Inspection Report Summary
The most recent inspection on September 11, 2025, found no deficiencies during the complaint investigation. Earlier inspections showed some issues primarily related to documentation of resident service plans, assisted living services, and emergency preparedness, including means of exiting the facility and evacuation drills. Enforcement actions in October 2024 resulted in two civil fines totaling $1,000 for deficiencies involving staff training documentation and emergency alert systems; these fines were paid in full. Complaint investigations prior to the most recent inspection were generally unsubstantiated or found minor deficiencies that were addressed. The facility’s record shows improvement over time, with the latest inspections free of deficiencies and resolved enforcement matters.
Deficiencies per Year
4
3
2
1
0
Unclassified
Inspection Report
Complaint Investigation
Capacity: 42
Deficiencies: 0
Sep 11, 2025
Visit Reason
No deficiencies were found during the on-site compliance inspection and investigation of complaints 00144397, 00144393, 00137796, and 00137769.
Findings
No deficiencies were found during the on-site compliance inspection and investigation of complaints 00144397, 00144393, 00137796, and 00137769.
Complaint Details
Complaints 00144397, 00144393, 00137796, and 00137769
Inspection Report
Complaint Investigation
Capacity: 42
Deficiencies: 0
Jul 15, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00136353 and 00136338.
Findings
No deficiencies were found during the on-site investigation of complaints 00136353 and 00136338.
Complaint Details
Complaints 00136353 and 00136338
Inspection Report
Complaint Investigation
Capacity: 42
Deficiencies: 0
Oct 18, 2024
Visit Reason
An on-site investigation of complaints AZ00217490 and AZ00217603 was conducted with no deficiencies cited.
Findings
An on-site investigation of complaints AZ00217490 and AZ00217603 was conducted with no deficiencies cited.
Complaint Details
Complaints AZ00217490 and AZ00217603
Enforcement Action
Enforcement
Fines: 2
Total: $1,000.00
Oct 16, 2024
Summary
The facility was found to have deficient practices posing health and safety risks, resulting in two civil fines totaling $1,000 for failure to meet regulatory requirements.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure documentation of first aid and CPR training certification for staff. | — |
| $500.00 | Failure to ensure a means of exiting the facility to alert employees of resident egress. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Oct 15, 2024
Summary
The enforcement resulted in a $1,000 fine which has been paid in full as of the completion date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Fine associated with enforcement action #00110395 | Paid |
Inspection Report
Annual Inspection
Capacity: 42
Deficiencies: 4
Sep 9, 2024
Visit Reason
Four deficiencies were found related to documentation of assisted living services, resident service plans, means of exiting the facility, and evacuation drills.
Findings
Four deficiencies were found related to documentation of assisted living services, resident service plans, means of exiting the facility, and evacuation drills.
Deficiencies (4)
| Description |
|---|
| A. A manager shall ensure that: 10. Before providing assisted living services to a resident, a manager or caregiver provides current documentation of ... |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when ... |
| F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 2. There is a means of exiting the facilit... |
| A. A manager shall ensure that 5. An evacuation drill for employees and residents: a. Is conducted at least once every six months; and b. Includes all... |
Inspection Report
Complaint Investigation
Capacity: 42
Deficiencies: 2
Aug 1, 2023
Visit Reason
Two deficiencies were found related to resident service plans and disaster plan review during the investigation of complaints AZ00197909 and AZ00198367.
Findings
Two deficiencies were found related to resident service plans and disaster plan review during the investigation of complaints AZ00197909 and AZ00198367.
Complaint Details
Complaints AZ00197909 and AZ00198367
Deficiencies (2)
| Description |
|---|
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when ... |
| A. A manager shall ensure that: 2. The disaster plan required in subsection (A)(1) is reviewed at least once every 12 months; |
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