Inspection Report Summary
The most recent inspection on September 25, 2025, included enforcement action resulting in a $500 fine that has been paid. Earlier inspections showed a pattern of deficiencies related mainly to documentation issues, including emergency responder records, abuse reporting, personnel files, and training documentation for fall prevention and first aid, as well as concerns about facility cleanliness and safety hazards. Complaint investigations mostly found no deficiencies, though some documentation issues were substantiated in prior reviews. Enforcement actions in 2023 involved fines totaling $1,250 for repeat deficiencies in training and safety, with no license suspensions or immediate jeopardy noted. The facility’s record shows some ongoing challenges with documentation and safety training, but recent enforcement fines have been lower, suggesting some improvement.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% 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: Sep 25, 2025
Summary
The facility was fined $500.00 which has been paid in full as of the due date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine related to enforcement action #00134345 | Paid |
Inspection Report
Complaint Investigation
Capacity: 56
Deficiencies: 0
Date: Jul 18, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 0136651 and 00136639 conducted on July 18, 2025.
Findings
No deficiencies were found during the on-site investigation of complaints 0136651 and 00136639 conducted on July 18, 2025.
Inspection Report
Complaint Investigation
Capacity: 56
Deficiencies: 2
Date: Jun 6, 2025
Visit Reason
Deficiencies found related to emergency responder documentation and abuse reporting during investigation of multiple complaints.
Findings
Deficiencies found related to emergency responder documentation and abuse reporting during investigation of multiple complaints.
Deficiencies (2)
A.R.S. § 36-420.04.A.1-9. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document
R9-10-803.J.1-6. Administration; Abuse reporting documentation
Inspection Report
Complaint Investigation
Capacity: 56
Deficiencies: 1
Date: Oct 22, 2024
Visit Reason
One deficiency found related to personnel records during compliance inspection and complaint investigation.
Findings
One deficiency found related to personnel records during compliance inspection and complaint investigation.
Deficiencies (1)
C. A manager shall ensure that a personnel record for each employee or volunteer includes required documentation
Inspection Report
Complaint Investigation
Capacity: 56
Deficiencies: 0
Date: Mar 26, 2024
Visit Reason
No deficiencies cited during on-site investigation of multiple complaints.
Findings
No deficiencies cited during on-site investigation of multiple complaints.
Enforcement Action
Enforcement
Fines: 4
Total: $1,250.00
Date: Apr 17, 2023
Summary
The enforcement outcome identified four repeat deficiencies from prior inspections and complaint investigations, resulting in civil fines totaling $1250.00.
Fines & Penalties (4)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | One employee had no documentation of first aid training | — |
| $250.00 | Areas of the facility were not clean | — |
| $250.00 | Facility was not free from hazards | — |
| $250.00 | Five personnel members did not have documentation of fall prevention and fall recovery training | — |
Enforcement Action
Enforcement
Fines: 1
Total: $1,250.00
Date: Apr 11, 2023
Summary
The facility was fined $1,250.00 which has been paid in full as part of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,250.00 | Fine imposed as part of enforcement action | Paid |
Inspection Report
Annual Inspection
Capacity: 56
Deficiencies: 5
Date: Mar 16, 2023
Visit Reason
Five deficiencies found related to fall prevention training, first aid documentation, premises cleanliness, safety conditions, and soiled linen storage during annual compliance inspection.
Findings
Five deficiencies found related to fall prevention training, first aid documentation, premises cleanliness, safety conditions, and soiled linen storage during annual compliance inspection.
Deficiencies (5)
36-420.01. Health care institutions; fall prevention and fall recovery; training programs
A. A manager shall ensure that before providing assisted living services, current documentation of first aid training is provided
A. A manager shall ensure that premises and equipment are cleaned and disinfected according to policies
A. A manager shall ensure that premises are free from conditions that may cause physical injury
A. A manager shall ensure soiled linen and clothing are stored separate from clean linen in closed containers
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