Inspection Report Summary
The most recent inspection on October 2, 2025, found no deficiencies during the complaint investigation. Earlier inspections showed a pattern of deficiencies primarily related to abuse prevention and reporting, resident rights, food safety, care planning, and facility safety, with several citations involving emergency preparedness and nursing documentation. Complaint investigations were mostly unsubstantiated, though some prior surveys cited issues with abuse investigations and food handling. Enforcement actions such as fines or license suspensions were not listed in the available reports. The inspection history suggests some improvement, as recent complaint surveys have not identified deficiencies following earlier findings.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
12 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
224% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint
Capacity: 72
Deficiencies: 0
Oct 2, 2025
Visit Reason
Onsite complaint survey investigated complaints #00144929, 00144841 with no deficiencies noted.
Findings
Onsite complaint survey investigated complaints #00144929, 00144841 with no deficiencies noted.
Complaint Details
Investigated complaints #00144929, 00144841
Inspection Report
Complaint
Capacity: 72
Deficiencies: 7
Sep 2, 2025
Visit Reason
Recertification survey with complaint investigations citing 8 deficiencies related to abuse, resident rights, food safety, and reporting.
Findings
Recertification survey with complaint investigations citing 8 deficiencies related to abuse, resident rights, food safety, and reporting.
Complaint Details
Investigated multiple complaint intakes including #00138019, 2573394, 2246016, and others
Deficiencies (7)
| Description |
|---|
| §483.12 Freedom from Abuse, Neglect, and Exploitation — failure to protect residents from abuse and ensure thorough investigations |
| §483.20(f) Automated data processing requirement — failure to encode and transmit resident assessments timely |
| §483.60(d) Food and drink — failure to ensure food and drinks were palatable and maintained properly |
| §483.60(i) Food safety requirements — failure to procure and store food according to standards |
| R9-10-410.B. Abuse and resident rights — failure to protect residents from abuse |
| R9-10-423.A. Food establishment contract and food storage — failure to ensure proper food storage and handling |
| R9-10-423.B. Food preparation methods — failure to prepare food using approved methods |
Inspection Report
Complaint
Capacity: 72
Deficiencies: 0
Jul 3, 2025
Visit Reason
Complaint survey for intake #SF00135131 with no deficiencies cited.
Findings
Complaint survey for intake #SF00135131 with no deficiencies cited.
Complaint Details
Investigated intake #SF00135131
Inspection Report
Complaint
Capacity: 72
Deficiencies: 2
May 19, 2025
Visit Reason
Complaint survey citing 2 deficiencies related to abuse reporting and investigation.
Findings
Complaint survey citing 2 deficiencies related to abuse reporting and investigation.
Complaint Details
Investigated intakes #00130983, 00131064
Deficiencies (2)
| Description |
|---|
| R9-10-403.F. Administrator responsibilities related to abuse, neglect, or exploitation |
| §483.12(c) Response to allegations of abuse, neglect, exploitation, or mistreatment |
Inspection Report
Complaint
Capacity: 72
Deficiencies: 0
Dec 10, 2024
Visit Reason
Complaint survey investigating multiple intakes with no deficiencies cited.
Findings
Complaint survey investigating multiple intakes with no deficiencies cited.
Complaint Details
Investigated intakes #AZ00219613, AZ00209245, AZ00209065, AZ00208961, AZ00207035, AZ00206564, AZ00206367, AZ00201281
Inspection Report
Complaint
Capacity: 72
Deficiencies: 0
Sep 11, 2024
Visit Reason
Complaint survey investigating intake #AZ00215642 with no deficiencies cited.
Findings
Complaint survey investigating intake #AZ00215642 with no deficiencies cited.
Complaint Details
Investigated intake #AZ00215642
Inspection Report
Capacity: 72
Deficiencies: 2
Sep 4, 2024
Visit Reason
Recertification survey for Medicare Life Safety Code 2012 with 8 deficiencies related to emergency preparedness, sprinkler systems, smoke barriers, fire doors, and emergency call light systems.
Findings
Recertification survey for Medicare Life Safety Code 2012 with 8 deficiencies related to emergency preparedness, sprinkler systems, smoke barriers, fire doors, and emergency call light systems.
Deficiencies (2)
| Description |
|---|
| Emergency Preparedness Plan — failure to maintain, review, and update annually and maintain communication plan |
| Life Safety Code violations — egress door arrangements, sprinkler system installation, maintenance and testing, smoke barrier penetrations, fire door inspections, emergency call light system maintenance |
Inspection Report
Annual Inspection
Capacity: 72
Deficiencies: 8
Aug 26, 2024
Visit Reason
State compliance survey citing 10 deficiencies related to catheter care, personnel records and training, resident privacy and restraint, nursing documentation, care planning, food storage, and facility safety.
Findings
State compliance survey citing 10 deficiencies related to catheter care, personnel records and training, resident privacy and restraint, nursing documentation, care planning, food storage, and facility safety.
Deficiencies (8)
| Description |
|---|
| R9-10-403.C. Policies and procedures for physical and behavioral health services |
| R9-10-406.F. Personnel records maintenance |
| R9-10-406.H. In-service education for personnel |
| R9-10-410.B. Resident privacy and restraint care planning |
| R9-10-412.B. Documentation of nursing personnel and daily staff postings |
| R9-10-414.B. Comprehensive person-centered care planning |
| R9-10-423.A. Food establishment contract and food storage |
| R9-10-425.A. Nursing care institution premises and equipment safety |
Inspection Report
Complaint
Capacity: 72
Deficiencies: 1
Jul 30, 2024
Visit Reason
Complaint survey citing 1 deficiency related to abuse prevention and resident protection.
Findings
Complaint survey citing 1 deficiency related to abuse prevention and resident protection.
Complaint Details
Investigated intake #sAZ00163266, AZ00164047, AZ00164565, AZ00164578, AZ00173633, AZ00174247
Deficiencies (1)
| Description |
|---|
| R9-10-410.B. Abuse and resident rights — failure to protect residents from abuse |
Inspection Report
Complaint
Capacity: 72
Deficiencies: 0
Dec 7, 2023
Visit Reason
Complaint survey investigating multiple intakes with no deficiencies cited.
Findings
Complaint survey investigating multiple intakes with no deficiencies cited.
Complaint Details
Investigated intakes #AZ00203462, AZ00203610, AZ00196997, AZ00197510, AZ00197938, AZ00198953
Inspection Report
Complaint
Capacity: 72
Deficiencies: 0
Nov 17, 2023
Visit Reason
Complaint survey investigating intake #AZ00202955 with no deficiencies cited.
Findings
Complaint survey investigating intake #AZ00202955 with no deficiencies cited.
Complaint Details
Investigated intake #AZ00202955
Inspection Report
Complaint
Capacity: 72
Deficiencies: 0
Jul 11, 2023
Visit Reason
Investigation of complaint AZ00197219 with no deficiencies found; complaint forwarded to appropriate agency.
Findings
Investigation of complaint AZ00197219 with no deficiencies found; complaint forwarded to appropriate agency.
Complaint Details
Investigated complaint AZ00197219
Inspection Report
Capacity: 72
Deficiencies: 2
Jan 18, 2023
Visit Reason
Recertification survey for Medicare Life Safety Code 2012 with 2 deficiencies related to fire alarm system initiation and electrical equipment use.
Findings
Recertification survey for Medicare Life Safety Code 2012 with 2 deficiencies related to fire alarm system initiation and electrical equipment use.
Deficiencies (2)
| Description |
|---|
| Fire Alarm System - Initiation — failure to keep fire alarm pull stations accessible and unobstructed |
| Electrical Equipment - Power Cords and Extension Cords — improper use of power strips in patient care areas |
Inspection Report
Complaint
Capacity: 72
Deficiencies: 14
Jan 17, 2023
Visit Reason
Recertification survey with complaint investigations citing 15 deficiencies related to abuse reporting, care planning, staffing, food safety, and resident rights.
Findings
Recertification survey with complaint investigations citing 15 deficiencies related to abuse reporting, care planning, staffing, food safety, and resident rights.
Complaint Details
Investigated intake #'s: AZ00185092, AZ00184952, AZ00187876, AZ00189830, AZ00183228
Deficiencies (14)
| Description |
|---|
| R9-10-403.C. Policies and procedures for physical and behavioral health services |
| R9-10-403.E. Reporting abuse, neglect, or exploitation |
| R9-10-403.F. Administrator responsibilities related to abuse, neglect, or exploitation |
| §483.10(c) Planning and Implementing Care — failure to inform residents or representatives in advance of room changes |
| §483.12(c) Response to allegations of abuse, neglect, exploitation, or mistreatment |
| §483.20(k) Preadmission Screening and Resident Review (PASARR) Level 1 screening failures |
| §483.21(b)(3) Comprehensive Care Plans — failure to meet care plan requirements |
| §483.35(b) Registered nurse services — failure to provide RN services for required hours |
| §483.35(g) Nurse Staffing Information — failure to post accurate daily nursing staff information |
| §483.60(i) Food safety requirements — failure to procure and store food according to standards |
| R9-10-410.B. Resident privacy and notification failures |
| R9-10-412.B. Documentation of nursing personnel and daily staff postings |
| R9-10-414.B. Care planning and nursing care institution services |
| R9-10-423.A. Food establishment contract and food storage |
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