Inspection Report Summary
The most recent inspection on November 4, 2025, was an off-site review to change the facility’s licensed capacity and had no deficiencies cited. Earlier inspections showed repeated deficiencies primarily related to ensuring residents were treated with dignity and respect, as well as issues with resident service plans and medication administration. Enforcement actions included several civil fines totaling thousands of dollars, with penalties linked to dignity and respect violations and caregiver training deficiencies; these fines have been paid in full, and license suspensions or revocations were not listed in the available reports. Complaint investigations mostly found deficiencies related to dignity and respect, with one notable case involving multiple issues including service plans and medication storage. The inspection history indicates ongoing challenges with resident dignity and staff training, though the most recent review showed no deficiencies, suggesting some improvement.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
5.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
54% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Modification
Capacity: 155
Deficiencies: 0
Nov 4, 2025
Visit Reason
Off-site desktop review completed to change licensed capacity from 155 directed care beds to 15 directed care beds and 140 personal care beds; no deficiencies cited.
Findings
Off-site desktop review completed to change licensed capacity from 155 directed care beds to 15 directed care beds and 140 personal care beds; no deficiencies cited.
Enforcement Action
Enforcement
Fines: 1
Total: $750.00
Mar 10, 2025
Summary
The facility was found deficient in treating a resident with dignity and respect, resulting in a civil fine and enforcement agreement.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $750.00 | Failure to ensure a resident was treated with dignity, respect, and consideration, posing a risk of physical and/or psychosocial harm. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $750.00
Feb 18, 2025
Summary
The enforcement action resulted in a $750 fine which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $750.00 | Enforcement action fine | Paid |
Inspection Report
Complaint Investigation
Capacity: 155
Deficiencies: 4
Jan 16, 2025
Visit Reason
Four deficiencies found related to resident service plans, dignity and respect, and medication administration during complaint investigation AZ00222065.
Findings
Four deficiencies found related to resident service plans, dignity and respect, and medication administration during complaint investigation AZ00222065.
Complaint Details
Complaint AZ00222065
Deficiencies (4)
| Description |
|---|
Inspection Report
Complaint Investigation
Capacity: 155
Deficiencies: 0
May 9, 2024
Visit Reason
On-site investigation of complaint AZ00209977 with no deficiencies cited.
Findings
On-site investigation of complaint AZ00209977 with no deficiencies cited.
Complaint Details
Complaint AZ00209977
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
May 7, 2024
Summary
The enforcement resulted in a $500 fine which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine associated with enforcement action #00111289 | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
May 7, 2024
Summary
The enforcement resulted in a civil fine due to deficient practices that risked the dignity and respect of a resident.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | The manager failed to ensure a resident is treated with dignity, respect, and consideration, posing a risk of ridicule, demeaning, or derogatory remarks. | — |
Inspection Report
Complaint Investigation
Capacity: 155
Deficiencies: 1
Apr 9, 2024
Visit Reason
One deficiency cited related to dignity and respect during complaint investigation AZ00204862.
Findings
One deficiency cited related to dignity and respect during complaint investigation AZ00204862.
Complaint Details
Complaint AZ00204862
Deficiencies (1)
| Description |
|---|
Enforcement Action
Enforcement
Fines: 2
Total: $750.00
Jan 19, 2024
Summary
The facility was cited for non-compliance with regulations regarding employee compliance and training documentation, resulting in civil fines totaling $750.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Failure to ensure compliance with A.R.S. § 36-411 for eight of eight employees reviewed. | — |
| $500.00 | Failure to provide documentation of first aid and CPR training certification for one of four caregivers. | — |
Inspection Report
Complaint Investigation
Capacity: 155
Deficiencies: 5
Dec 11, 2023
Visit Reason
Five deficiencies found related to compliance with A.R.S. § 36-411, documentation of first aid training, service plans, medication storage, and poisonous/toxic materials during complaint investigations AZ00201031, AZ00203777, and AZ00204009.
Findings
Five deficiencies found related to compliance with A.R.S. § 36-411, documentation of first aid training, service plans, medication storage, and poisonous/toxic materials during complaint investigations AZ00201031, AZ00203777, and AZ00204009.
Complaint Details
Complaints AZ00201031, AZ00203777, AZ00204009
Deficiencies (5)
| Description |
|---|
Enforcement Action
Enforcement
Fines: 1
Total: $4,250.00
Jan 31, 2023
Summary
The facility was fined $4,250.00, which has been paid in full as of 3/13/2023.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $4,250.00 | Financial penalty related to enforcement action | Paid |
Enforcement Action
Enforcement
Fines: 5
Total: $4,250.00
Jan 9, 2023
Summary
The enforcement resulted in civil fines totaling $4250.00 for deficiencies including invalid fingerprint clearance cards, missing caregiver training certificates, unverified caregiver skills, lack of CPR and first aid training documentation, and no disaster drills conducted in the past year.
Fines & Penalties (5)
| Amount | Reason | Status |
|---|---|---|
| $1,500.00 | Four employees lacked valid fingerprint clearance cards and two fingerprint cards were not validated with DPS. | — |
| $1,500.00 | Three employees working as caregivers did not have caregiver training certificates. | — |
| $250.00 | Four caregivers' skills and knowledge were not verified and documented before providing physical health services. | — |
| $500.00 | Three employees had no documentation of CPR and first aid training. | — |
| $500.00 | No employee disaster drills were conducted during the past twelve months. | — |
Inspection Report
Annual Inspection
Capacity: 155
Deficiencies: 7
Jan 9, 2023
Visit Reason
Seven deficiencies found related to compliance with A.R.S. § 36-411, documentation submission, caregiver training and orientation, skills verification, and disaster drills during annual compliance inspection.
Findings
Seven deficiencies found related to compliance with A.R.S. § 36-411, documentation submission, caregiver training and orientation, skills verification, and disaster drills during annual compliance inspection.
Deficiencies (7)
| Description |
|---|
Enforcement Action
Enforcement
Total: $0.00
Nodate Enforcement
Report
File
complaint-inspection_2024-06-24.pdf
Report
File
complaint-inspection_2025-02-12.pdf
Report
File
complaint-inspection_2025-06-27.pdf
Report
File
health-inspection_2022-01-14.pdf
Report
File
health-inspection_2023-01-05.pdf
Report
File
health-inspection_2024-05-01.pdf
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