Inspection Report Summary
The most recent inspection on January 15, 2026, included enforcement action resulting in a $750 fine that was paid in full. Earlier inspections showed a pattern of deficiencies related mainly to resident service plans, medication administration, abuse reporting, and safety conditions, with several enforcement actions and fines issued over time. Complaint investigations were mostly unsubstantiated, with no deficiencies found in the majority of cases, and no license suspensions or immediate jeopardy findings were listed in the available reports. The facility faced repeated citations for failure to update service plans timely, inadequate medication practices, and safety hazards, leading to multiple fines totaling several thousand dollars. The trend indicates ongoing challenges with compliance, as deficiencies and enforcement actions have continued into the most recent inspection.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
10.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
178% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Enforcement Action
Enforcement
Fines: 1
Total: $750.00
Date: Jan 15, 2026
Summary
The enforcement action was completed with a fine of $750.00 fully paid by the due date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $750.00 | Fine associated with enforcement action #00150768 | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $750.00
Date: Dec 10, 2025
Summary
The deficient practice posed a risk to the physical health and safety of a resident and was a repeat deficiency from a prior inspection conducted on April 15, 2025.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $750.00 | Failure to immediately report suspected abuse according to A.R.S. § 46-454, posing a risk to resident health and safety. | Pending |
Inspection Report
Complaint Investigation
Capacity: 145
Deficiencies: 0
Date: Oct 22, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00148393 and 00148385.
Findings
No deficiencies were found during the on-site investigation of complaints 00148393 and 00148385.
Inspection Report
Complaint Investigation
Capacity: 145
Deficiencies: 0
Date: Oct 20, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00147750 and 00147752.
Findings
No deficiencies were found during the on-site investigation of complaints 00147750 and 00147752.
Inspection Report
Complaint Investigation
Capacity: 145
Deficiencies: 0
Date: Oct 9, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00147201 and 00147196.
Findings
No deficiencies were found during the on-site investigation of complaints 00147201 and 00147196.
Inspection Report
Capacity: 145
Deficiencies: 0
Date: Oct 8, 2025
Visit Reason
Off-site desktop review to change services from 145 Directed Care to 30 Directed Care and 115 Personal Care.
Findings
Off-site desktop review to change services from 145 Directed Care to 30 Directed Care and 115 Personal Care.
Inspection Report
Complaint Investigation
Capacity: 145
Deficiencies: 1
Date: Jul 29, 2025
Visit Reason
One deficiency found related to medical records safeguards during investigation of complaints 00137792 and 00137807.
Findings
One deficiency found related to medical records safeguards during investigation of complaints 00137792 and 00137807.
Deficiencies (1)
R9-10-811.B.1-2. Medical Records — failure to safeguard against unauthorized access
Inspection Report
Complaint Investigation
Capacity: 145
Deficiencies: 0
Date: Jul 25, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00132210 and 00133328.
Findings
No deficiencies were found during the on-site investigation of complaints 00132210 and 00133328.
Inspection Report
Complaint Investigation
Capacity: 145
Deficiencies: 0
Date: Jul 23, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00136545, 00137105, and 00137355.
Complaint Details
00136545, 00137105, and 00137355
Findings
No deficiencies were found during the on-site investigation of complaints 00136545, 00137105, and 00137355.
Inspection Report
Complaint Investigation
Capacity: 145
Deficiencies: 0
Date: Jul 1, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaint 00134838.
Findings
No deficiencies were found during the on-site investigation of complaint 00134838.
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Date: Jun 30, 2025
Summary
The facility was fined $1,000.00 which has been paid in full as of the completed date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Fine related to enforcement action against the facility | Paid |
Enforcement Action
Enforcement
Fines: 3
Total: $1,000.00
Date: Jun 18, 2025
Summary
The facility was found to have multiple deficiencies related to health and safety, including inadequate means of exiting the facility, improper medication administration, and unsafe conditions that could cause physical injury to residents.
Fines & Penalties (3)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure a means of exiting the facility that controlled or alerted employees of resident egress. | — |
| $250.00 | Failure to ensure medication administered to a resident was in compliance with a medication order (repeat violation). | — |
| $250.00 | Failure to ensure premises and equipment were free from conditions causing physical injury to residents (repeat violation). | — |
Inspection Report
Complaint Investigation
Capacity: 145
Deficiencies: 10
Date: Apr 16, 2025
Visit Reason
Ten deficiencies found during on-site compliance inspection and investigation of multiple complaints from April 15-16, 2025.
Findings
Ten deficiencies found during on-site compliance inspection and investigation of multiple complaints from April 15-16, 2025.
Deficiencies (10)
R9-10-803.J.1-6. Administration — abuse reporting documentation
R9-10-806.A.8.a-b. Personnel — TB evidence
R9-10-807.A.1-2. Residency and Residency Agreements — TB evidence
R9-10-810.B.1. Resident Rights — dignity and respect
R9-10-815.F.2.a-c. Directed Care Services — egress alarm
R9-10-816.B.3.b. Medication Services — medication administration compliance
R9-10-816.F.1. Medication Services — medication storage
R9-10-818.A.6.a-e. Emergency and Safety Standards — evacuation drill documentation
R9-10-818.D.2.a-f. Emergency and Safety Standards — emergency progress notes
R9-10-819.A.1.b. Environmental Standards — premises and equipment safety
Inspection Report
Complaint Investigation
Capacity: 145
Deficiencies: 1
Date: Dec 5, 2024
Visit Reason
One deficiency cited related to medication administration during investigation of complaints AZ00219205 and AZ00219066.
Findings
One deficiency cited related to medication administration during investigation of complaints AZ00219205 and AZ00219066.
Deficiencies (1)
B. Medication administration — medication administration compliance
Inspection Report
Complaint Investigation
Capacity: 145
Deficiencies: 0
Date: Nov 15, 2024
Visit Reason
No deficiencies cited during investigation of complaint AZ00218785.
Findings
No deficiencies cited during investigation of complaint AZ00218785.
Inspection Report
Complaint Investigation
Capacity: 145
Deficiencies: 2
Date: Oct 1, 2024
Visit Reason
Two deficiencies cited related to resident service plans and medical record documentation during investigation of complaints AZ00216055 and AZ00216775.
Findings
Two deficiencies cited related to resident service plans and medical record documentation during investigation of complaints AZ00216055 and AZ00216775.
Deficiencies (2)
A. Resident service plans — written service plan completeness and level of service
C. Medical record documentation — documentation of services provided
Enforcement Action
Enforcement
Fines: 1
Total: $2,000.00
Date: May 6, 2024
Summary
The facility was found to have multiple repeat deficiencies from prior compliance inspections, resulting in a total civil fine of $2,000. The licensee agreed to pay the fines and comply with corrective actions.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $2,000.00 | Civil fines for repeated deficiencies including service plans not updated or signed, vaccinations not offered, lack of medical determination, and facility hazards. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $2,000.00
Date: Apr 23, 2024
Summary
The facility was fined $2,000.00 which has been paid in full as part of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $2,000.00 | Fine associated with enforcement action #00111362 | Paid |
Inspection Report
Complaint Investigation
Capacity: 145
Deficiencies: 9
Date: Mar 6, 2024
Visit Reason
Eight deficiencies found during on-site compliance inspection and investigation of multiple complaints from March 5-6, 2024.
Findings
Eight deficiencies found during on-site compliance inspection and investigation of multiple complaints from March 5-6, 2024.
Deficiencies (9)
A. Resident service plans — review and update based on condition changes
A. Resident service plans — review and update for directed care residents
A. Resident service plans — signatures on initial and updated plans
C. Medical record documentation — vaccination notification
B. Directed care resident acceptance — PCP or specialist documentation
E. Emergency alert systems — availability in resident bedrooms
A. Premises and equipment cleanliness and disinfection
A. Premises and equipment safety — free from hazardous conditions
A. Soiled linen storage — separation from clean linen
Inspection Report
Complaint Investigation
Capacity: 145
Deficiencies: 0
Date: Sep 27, 2023
Visit Reason
No deficiencies cited during investigation of complaint AZ00198295.
Findings
No deficiencies cited during investigation of complaint AZ00198295.
Enforcement Action
Enforcement
Fines: 1
Total: $750.00
Date: Jun 7, 2023
Summary
The enforcement resulted in a civil fine totaling $750 for repeat deficiencies identified during a compliance inspection conducted on March 31, 2022, and confirmed in the April 2023 survey.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $750.00 | Civil fines for three repeat deficiencies: service plans not updated every three months; vaccination documentation missing; bedbound determinations not done every six months. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $750.00
Date: May 2, 2023
Summary
The facility was fined $750.00, which has been paid in full as of the completed date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $750.00 | Enforcement action fine | Paid |
Inspection Report
Complaint Investigation
Capacity: 145
Deficiencies: 8
Date: Apr 12, 2023
Visit Reason
Eight deficiencies found during compliance inspection and investigation of multiple complaints from April 11-12, 2023.
Findings
Eight deficiencies found during compliance inspection and investigation of multiple complaints from April 11-12, 2023.
Deficiencies (8)
36-420.01. Health care institutions; fall prevention and fall recovery; training programs — failure to administer training program
A. Resident service plans — failure to update after significant change
A. Resident service plans — failure to review and update quarterly
A. Resident service plans — failure to have signatures on initial and updated plans
C. Medical record documentation — vaccination notification
B. Directed care resident acceptance — PCP or specialist documentation
A. Premises and equipment cleanliness and disinfection
A. Premises and equipment safety — free from hazardous conditions
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