Deficiencies per Year
12
9
6
3
0
Unclassified
Inspection Report
Modification
Capacity: 74
Deficiencies: 0
Oct 10, 2025
Visit Reason
Off-site desktop review to change licensed capacity from 74 directed care to 21 directed care and 53 personal care; no deficiencies cited.
Findings
Off-site desktop review to change licensed capacity from 74 directed care to 21 directed care and 53 personal care; no deficiencies cited.
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Jul 16, 2025
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 #00130800 | Paid |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 1
Jun 10, 2025
Visit Reason
One deficiency found related to failure to ensure means of exiting facility controlled or alerted employees.
Findings
One deficiency found related to failure to ensure means of exiting facility controlled or alerted employees.
Complaint Details
Complaints 00131852 and 00130714
Deficiencies (1)
| Description |
|---|
| R9-10-815.F.2.a-c. Directed Care Services — failure to ensure means of exiting facility controlled or alerted employees |
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Jun 6, 2025
Summary
A fine of $250 was imposed and has been paid in full, indicating resolution of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Fine imposed as part of enforcement action | Paid |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 3
Apr 24, 2025
Visit Reason
Three deficiencies found related to personnel documentation, service plans including level of service and medication storage.
Findings
Three deficiencies found related to personnel documentation, service plans including level of service and medication storage.
Complaint Details
Complaint 00126264
Deficiencies (3)
| Description |
|---|
| R9-10-806.A.8.a-b. Personnel — failure to ensure employee documentation of freedom from infectious tuberculosis |
| R9-10-808.A.3.b. Service Plans — failure to ensure written service plan included expected level of service |
| R9-10-808.A.3.f. Service Plans — failure to ensure service plan included medication storage and control |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 1
Apr 2, 2025
Visit Reason
One deficiency found related to failure to ensure policies and procedures were implemented to protect health.
Findings
One deficiency found related to failure to ensure policies and procedures were implemented to protect health.
Complaint Details
Cases 00124977, 00124970, 00124915, and 00124916
Deficiencies (1)
| Description |
|---|
| R9-10-803.C.1.g. Administration — failure to ensure policies and procedures implemented to protect health |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 0
Mar 25, 2025
Visit Reason
No deficiencies found during investigation of complaints.
Findings
No deficiencies found during investigation of complaints.
Complaint Details
Complaints 00123805, 00123713, and 00123809
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 3
Mar 17, 2025
Visit Reason
Three deficiencies found related to food services, environmental standards including cleaning and poisonous materials storage.
Findings
Three deficiencies found related to food services, environmental standards including cleaning and poisonous materials storage.
Complaint Details
Complaints 00105482, 00105618, and 00121659
Deficiencies (3)
| Description |
|---|
| R9-10-817.C.1. Food Services — failure to ensure food stored was free from spoilage and safe for consumption |
| R9-10-819.A.1.a. Environmental Standards — failure to ensure premises and equipment cleaned and disinfected |
| R9-10-819.A.11. Environmental Standards — failure to ensure poisonous or toxic materials stored locked and inaccessible |
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Mar 17, 2025
Summary
The facility was found to have a repeat deficiency from a prior inspection where poisonous or toxic materials were not properly secured, posing a risk to resident health and safety.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Failure to ensure poisonous or toxic materials were maintained in a locked area and inaccessible to residents, posing a health and safety risk. | — |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 1
Nov 7, 2024
Visit Reason
One deficiency found related to caregiver responsibilities after resident accident or injury.
Findings
One deficiency found related to caregiver responsibilities after resident accident or injury.
Complaint Details
Complaint AZ00217949
Deficiencies (1)
| Description |
|---|
| D. Caregiver responsibilities — failure to ensure caregiver provided required documentation after resident accident or injury |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 0
Aug 16, 2024
Visit Reason
No deficiencies found during investigation of complaints.
Findings
No deficiencies found during investigation of complaints.
Complaint Details
Complaints AZ00214454 and AZ00213937
Enforcement Action
Enforcement
Fines: 1
Total: $3,250.00
Feb 20, 2024
Summary
The enforcement resulted in a fine of $3,250.00 which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $3,250.00 | Fine associated with enforcement action #00111694 | Paid |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 10
Jan 31, 2024
Visit Reason
Ten deficiencies found related to documentation, caregiver training, service plans, dignity and respect, medication storage, oxygen safety, and poisonous materials storage.
Findings
Ten deficiencies found related to documentation, caregiver training, service plans, dignity and respect, medication storage, oxygen safety, and poisonous materials storage.
Complaint Details
Complaints AZ00205713 and AZ00205272
Deficiencies (10)
| Description |
|---|
| E. Documentation required by Article 8 — failure to provide documentation to Department within two hours after request |
| A. Caregiver training documentation — failure to provide documentation of completion of approved caregiver training program |
| A. Assistant caregiver supervision — failure to ensure assistant caregiver interacted with residents under supervision |
| A. Caregiver skills verification — failure to verify and document caregiver skills and knowledge before providing services |
| A. CPR training documentation — failure to provide current documentation of cardiopulmonary resuscitation training |
| A. Written service plan signature — failure to ensure service plan signed and dated by manager |
| B. Resident dignity and respect — failure to ensure resident treated with dignity, respect, and consideration |
| F. Medication storage — failure to store medication in separate locked room, closet, cabinet, or self-contained unit |
| A. Oxygen container safety — failure to secure oxygen containers in upright position |
| A. Poisonous or toxic materials — failure to maintain in labeled containers in locked area inaccessible to residents |
Enforcement Action
Enforcement
Fines: 3
Total: $3,250.00
Jan 31, 2024
Summary
The enforcement resulted in civil fines totaling $3,250 for violations related to caregiver training certificates, skills verification, and CPR training deficiencies.
Fines & Penalties (3)
| Amount | Reason | Status |
|---|---|---|
| $2,500.00 | Five employees working as caregivers did not have caregiver training certificates. | — |
| $250.00 | Eight caregivers' skills and knowledge were not verified and documented before providing physical health services. | — |
| $500.00 | One employee's CPR training was invalid as it was online-only and did not include a return demonstration. | — |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 6
Dec 27, 2023
Visit Reason
Six deficiencies found related to quality management, personnel records, service plans, medication administration, oxygen safety.
Findings
Six deficiencies found related to quality management, personnel records, service plans, medication administration, oxygen safety.
Complaint Details
Complaints AZ00200626, AZ00201265, AZ00203168, and AZ00203670
Deficiencies (6)
| Description |
|---|
| Quality management program — failure to establish, document, and implement ongoing quality management plan |
| R9-10-806.A.8.a-b. Personnel — failure to ensure employee documentation of freedom from infectious tuberculosis |
| R9-10-808.A.3.f. Service Plans — failure to ensure service plan included medication storage and control |
| R9-10-815.F.2.a-c. Directed Care Services — failure to obtain required documentation for resident acceptance |
| Medication administration compliance — failure to ensure medication administered per order |
| A. Oxygen container safety — failure to secure oxygen containers in upright position |
Enforcement Action
Enforcement
Fines: 2
Total: $750.00
Feb 6, 2023
Summary
The facility was found to have violations related to caregiver training certification and animal licensing, resulting in civil fines totaling $750.00.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | One employee, working as a caregiver, did not have a caregiver training certificate. | — |
| $250.00 | One dog residing in the facility did not have a license (repeat deficiency). | — |
Enforcement Action
Enforcement
Fines: 1
Total: $750.00
Jan 24, 2023
Summary
The enforcement action was completed with a fine of $750.00 paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $750.00 | Fine associated with enforcement action #00113890 | Paid |
Inspection Report
Complaint Investigation
Capacity: 74
Deficiencies: 0
Jan 4, 2023
Visit Reason
No deficiencies found; two allegations unable to be substantiated.
Findings
No deficiencies found; two allegations unable to be substantiated.
Complaint Details
Complaint AZ00183156
Inspection Report
Annual Inspection
Capacity: 74
Deficiencies: 8
Jan 4, 2023
Visit Reason
Eight deficiencies found related to quality management, caregiver training, service plans, vaccination notification, resident acceptance documentation, disaster drills, evacuation drill documentation, and pet licensing.
Findings
Eight deficiencies found related to quality management, caregiver training, service plans, vaccination notification, resident acceptance documentation, disaster drills, evacuation drill documentation, and pet licensing.
Deficiencies (8)
| Description |
|---|
| Quality management program — failure to establish, document, and implement ongoing quality management plan |
| A. Caregiver training documentation — failure to provide documentation of completion of approved caregiver training program |
| R9-10-808.A.3.f. Service Plans — failure to ensure service plan included medication storage and control |
| Vaccination notification documentation — failure to document notification of vaccination availability |
| R9-10-815.F.2.a-c. Directed Care Services — failure to obtain required documentation for resident acceptance |
| Disaster drills — failure to conduct and document disaster drills on each shift at least once every three months |
| Evacuation drill documentation — failure to maintain documentation including identification of residents needing assistance |
| Pet licensing — failure to ensure pets allowed in facility were licensed consistent with local ordinances |
Report
File
7-16-2025-enforcement_att-01.pdf
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