Inspection Reports for Brookdale at Home Santa Catalina

AZ, 85718

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Deficiencies per Year

16 12 8 4 0
2023
2024
2025
Severe High Moderate Low Unclassified
Inspection Report Capacity: 155 Deficiencies: 15 Nov 4, 2025
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State-compiled facility profile showing 6 inspections from 2023-01 to 2025-11 with deficiency history and complaint investigations.
Findings
Across multiple inspections, deficiencies were found related to service plan documentation, resident dignity and respect, medication administration, employee training and certification, and facility safety measures. Some inspections found no deficiencies, while others cited repeated and new violations.
Complaint Details
The page includes complaint investigations for complaints AZ00222065, AZ00209977, AZ00204862, AZ00201031, AZ00203777, and AZ00204009 with findings of deficiencies in some investigations and no deficiencies in others.
Deficiencies (15)
Description
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3.b. The level of service the resident is expected to receive; - Failed to ensure a resident had a written service plan including the level of service expected for four residents.
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4.b.iii. Reviewed and updated at least once every three months for a resident receiving directed care services; - Failed to ensure one resident's service plan was reviewed and updated timely.
B. A manager shall ensure that: 1. A resident is treated with dignity, respect, and consideration; - Failed to ensure a resident was treated with dignity and respect, resulting in physical harm and staff termination.
B. If an assisted living facility provides medication administration, a manager shall ensure that: 3.b. Medication is administered in compliance with a medication order; - Failed to ensure medication was administered according to order for one resident.
A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411; - Failed to ensure compliance with fingerprint clearance card requirements for multiple employees.
A. A manager shall ensure that: 10. Before providing assisted living services, current documentation of first aid and CPR training specific to adults is provided; - Failed to provide current first aid and CPR documentation for some caregivers.
C. A manager shall ensure that the service plan for a resident receiving directed care services includes required elements such as cognitive stimulation, safety strategies, and documentation; - Failed to include required elements in service plans for two residents.
F. When medication is stored by an assisted living facility, a manager shall ensure medication is stored in a separate locked room, closet, cabinet, or self-contained unit; - Failed to ensure medications were stored securely in resident rooms.
A. A manager shall ensure that: 11. Poisonous or toxic materials are maintained in labeled containers in a locked area separate from food, dining, and medications; - Failed to secure poisonous or toxic materials in locked areas.
E. A manager shall ensure that documentation required by this Article is provided to the Department within two hours after a Department request; - Failed to provide requested documentation timely.
A. A manager shall ensure that: 1.b.i. A caregiver provides documentation of completion of a caregiver training program approved by the Department or Board; - Failed to provide caregiver training documentation for three caregivers.
A. A manager shall ensure that: 4.a. A caregiver's skills and knowledge are verified and documented before providing physical health services; - Failed to verify and document skills for four caregivers.
A. A manager shall ensure that: 9. A caregiver receives orientation specific to duties before providing assisted living services; - Failed to document orientation for seven employees.
A. A manager shall ensure that: 10. Before providing assisted living services, current documentation of CPR and first aid training is provided; - Failed to provide current CPR and first aid documentation for three caregivers.
A. A manager shall ensure that: 4. A disaster drill for employees is conducted on each shift at least once every three months and documented; - Failed to conduct and document disaster drills on each shift quarterly.
Report Facts
Inspections on page: 6 Total deficiencies: 17 Complaint inspections: 4 Total capacity: 155
Employees Mentioned
NameTitleContext
E1Acknowledged multiple deficiencies and interviewed regarding findings
E2Named in fingerprint clearance, training, and orientation deficiencies
E3Named in fingerprint clearance and resident incident deficiencies; no longer employed
E4Named in caregiver roughness allegations and training deficiencies
E7Named in resident incident and training deficiencies; no longer employed
E8Referenced in fingerprint clearance documentation review
Inspection Report Enforcement Deficiencies: 0 Feb 18, 2025
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State-compiled enforcement action report for BROOKDALE SANTA CATALINA detailing enforcement action #00121447 with associated penalty and payment information.
Findings
The report documents an enforcement action completed with a penalty payment of $750.00. No specific deficiencies or inspection findings are detailed on this page.
Report Facts
Total fines: 750
Notice Deficiencies: 1 Jan 16, 2025
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Inspection conducted on January 16, 2025, resulted in enforcement action due to violations of resident dignity and respect at the facility.
Findings
The manager failed to ensure a resident was treated with dignity, respect, and consideration, posing a risk of physical and/or psychosocial harm.
Deficiencies (1)
Description
The manager failed to ensure a resident was treated with dignity, respect, and consideration.
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Penalty Amount: 750
Employees Mentioned
NameTitleContext
April HughesLicensee/Director/ProviderSigned enforcement agreement.
Inspection Report Enforcement Deficiencies: 0 May 7, 2024
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State-compiled enforcement action report for BROOKDALE SANTA CATALINA detailing enforcement action #00111289 with payment and status information.
Findings
The document reports on an enforcement action completed on 2024-05-13 with a penalty amount of $500.00. No specific deficiencies or inspection findings are detailed in the report.
Report Facts
Total fines: 500
Inspection Report Enforcement Deficiencies: 1 May 7, 2024
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The document is an enforcement agreement related to a violation where the manager failed to ensure a resident was treated with dignity, respect, and consideration.
Findings
The facility was found to have a deficient practice that posed a risk if a resident was subjected to ridicule, demeaning, or derogatory remarks, resulting in a civil fine.
Deficiencies (1)
Description
The manager failed to ensure a resident is treated with dignity, respect, and consideration.
Report Facts
Civil fine amount: 500
Employees Mentioned
NameTitleContext
Nick RadekaLicensee/Director/ProviderNamed in enforcement agreement and signed document
Dawn ButlerBureau ChiefSigned enforcement agreement
Thomas SalowAssistant DirectorSigned enforcement agreement
Aaron TellesDeputy Bureau ChiefSigned enforcement agreement
Inspection Report Enforcement Deficiencies: 2 Jan 11, 2024
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The document is related to enforcement actions due to violations found during a compliance inspection, including failure to ensure employee compliance and failure to provide required training documentation.
Findings
The facility was cited for violations including failure to ensure compliance with employee requirements and failure to provide documentation of first aid and CPR training for caregivers. Civil fines totaling $750 were assessed.
Deficiencies (2)
Description
The governing authority failed to ensure compliance with A.R.S. § 36-411 for eight of eight employees reviewed.
The manager failed to ensure before providing assisted living services to a resident, a manager or caregiver provided current documentation of first aid training and CPR training certification specific to adults for one of four caregivers sampled.
Report Facts
Civil fine amount: 250 Civil fine amount: 500 Total civil fines: 750 Employees reviewed: 8 Caregivers sampled: 4
Employees Mentioned
NameTitleContext
Tiffany SlaterBureau ChiefAttended enforcement meeting
Thomas SalowAssistant DirectorAttended enforcement meeting
Cindy GrahamDeputy Bureau ChiefAttended enforcement meeting
Aaron TellesCompliance Officer SupervisorAttended enforcement meeting
Notice Deficiencies: 0 Jan 31, 2023
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Enforcement action notice showing penalty and payment details for Brookdale Santa Catalina as of January 31, 2023.
Findings
This document provides details of an enforcement action including invoice, penalty amount, payment schedule, and completion status without inspection or deficiency findings.
Report Facts
Total fines: 4250
Inspection Report Enforcement Deficiencies: 5 Jan 9, 2023
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The inspection was conducted due to enforcement concerns regarding multiple regulatory violations including lack of caregiver certifications, fingerprint clearance cards, CPR training, and disaster drills.
Findings
The facility was found to have multiple violations including four employees lacking valid fingerprint clearance cards, three employees without caregiver training certificates, four caregivers whose skills and knowledge were not verified, three employees lacking CPR and first aid training documentation, and no employee disaster drills conducted in the past twelve months.
Deficiencies (5)
Description
Four employees did not have current and valid fingerprint clearance cards and did not apply within 20 working days; two employees' fingerprint cards were not validated with DPS.
Three employees working as caregivers did not have caregiver training certificates.
Four caregivers' skills and knowledge were not verified and documented before providing physical health services.
Three employees had no documentation of CPR and first aid training.
No employee disaster drills were conducted during the past twelve months.
Report Facts
Civil fines total amount: 4250 Employees without fingerprint clearance cards: 4 Employees without caregiver training certificates: 3 Caregivers without verified skills and knowledge: 4 Employees without CPR and first aid training documentation: 3 Penalty assessment date: Jan 9, 2023
Employees Mentioned
NameTitleContext
Nicholas RadekaAdministratorLicensee/Director/Provider who signed the enforcement agreement.
Tiffany SlaterBureau ChiefAttendee and signatory on the enforcement agreement.
Thomas SaiowAssistant DirectorAttendee and signatory on the enforcement agreement.
James TiffanyCompliance Officer SupervisorAttendee and signatory on the enforcement agreement.
Inspection Report Enforcement Deficiencies: 0 Nodate Enforcement
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State-compiled enforcement action summary page for BROOKDALE SANTA CATALINA showing enforcement action status and payment schedule.
Findings
The enforcement action for the facility is marked as Closed (Complete) with the payment schedule also completed. No deficiencies or inspection details are provided on this page.

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