Inspection Reports for Baraka at Rose Garden I
10435 East Monterey Avenue, Mesa, AZ 85209, AZ, 85209
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Inspection Report
Enforcement
Capacity: 5
Deficiencies: 19
Jul 14, 2025
Visit Reason
State-compiled facility profile showing 2 inspections from 2024-09-03 to 2025-07-14 with deficiency history including complaint and enforcement actions.
Findings
Across two inspections, multiple deficiencies were identified including failure to maintain required resident documentation, inadequate personnel records with false identities, lack of proper medication documentation, and failure to ensure resident safety and dignity. The most recent enforcement inspection revealed serious compliance issues involving false personnel records and inadequate supervision.
Complaint Details
Complaint 00134604 was investigated during the enforcement inspection conducted June 26, 2025, with follow-up on July 14, 2025.
Deficiencies (19)
| Description |
|---|
| A.R.S. § 36-420.04.C. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document: Failed to maintain a standardized form for each resident including required emergency responder information. |
| R9-10-113.A.2.a-f. Tuberculosis Screening: Failed to document and implement annual assessment of tuberculosis infection risk. |
| R9-10-806.A.2.a-b. Personnel: Failed to ensure assistant caregivers interacted with residents under supervision; false and misleading documentation provided. |
| R9-10-806.A.7. Personnel: Failed to maintain documentation of caregivers and assistant caregivers working each day including hours; false and misleading documentation provided. |
| R9-10-806.B.4.a-b. Personnel: Failed to ensure a trained caregiver was present when manager was absent; false and misleading documentation provided. |
| R9-10-806.C.1.a-c. Personnel: Failed to maintain complete personnel records for employees; false and misleading documentation provided. |
| R9-10-808.A.5.a. Service Plans: Failed to include signature and date from resident or representative on service plans. |
| R9-10-808.A.5.b. Service Plans: Failed to include signature and date from manager on service plans. |
| R9-10-810.B.1. Resident Rights: Failed to ensure resident was treated with dignity, respect, and consideration; false identities used by caregivers. |
| R9-10-811.C.13.c. Medical Records: Failed to document medication administration with name and signature of administering individual; false or misleading information provided. |
| R9-10-811.C.17. Medical Records: Failed to document resident notification of availability of influenza and pneumonia vaccinations. |
| R9-10-815.B.1. Directed Care Services: Failed to obtain written medical practitioner determination every six months for non-ambulatory resident. |
| R9-10-817.D.1. Medication Services: Failed to have current drug reference guide available for personnel. |
| R9-10-817.F.3.d. Medication Services: Failed to implement policies and procedures for inventorying controlled substances. |
| R9-10-821.D.4.b.i-ii. Physical Plant Standards: Resident bedroom used as passageway to common area or another sleeping area without written consent. |
| F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: There is a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort that provides access to an outside area and alerts employees of egress: Failed to ensure door controlled or alerted employees of resident egress. |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: A medication administered to a resident is documented in the resident's medical record: Failed to document medication administration for two residents. |
| C. A manager shall ensure that food is obtained, prepared, served, and stored as follows: Refrigerator used to store food or medication contains a thermometer: Failed to have thermometer in refrigerator. |
| C. A manager shall ensure that: A resident bathroom provides privacy when in use and contains paper towels or mechanical air hand dryer: Failed to provide paper towels or mechanical air dryer in common area bathroom. |
Report Facts
Inspections on page: 2
Total deficiencies: 19
Complaint inspections: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Manager | Named in multiple findings related to false documentation and personnel records |
| E2 | Unnamed staff | Reported false personnel files and acknowledged issues with documentation |
| E3 | Licensed caregiver (false identity E6) | Named in findings related to false identification and personnel records |
| E4 | Licensed caregiver (false identity E7) | Named in findings related to false identification and personnel records |
| E5 | Licensed caregiver (false identity E8) | Named in findings related to false identification and personnel records |
| E6 | Assistant caregiver (false identity) | Named in findings related to false identities and lack of personnel records |
| E7 | Assistant caregiver (false identity) | Named in findings related to false identities and lack of personnel records |
| E8 | Assistant caregiver (false identity) | Named in findings related to false identities and lack of personnel records |
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