Inspection Report Summary
The most recent inspection on August 30, 2025, included enforcement action resulting in a $2,750 fine that has been paid in full. Earlier inspections showed a pattern of deficiencies related mainly to medication administration, caregiver training and documentation, resident dignity, emergency preparedness, and compliance with statutes. Complaint investigations generally found deficiencies but did not report substantiated abuse or neglect cases. Enforcement actions occurred multiple times, with fines ranging from $750 to $2,750, reflecting repeated issues but no license suspensions or immediate jeopardy findings listed in the available reports. The facility’s record shows ongoing challenges with regulatory compliance, with some enforcement actions resolved but deficiencies persisting over time.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
9.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
162% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Enforcement Action
Enforcement
Fines: 1
Total: $2,750.00
Aug 30, 2025
Summary
The facility was fined $2,750.00 which has been paid in full, indicating resolution of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $2,750.00 | Fine related to enforcement action against the facility | Paid |
Inspection Report
Complaint
Capacity: 155
Deficiencies: 1
Jun 24, 2025
Visit Reason
One deficiency found related to emergency responders and patient information during on-site investigation of complaints 00133123 and 00133789.
Findings
One deficiency found related to emergency responders and patient information during on-site investigation of complaints 00133123 and 00133789.
Deficiencies (1)
| Description |
|---|
| A.R.S. § 36-420.04.A.1-9. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document |
Inspection Report
Capacity: 155
Deficiencies: 0
Jun 23, 2025
Visit Reason
Off-site desktop review completed to increase licensed capacity from 141 to 155. No deficiencies cited.
Findings
Off-site desktop review completed to increase licensed capacity from 141 to 155. No deficiencies cited.
Enforcement Action
Enforcement
Fines: 5
Total: $2,750.00
Apr 16, 2025
Summary
The enforcement resulted in multiple civil fines totaling $2750.00 for repeated health and safety violations posing risks to residents and staff, including medication errors, employee compliance failures, and inadequate caregiver training documentation.
Fines & Penalties (5)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Medication administered not in compliance with medication order for four residents. | — |
| $500.00 | Failure to ensure employee compliance with Arizona Revised Statutes for one employee. | — |
| $250.00 | Failure to ensure resident was treated with dignity, respect, and consideration. | — |
| $500.00 | Failure to ensure caregiver documented services provided in resident's medical record. | — |
| $1,000.00 | Failure to ensure caregiver provided current first aid and CPR training certification. | — |
Inspection Report
Complaint
Capacity: 155
Deficiencies: 12
Apr 3, 2025
Visit Reason
Twelve deficiencies found during on-site compliance inspection and investigation of multiple complaints related to administration, personnel, service plans, resident rights, medication, emergency and environmental standards.
Findings
Twelve deficiencies found during on-site compliance inspection and investigation of multiple complaints related to administration, personnel, service plans, resident rights, medication, emergency and environmental standards.
Deficiencies (12)
| Description |
|---|
| A.R.S. § 36-420.B.2. Health care institutions; cardiopulmonary resuscitation; first aid; immunity; falls; definition |
| R9-10-803.A.9. Administration - Ensure compliance with A.R.S. § 36-411 |
| R9-10-803.C.1.e.i-iv. Administration - Policies and procedures establishment and documentation |
| R9-10-806.A.10. Personnel - Documentation of first aid and CPR training |
| R9-10-806.A.8.a-b. Personnel - Evidence of freedom from infectious tuberculosis (TB) |
| R9-10-808.C.1.g. Service Plans - Documentation of services provided in resident's medical record |
| R9-10-810.B.1. Resident Rights - Resident treated with dignity, respect, and consideration |
| R9-10-816.B.3.b. Medication Services - Medication administered in compliance with medication order |
| R9-10-818.A.4. Emergency and Safety Standards - Disaster drill for employees conducted and documented |
| R9-10-819.A.1.b. Environmental Standards - Premises and equipment free from conditions causing injury |
| R9-10-819.A.11. Environmental Standards - Poisonous or toxic materials stored securely |
| R9-10-819.A.3.a-b. Environmental Standards - Garbage and refuse stored in covered containers lined with plastic bags |
Inspection Report
Complaint
Capacity: 155
Deficiencies: 1
Nov 21, 2024
Visit Reason
One deficiency cited related to failure to report suspected abuse, neglect, or exploitation during on-site investigation of complaint AZ00219040.
Findings
One deficiency cited related to failure to report suspected abuse, neglect, or exploitation during on-site investigation of complaint AZ00219040.
Deficiencies (1)
| Description |
|---|
| J. Abuse reporting - Failure to report suspected abuse, neglect, or exploitation |
Enforcement Action
Enforcement
Fines: 4
Total: $2,250.00
Jun 14, 2024
Summary
The enforcement resulted in civil fines totaling $2250.00 for multiple violations, including false and misleading documentation and failure to ensure proper caregiver qualifications and documentation.
Fines & Penalties (4)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Two employees worked without a current fingerprint clearance card; one employee submitted false and misleading fingerprint clearance documentation. | — |
| $250.00 | Manager failed to ensure skills and knowledge of three caregivers were verified and documented before providing physical health services. | — |
| $500.00 | Manager failed to ensure one caregiver provided valid CPR training documentation before providing assisted living services. | — |
| $500.00 | Manager failed to ensure a caregiver or assistant caregiver documented services provided. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $2,250.00
Apr 30, 2024
Summary
A fine of $2,250.00 was imposed and has been fully paid as part of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $2,250.00 | Fine imposed as part of enforcement action | Paid |
Inspection Report
Complaint
Capacity: 155
Deficiencies: 6
Mar 11, 2024
Visit Reason
Six deficiencies found during on-site investigation of complaints AZ00204702, AZ00205138, and AZ00206527 related to compliance with statutes, caregiver skills verification, CPR documentation, service plans, documentation of services, and caregiver notification of emergencies.
Findings
Six deficiencies found during on-site investigation of complaints AZ00204702, AZ00205138, and AZ00206527 related to compliance with statutes, caregiver skills verification, CPR documentation, service plans, documentation of services, and caregiver notification of emergencies.
Deficiencies (6)
| Description |
|---|
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411 |
| A. A manager shall ensure that: 4. Caregiver's or assistant caregiver's skills and knowledge verified and documented before service |
| A. A manager shall ensure that: 10. Documentation of cardiopulmonary resuscitation (CPR) training certification |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan including level of service |
| C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record |
| D. When a resident has an accident, emergency, or injury requiring medical services, a manager shall ensure caregiver notification |
Enforcement Action
Enforcement
Fines: 4
Total: $2,250.00
Nov 28, 2023
Summary
The facility was found to have failed in ensuring compliance with regulatory requirements, including employee training documentation, accurate medical record documentation, and proper medication administration, resulting in civil fines totaling $2250.00.
Fines & Penalties (4)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Failure to ensure compliance with A.R.S. § 36-411(C) during compliance and complaint inspection on September 11-12, 2023. | — |
| $500.00 | Failure to ensure three employees had current, valid CPR and first aid training documentation during compliance and complaint inspection on September 11-12, 2023. | — |
| $500.00 | Failure to ensure caregiver documented services provided to a resident accurately; facility provided false and misleading information during compliance and complaint inspection on September 11-12, 2023. | — |
| $500.00 | Failure to ensure medication administered to a resident was in compliance with a medication order during compliance and complaint inspection on September 11-12, 2023. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $2,250.00
Nov 7, 2023
Summary
The enforcement resulted in a fine of $2,250.00 which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $2,250.00 | Fine related to enforcement action against the facility | Paid |
Inspection Report
Complaint
Capacity: 155
Deficiencies: 9
Oct 11, 2023
Visit Reason
Nine deficiencies found during on-site compliance inspection and investigation of multiple complaints related to compliance with statutes, personnel training, documentation, resident rights, medication administration, food menu posting, evacuation drills, garbage storage, and tuberculosis screening.
Findings
Nine deficiencies found during on-site compliance inspection and investigation of multiple complaints related to compliance with statutes, personnel training, documentation, resident rights, medication administration, food menu posting, evacuation drills, garbage storage, and tuberculosis screening.
Deficiencies (9)
| Description |
|---|
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411 |
| A. A manager shall ensure that: 10. Documentation of first aid training and CPR training |
| C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record |
| B. A manager shall ensure that: 1. A resident is treated with dignity, respect, and consideration |
| B. If an assisted living facility provides medication administration, a manager shall ensure medication administered in compliance with order |
| A. A manager shall ensure that: 1. A food menu is conspicuously posted at least one calendar day before first meal served |
| A. A manager shall ensure that: 5. An evacuation drill for employees and residents is conducted at least once every six months |
| A. A manager shall ensure that: 3. Garbage and refuse are stored in covered containers lined with plastic bags |
| R9-10-113. Tuberculosis Screening - Implementation of TB infection control activities including baseline screening |
Enforcement Action
Enforcement
Fines: 2
Total: $750.00
Feb 17, 2023
Summary
The facility was found deficient in ensuring caregiver training documentation and proper garbage storage, resulting in civil fines totaling $750.00.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure caregiver provided documentation of completion of a caregiver training program. | — |
| $250.00 | Failure to ensure garbage and refuse were stored in covered containers lined with plastic bags, posing a risk to health and safety. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $750.00
Jan 10, 2023
Summary
The facility was fined $750.00 which has been paid in full, indicating resolution of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $750.00 | Fine related to enforcement action #00113988 | Paid |
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