Inspection Report
Complaint Investigation
Capacity: 38
Deficiencies: 6
Apr 16, 2025
Visit Reason
State-compiled facility profile showing 4 inspections from 2024-03 to 2025-04 with deficiency history and complaint investigations.
Findings
Across four inspections, six deficiencies were found during a combined complaint and annual compliance inspection in March 2024, while three subsequent complaint investigations in 2025 found no deficiencies.
Complaint Details
Complaint investigations were conducted on 2025-04-16, 2025-01-16, and 2024-06-03 with no deficiencies cited in the first two and no deficiencies cited on 2024-06-03 inspection.
Deficiencies (6)
| Description |
|---|
| C. A manager shall ensure that a personnel record for each employee or volunteer: 1.c.ix. Documentation of compliance with the requirements in A.R.S. § 36-411(A) and (C); Failed to ensure personnel records included documentation of fingerprint clearance card compliance for two employees. |
| C. A manager shall ensure that: 1.g. Documents the services provided in the resident's medical record; and Failed to ensure documentation of services provided in the resident's medical record for one discharge resident. |
| F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 2.a.i-ii. There is a means of exiting the facility for a resident without a key that provides access to an outside area and alerts employees of egress; Failed to ensure the back door had an alert device for resident egress. |
| D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver or an assistant caregiver: 1. Immediately notifies the resident's emergency contact and primary care provider; Failed to immediately notify the primary care provider after a resident's injury. |
| D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver or an assistant caregiver: 2.f. Documents any action taken to prevent future occurrences; Failed to document actions taken to prevent future accidents after a resident's injury. |
| D. A manager shall ensure that: 6.c.vi. A bathroom that provides privacy contains a window that opens or another means of ventilation; Failed to ensure bathrooms in two residential units had working ventilation or windows that opened. |
Report Facts
Inspections on page: 4
Total deficiencies: 6
Complaint Inspections: 4
Total capacity: 38
Loading inspection reports...
