-10-806.A.2.a-b. — Personnel
R9-10-806.A.7. — Personnel documentation maintenance
R9-10-806.B.4.a-b. — Personnel trained caregiver presence
R9-10-806.C.1.a-c. — Personnel records completeness
R9-10-808.A.5.a. — Service Plans resident/representative signature
R9-10-808.A.5.b. — Service Plans manager signature
R9-10-810.B.1. — Resident Rights dignity and respect
R9-10-811.C.13.c. — Medical Records medication documentation
R9-10-811.C.17. — Medical Records notification documentation
R9-10-815.B.1. — Directed Care Services resident acceptance
R9-10-817.D.1. — Medication Services drug reference guide availability
R9-10-817.F.3.d. — Medication Services controlled substance policies
R9-10-821.D.4.b.i-ii. — Physical Plant Standards resident sleeping area
Enforcement Action Enforcement Fines: 1 Total: $500.00 Oct 15, 2024
Summary
The facility was found deficient in ensuring safe egress for residents, which posed a risk to their health and safety. A civil fine was assessed as a result.
Fines & Penalties (1)
AmountReasonStatus
$500.00Failure to ensure there was a means of exiting the facility for a resident without a key or special knowledge, posing a health and safety risk.
Enforcement Action Enforcement Fines: 1 Total: $500.00 Sep 24, 2024
Summary
The facility was fined $500.00, which has been paid in full as of 10/15/2024.
Fines & Penalties (1)
AmountReasonStatus
$500.00Fine related to enforcement action #00110526Paid
Inspection Report Annual Inspection Capacity: 5 Deficiencies: 4 Sep 3, 2024
Visit Reason
Four deficiencies found related to emergency egress, medication documentation, food storage, and bathroom privacy.
Findings
Four deficiencies found related to emergency egress, medication documentation, food storage, and bathroom privacy.
Deficiencies (4)
Description
F.2. — Means of exiting the facility
B.3.c. — Medication administration documentation
C.5. — Food storage refrigerator thermometer
C.3.d. — Bathroom privacy and paper towels/air dryer

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