Inspection Report Summary
The most recent inspection on November 5, 2025, was an off-site review to change licensed capacity and had no deficiencies cited. Earlier inspections showed a mix of findings, including deficiencies related to service plans, medication administration, and food safety. Complaint investigations were mostly unsubstantiated, except for one in July 2025 that identified deficiencies in service plans and medication services. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. The pattern suggests some improvement since the December 2022 annual inspection, which had multiple deficiencies across several areas.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Capacity: 103
Deficiencies: 0
Date: Nov 5, 2025
Visit Reason
Off-site desktop review to change licensed capacity from 103 directed care beds to 30 directed care beds and 73 personal care beds; no deficiencies cited.
Findings
Off-site desktop review to change licensed capacity from 103 directed care beds to 30 directed care beds and 73 personal care beds; no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 3
Date: Jul 16, 2025
Visit Reason
On-site investigation found three deficiencies related to service plans and medication services.
Complaint Details
Complaints 00104766, 00104781, 00104893, 00105024, 00105325, and 00104682
Findings
On-site investigation found three deficiencies related to service plans and medication services.
Deficiencies (3)
R9-10-808.A.3.c. Service Plans — failure to ensure resident service plans included amount, type, and frequency of services
R9-10-808.C.1.a-g. Service Plans — failure to ensure caregivers provided services as documented
R9-10-817.B.3.a-c. Medication Services — failure to administer medication in compliance with orders
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: May 30, 2025
Visit Reason
On-site investigation of complaint 00132079 found no deficiencies.
Complaint Details
Complaint 00132079
Findings
On-site investigation of complaint 00132079 found no deficiencies.
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 1
Date: Nov 25, 2024
Visit Reason
On-site compliance inspection and investigation found one deficiency related to food protection from contamination.
Complaint Details
Complaints AZ00219241, AZ00218364, AZ00208976, AZ00208302, AZ00204694, and AZ00201733
Findings
On-site compliance inspection and investigation found one deficiency related to food protection from contamination.
Deficiencies (1)
C. A manager shall ensure that food is obtained, prepared, served, and stored as follows: 2. Food is protected from potential contamination
Inspection Report
Complaint Investigation
Capacity: 103
Deficiencies: 0
Date: Dec 21, 2022
Visit Reason
On-site investigation of complaint AZ00188685 found no deficiencies; allegation unsubstantiated.
Complaint Details
Complaint AZ00188685
Findings
On-site investigation of complaint AZ00188685 found no deficiencies; allegation unsubstantiated.
Inspection Report
Annual Inspection
Capacity: 103
Deficiencies: 11
Date: Dec 20, 2022
Visit Reason
On-site compliance inspection found 14 deficiencies related to posting inspection reports, resident records, service plans, equipment maintenance, food safety, and animal licensing.
Findings
On-site compliance inspection found 14 deficiencies related to posting inspection reports, resident records, service plans, equipment maintenance, food safety, and animal licensing.
Deficiencies (11)
D. A manager shall ensure that the location at which a copy of the most recent Department inspection report is conspicuously posted
L. A manager shall ensure resident medical records contain required home health or hospice information
A. A manager shall ensure resident written service plans are reviewed, updated, signed, and dated appropriately
F. Service plans for personal care services include skin maintenance to prevent and treat injuries
B. A manager shall not accept or retain residents unable to ambulate without assistance without proper care
E. A manager shall ensure mechanical means to alert employees to resident needs or emergencies are available
A. A manager shall ensure food menus are conspicuously posted at least one calendar day before service
A. A manager shall ensure soiled linen and clothing are stored separate from clean linen
A. A manager shall ensure poisonous or toxic materials are stored in labeled containers in locked areas
A. A manager shall ensure equipment is maintained in working order
A. A manager shall ensure pets or animals are licensed consistent with local ordinances
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