Inspection Report Summary
The most recent inspection on December 12, 2025, included an enforcement action resulting in a $500 fine that has been paid in full. Earlier inspections showed a pattern of deficiencies related primarily to administration policies, personnel management, residency agreements, emergency and safety standards, and service plan documentation. Complaint investigations mostly found no deficiencies, though some noted issues with service plans and resident rights. Enforcement actions occurred multiple times over the past two years, often involving documentation, training, and compliance with policies, but no license suspensions or immediate jeopardy findings were listed in the available reports. The facility’s record shows ongoing challenges with administrative and documentation requirements, with no clear trend of improvement or worsening.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
5.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
54% worse 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: Dec 12, 2025
Summary
A fine of $500 was imposed and has been paid in full as part of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine associated with enforcement action #00148152 | Paid |
Inspection Report
Enforcement
Capacity: 42
Deficiencies: 4
Date: Sep 12, 2025
Visit Reason
Four deficiencies found during on-site investigation of multiple complaints related to administration, personnel, residency agreements, and emergency notification.
Findings
Four deficiencies found during on-site investigation of multiple complaints related to administration, personnel, residency agreements, and emergency notification.
Deficiencies (4)
R9-10-803.C.1.g. — Administration policies and procedures
R9-10-806.A.5.a-c. — Personnel management
R9-10-807.G.1. — Residency agreements
R9-10-819.D.1. — Emergency and safety standards
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Sep 12, 2025
Summary
The deficient practice posed a risk as the established and documented policies and procedures were not followed, resulting in a civil fine.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure the facility's policy and procedure covering caregiver response to resident's sudden, intense, or out-of-control behavior was implemented. | — |
Inspection Report
Complaint Investigation
Capacity: 42
Deficiencies: 2
Date: Jul 14, 2025
Visit Reason
Two deficiencies found related to service plans documentation and resident rights during complaint investigation.
Findings
Two deficiencies found related to service plans documentation and resident rights during complaint investigation.
Deficiencies (2)
R9-10-808.C.1.a-g. — Service plans
R9-10-810.B.1. — Resident rights
Inspection Report
Complaint Investigation
Capacity: 42
Deficiencies: 0
Date: May 23, 2025
Visit Reason
No deficiencies found during complaint investigation.
Findings
No deficiencies found during complaint investigation.
Inspection Report
Complaint Investigation
Capacity: 42
Deficiencies: 0
Date: Nov 12, 2024
Visit Reason
No deficiencies found during complaint investigation.
Findings
No deficiencies found during complaint investigation.
Inspection Report
Complaint Investigation
Capacity: 42
Deficiencies: 0
Date: Aug 7, 2024
Visit Reason
No deficiencies found during complaint investigation.
Findings
No deficiencies found during complaint investigation.
Inspection Report
Complaint Investigation
Capacity: 42
Deficiencies: 1
Date: May 13, 2024
Visit Reason
One deficiency found for failure to update written service plan quarterly during complaint investigation.
Findings
One deficiency found for failure to update written service plan quarterly during complaint investigation.
Deficiencies (1)
A. (unnumbered) — Service plan not reviewed and updated quarterly
Inspection Report
Complaint Investigation
Capacity: 42
Deficiencies: 2
Date: Apr 9, 2024
Visit Reason
Two deficiencies found related to service plan signatures and inclusion of directed care service requirements.
Findings
Two deficiencies found related to service plan signatures and inclusion of directed care service requirements.
Deficiencies (2)
A. (unnumbered) — Service plan not signed and dated by resident or representative
C. (unnumbered) — Service plan missing directed care service elements
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Mar 14, 2024
Summary
The enforcement resulted in a civil fine because the deficient practice posed a risk if employees were unable to meet a resident's needs during an emergency.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure caregivers had current documentation of first aid training before providing assisted living services. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Feb 20, 2024
Summary
A fine of $500 was imposed and has been paid in full, completing the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine associated with enforcement action #00111675 | Paid |
Inspection Report
Annual Inspection
Capacity: 42
Deficiencies: 3
Date: Feb 6, 2024
Visit Reason
Three deficiencies found including failure to provide current physician orders, incomplete personnel records, and service plan signature issues.
Findings
Three deficiencies found including failure to provide current physician orders, incomplete personnel records, and service plan signature issues.
Deficiencies (3)
A. 10. — Documentation of current physician orders not provided
C. 1.c.iv. — Personnel records missing license or certification
A. (unnumbered) — Service plan not signed and dated by resident or representative
Enforcement Action
Enforcement
Fines: 2
Total: $500.00
Date: May 9, 2023
Summary
The enforcement resulted in civil fines for repeated violations related to documentation and disaster plan review, reflecting non-compliance with health and safety regulations.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Failure to ensure documentation was submitted within 90 calendar days before acceptance of an individual, a repeat citation from a prior compliance survey. | — |
| $250.00 | Failure to ensure documentation of the disaster plan review including date, time, employee/volunteer names, critique, and recommendations, a repeat citation from a prior compliance survey. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Mar 21, 2023
Summary
A fine of $500.00 was imposed and has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine imposed as part of enforcement action | Paid |
Inspection Report
Complaint Investigation
Capacity: 42
Deficiencies: 5
Date: Feb 28, 2023
Visit Reason
Five deficiencies found including failure to provide documentation timely, failure to report abuse, missing acceptance documentation, failure to provide services per plan, and incomplete disaster plan documentation.
Findings
Five deficiencies found including failure to provide documentation timely, failure to report abuse, missing acceptance documentation, failure to provide services per plan, and incomplete disaster plan documentation.
Deficiencies (5)
E. 1. — Documentation not provided to Department timely
J. — Failure to report suspected abuse, neglect, or exploitation
B. — Missing acceptance documentation
C. 1.a. — Caregiver did not provide services as per service plan
A. 3.a. — Disaster plan review documentation incomplete
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