Inspection Report Summary
The most recent inspection on November 21, 2025, included enforcement action resulting in a $500 fine that has been paid in full. Earlier inspections showed a pattern of deficiencies related mainly to medication administration, evacuation drills, resident service plans, and emergency response information. Complaint investigations were mostly unsubstantiated, with one substantiated case involving failure to provide required information to emergency responders. Enforcement actions and fines were noted several times, but no license suspensions or immediate jeopardy findings were listed in the available reports. The facility’s record shows ongoing challenges with regulatory compliance, with repeated citations over time and enforcement actions continuing into the most recent inspection.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
3.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
5% better than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Nov 21, 2025
Summary
The facility was fined $500.00 and the fine has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine related to enforcement action against the facility | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Oct 21, 2025
Summary
The governing authority failed to ensure compliance with health and safety regulations, resulting in a deficient practice that posed a risk to vulnerable individuals.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure compliance with A.R.S. § 36-411, posing a health and safety risk. | — |
Inspection Report
Complaint Investigation
Capacity: 56
Deficiencies: 0
Date: Aug 23, 2024
Visit Reason
An on-site investigation of complaint AZ00214810 was conducted and no deficiencies were cited.
Complaint Details
Complaint AZ00214810
Findings
An on-site investigation of complaint AZ00214810 was conducted and no deficiencies were cited.
Inspection Report
Complaint Investigation
Capacity: 56
Deficiencies: 1
Date: Aug 14, 2024
Visit Reason
Investigation of complaint AZ00214022 found one deficiency related to failure to provide required information to emergency responders.
Complaint Details
Complaint AZ00214022
Findings
Investigation of complaint AZ00214022 found one deficiency related to failure to provide required information to emergency responders.
Deficiencies (1)
36-420.04. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Date: Jul 15, 2024
Summary
The facility was found to have a repeat deficiency related to improper medication administration that posed a risk of change in condition for the resident.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Failure to ensure a medication was administered in compliance with a medication order, posing a health and safety risk. | Pending |
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Date: Jul 9, 2024
Summary
The enforcement resulted in a fine which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Fine associated with enforcement action #00110934 | Paid |
Inspection Report
Complaint Investigation
Capacity: 56
Deficiencies: 1
Date: Jun 13, 2024
Visit Reason
Investigation of multiple complaints found one deficiency related to medication administration not in compliance with orders.
Complaint Details
Complaints AZ00204696, AZ00208033, AZ00208289, AZ00210042, AZ00211679
Findings
Investigation of multiple complaints found one deficiency related to medication administration not in compliance with orders.
Deficiencies (1)
Medication administration regulation — failure to ensure medication was administered in compliance with orders
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Nov 9, 2023
Summary
The facility was found deficient for not conducting required evacuation drills, which posed a health and safety risk. A civil fine of $500 was assessed and agreed upon by the licensee.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure an evacuation drill for employees and residents was conducted at least once every six months, posing a health and safety risk. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Oct 31, 2023
Summary
The facility was fined $500.00 which has been paid in full, indicating resolution of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine related to enforcement action against the facility | Paid |
Inspection Report
Annual Inspection
Capacity: 56
Deficiencies: 5
Date: Sep 25, 2023
Visit Reason
Annual compliance inspection and complaint investigation found six deficiencies related to resident service plans, resident acceptance criteria, alert systems, medication administration, and evacuation drills.
Complaint Details
Complaints AZ00200200, AZ00200456, AZ00200472, AZ00200869
Findings
Annual compliance inspection and complaint investigation found six deficiencies related to resident service plans, resident acceptance criteria, alert systems, medication administration, and evacuation drills.
Deficiencies (5)
Resident service plan requirements — failure to ensure written service plans developed with assistance and review
Resident acceptance criteria — failure to ensure residents unable to ambulate had appropriate primary care provider or other oversight
Alert system requirements — failure to ensure mechanical means to alert employees to resident needs or emergencies was available
Medication administration regulation — failure to ensure medication was administered in compliance with orders
Evacuation drill requirements — failure to conduct evacuation drills at least every six months including all individuals
Inspection Report
Complaint Investigation
Capacity: 56
Deficiencies: 0
Date: May 2, 2023
Visit Reason
Investigation of complaint #AZ00185745 found no deficiencies.
Complaint Details
Complaint #AZ00185745
Findings
Investigation of complaint #AZ00185745 found no deficiencies.
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