Inspection Report Summary
The most recent inspection on October 9, 2025, was an off-site desktop review to remove directed care services from the license and had no deficiencies cited. Earlier inspections showed multiple deficiencies primarily related to documentation, caregiver qualifications, resident dignity, and emergency preparedness, with several enforcement actions including fines totaling at least $26,000. Complaint investigations substantiated issues such as failure to provide required documentation to emergency responders and lapses in ensuring resident dignity and respect. Enforcement actions included fines for failure to maintain proper documentation and resident rights, but no license suspensions or immediate jeopardy findings were listed in the available reports. The facility’s record shows improvement over time, culminating in a clean most recent inspection after addressing prior deficiencies.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
8.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
130% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Capacity: 60
Deficiencies: 0
Date: Oct 9, 2025
Visit Reason
Off-site desktop review to remove directed care services from the license; no deficiencies cited.
Findings
Off-site desktop review to remove directed care services from the license; no deficiencies cited.
Enforcement Action
Enforcement
Fines: 1
Total: $100,000.00
Date: Mar 31, 2025
Summary
The Department documented multiple violations across several Brookdale facilities, resulting in Statements of Deficiencies and enforcement referrals. Brookdale agreed to a settlement including fines, corrective actions, and compliance measures to resolve the enforcement actions.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $100,000.00 | Settlement amount to resolve outstanding enforcement actions and notices for four Brookdale facilities. | — |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Dec 11, 2024
Visit Reason
Investigation of complaint AZ00220241 found failure to provide required documentation to emergency responders.
Complaint Details
Complaint AZ00220241
Findings
Investigation of complaint AZ00220241 found failure to provide required documentation 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: $25,000.00
Date: Oct 29, 2024
Summary
The enforcement resulted in a $25,000 fine which has been fully paid.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $25,000.00 | Fine related to enforcement action against the facility | Paid |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 9
Date: Oct 29, 2024
Visit Reason
Investigation of complaint AZ00217577 found multiple deficiencies related to manager's failure to provide documentation, report abuse, maintain quality management, verify caregiver skills, and ensure resident dignity.
Complaint Details
Complaint AZ00217577
Findings
Investigation of complaint AZ00217577 found multiple deficiencies related to manager's failure to provide documentation, report abuse, maintain quality management, verify caregiver skills, and ensure resident dignity.
Deficiencies (9)
A.R.S. § 36-424. Inspections; suspension or revocation of license; report to board of examiners of nursing care institution administrators and assistants
E. A manager shall ensure that documentation required by this Article is provided to the Department within two hours after a Department request
E. A manager shall ensure that documentation or information required by this Chapter is submitted on behalf of the facility to the Bureau of Assisted Living
J. If a manager has a reasonable basis, according to A.R.S. § 46-454, to believe abuse, neglect or exploitation has occurred
A manager shall ensure that a plan is established, documented, and implemented for an ongoing quality management program
A manager shall ensure that the quality management report and supporting documentation are maintained for at least 12 months
A manager shall ensure that a caregiver's or assistant caregiver's skills and knowledge are verified and documented before providing services
A manager shall ensure that the facility caregivers have the qualifications, experience, skills, and knowledge necessary to provide assisted living services
A manager shall ensure that a resident is treated with dignity, respect, and consideration
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 3
Date: Oct 15, 2024
Visit Reason
Investigation of complaint AZ00217376 found deficiencies in resident service plan documentation, caregiver documentation of services, and resident dignity.
Complaint Details
Complaint AZ00217376
Findings
Investigation of complaint AZ00217376 found deficiencies in resident service plan documentation, caregiver documentation of services, and resident dignity.
Deficiencies (3)
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that is signed and dated
C. A manager shall ensure that a caregiver or assistant caregiver documents the services provided in the resident's medical record
B. A manager shall ensure that a resident is treated with dignity, respect, and consideration
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Aug 27, 2024
Summary
The enforcement resulted in a civil fine of $500 for the violation related to resident rights and dignity.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Manager failed to ensure a resident was treated with dignity, respect, and consideration, posing a potential resident rights violation. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Aug 6, 2024
Summary
The enforcement resulted in a $500 fine which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine related to enforcement action against the facility | Paid |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 1
Date: Jul 22, 2024
Visit Reason
Investigation of complaints AZ00213067 and AZ00213058 found failure to ensure resident dignity and respect.
Complaint Details
Complaints AZ00213067, AZ00213058
Findings
Investigation of complaints AZ00213067 and AZ00213058 found failure to ensure resident dignity and respect.
Deficiencies (1)
B. A manager shall ensure that a resident is treated with dignity, respect, and consideration
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Jun 7, 2024
Summary
The facility was found non-compliant for not ensuring CPR training documentation for one of five caregivers sampled, posing a health and safety risk during emergencies.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure a caregiver provided current CPR training documentation before providing assisted living services. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: May 21, 2024
Summary
A fine of $500 was imposed and has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Enforcement action fine | Paid |
Inspection Report
Annual Inspection
Capacity: 60
Deficiencies: 3
Date: Apr 30, 2024
Visit Reason
On-site compliance inspection found deficiencies related to caregiver CPR documentation, service plan skin maintenance, and medication administration documentation.
Findings
On-site compliance inspection found deficiencies related to caregiver CPR documentation, service plan skin maintenance, and medication administration documentation.
Deficiencies (3)
A. A manager shall ensure that before providing assisted living services, a caregiver provides current documentation of cardiopulmonary resuscitation (CPR) training
F. A manager shall ensure that the service plan for a resident receiving personal care services includes skin maintenance to prevent and treat skin breakdown
B. If an assisted living facility provides medication administration, a manager shall ensure that medication administered to a resident is documented in the resident's medical record
Inspection Report
Original Licensing
Capacity: 60
Deficiencies: 0
Date: Mar 13, 2024
Visit Reason
Off-site initial inspection for change of ownership; no deficiencies cited.
Findings
Off-site initial inspection for change of ownership; no deficiencies cited.
Viewing
Loading inspection reports...
