Inspection Report Summary
The most recent inspection on October 17, 2025, included enforcement action resulting in a $500 fine that has been paid in full. Earlier inspections showed a pattern of deficiencies mainly involving personnel skills verification, administration policies, and directed care services, with several enforcement actions and fines issued over time. Inspectors cited issues such as failure to verify caregiver qualifications, incomplete personnel records, and lapses in disaster drill requirements. Complaint investigations were unsubstantiated, with no deficiencies found during the reviewed complaint case. The facility’s record shows ongoing challenges with compliance in staff verification and administrative procedures, with no clear improvement trend evident.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Oct 17, 2025
Summary
The enforcement resulted in a $500 fine which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine for regulatory non-compliance as part of enforcement action | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Sep 6, 2025
Summary
The facility was found deficient in verifying caregiver qualifications, posing a risk to residents if employees were unable to meet their needs.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure caregiver skills and knowledge were verified and documented before providing health services, posing a risk to residents. | — |
Inspection Report
Enforcement
Capacity: 10
Deficiencies: 3
Jul 2, 2025
Visit Reason
Three deficiencies found related to administration policies, personnel skills verification, and directed care services.
Findings
Three deficiencies found related to administration policies, personnel skills verification, and directed care services.
Deficiencies (3)
| Description |
|---|
| R9-10-803.C.1.a — Administration |
| R9-10-806.A.4.a-b — Personnel |
| R9-10-815.F.2.a-c — Directed Care Services |
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 0
Aug 7, 2024
Visit Reason
Complaint investigation with no deficiencies cited.
Findings
Complaint investigation with no deficiencies cited.
Complaint Details
Complaint AZ00213637 investigated with no deficiencies cited.
Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 3
Jan 18, 2024
Visit Reason
Three deficiencies found related to fall prevention training, emergency responder patient information, and tuberculosis screening.
Findings
Three deficiencies found related to fall prevention training, emergency responder patient information, and tuberculosis screening.
Deficiencies (3)
| Description |
|---|
| 36-420.01 — Fall prevention and recovery training |
| 36-420.04 — Emergency responder patient information |
| R9-10-113 — Tuberculosis Screening |
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Mar 21, 2023
Summary
The facility was fined $1,000.00 which has been paid in full as of 2023-04-13.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Enforcement action fine | Paid |
Enforcement Action
Enforcement
Fines: 2
Total: $1,000.00
Feb 28, 2023
Summary
The facility was found non-compliant with fingerprint clearance requirements and disaster drill regulations, resulting in civil fines totaling $1000.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | One employee's fingerprint clearance card was expired and no replacement card was applied for. | — |
| $500.00 | No employee disaster drills were conducted during the past twelve months. | — |
Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 6
Feb 28, 2023
Visit Reason
Six deficiencies found related to personnel records, resident medical records, disaster drills, and pet licensing.
Findings
Six deficiencies found related to personnel records, resident medical records, disaster drills, and pet licensing.
Deficiencies (6)
| Description |
|---|
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411 |
| C. A manager shall ensure personnel record includes starting date of employment or volunteer service |
| C. A manager shall ensure resident medical record contains vaccination notification documentation |
| B. A manager shall not accept or retain resident without required medical practitioner statement |
| A. A manager shall ensure disaster drill for employees conducted quarterly |
| A. A manager shall ensure pets or animals are licensed consistent with local ordinances |
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