Inspection Report Summary
The most recent inspection on August 29, 2025, found no deficiencies during the complaint investigation. Earlier inspections showed a pattern of deficiencies related mainly to caregiver training, documentation, and verification of skills, with some issues involving personnel records, resident service plans, and fall prevention training. Enforcement actions occurred in 2023 and 2024, including fines that were fully paid, but no immediate jeopardy findings or license suspensions were listed in the available reports. Complaint investigations throughout this period were consistently unsubstantiated, with no deficiencies cited. The facility’s record indicates improvement over time, with recent inspections showing no cited deficiencies.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% better than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Capacity: 52
Deficiencies: 0
Date: Aug 29, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaint 00141273 conducted on August 28, 2025.
Findings
No deficiencies were found during the on-site investigation of complaint 00141273 conducted on August 28, 2025.
Inspection Report
Complaint Investigation
Capacity: 52
Deficiencies: 0
Date: Jun 26, 2025
Visit Reason
No deficiencies were found during the on-site compliance inspection and investigation of complaints 00134456 and 00134453 conducted on June 26, 2025.
Findings
No deficiencies were found during the on-site compliance inspection and investigation of complaints 00134456 and 00134453 conducted on June 26, 2025.
Inspection Report
Complaint Investigation
Capacity: 52
Deficiencies: 0
Date: Dec 16, 2024
Visit Reason
An on-site investigation of complaints AZ00220485 and AZ00220537 was conducted on December 16, 2024, and no deficiencies were cited.
Findings
An on-site investigation of complaints AZ00220485 and AZ00220537 was conducted on December 16, 2024, and no deficiencies were cited.
Inspection Report
Complaint Investigation
Capacity: 52
Deficiencies: 0
Date: Nov 21, 2024
Visit Reason
An on-site investigation of complaint AZ00219041 was conducted on November 21, 2024, and no deficiencies were cited.
Findings
An on-site investigation of complaint AZ00219041 was conducted on November 21, 2024, and no deficiencies were cited.
Inspection Report
Complaint Investigation
Capacity: 52
Deficiencies: 0
Date: Oct 31, 2024
Visit Reason
An on-site investigation of complaint AZ00217726, AZ00218143 was conducted on October 31, 2024, and no deficiencies were cited.
Findings
An on-site investigation of complaint AZ00217726, AZ00218143 was conducted on October 31, 2024, and no deficiencies were cited.
Inspection Report
Complaint Investigation
Capacity: 52
Deficiencies: 0
Date: Sep 23, 2024
Visit Reason
An on-site investigation of complaint AZ00216309 was conducted on September 23, 2024, and no deficiencies were cited.
Findings
An on-site investigation of complaint AZ00216309 was conducted on September 23, 2024, and no deficiencies were cited.
Inspection Report
Complaint Investigation
Capacity: 52
Deficiencies: 0
Date: Jul 25, 2024
Visit Reason
An on-site investigation of complaint AZ00213054 was conducted on July 25, 2024, and no deficiencies were cited.
Findings
An on-site investigation of complaint AZ00213054 was conducted on July 25, 2024, and no deficiencies were cited.
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Date: Jul 16, 2024
Summary
The enforcement resulted in a fine that has been fully paid.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Fine associated with enforcement action #00110884 | Paid |
Inspection Report
Complaint Investigation
Capacity: 52
Deficiencies: 0
Date: Jun 24, 2024
Visit Reason
An on-site investigation of complaints AZ00212133 and AZ00212057 was conducted on June 24, 2024, and no deficiencies were cited.
Findings
An on-site investigation of complaints AZ00212133 and AZ00212057 was conducted on June 24, 2024, and no deficiencies were cited.
Inspection Report
Complaint Investigation
Capacity: 52
Deficiencies: 1
Date: May 28, 2024
Visit Reason
Deficiencies were found during the on-site compliance inspection and investigation of multiple complaints conducted on May 28, 2024, related to caregiver skills verification and documentation.
Findings
Deficiencies were found during the on-site compliance inspection and investigation of multiple complaints conducted on May 28, 2024, related to caregiver skills verification and documentation.
Deficiencies (1)
A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented: a. Before the caregiver or assistant caregiver provides care
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Jun 19, 2023
Summary
The facility was found to have violated regulations by not establishing and implementing necessary policies and procedures to protect residents, resulting in a civil fine.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure policies and procedures were established, documented, and implemented to protect the health and safety of a resident. | — |
Inspection Report
Complaint Investigation
Capacity: 52
Deficiencies: 7
Date: Apr 3, 2023
Visit Reason
Deficiencies were found during the compliance inspection and investigation of complaints #AZ00186266 and #AZ00191641 conducted on April 3, 2023, including fingerprinting, fall prevention training, caregiver training documentation, personnel records, resident service plans, medical records, and food menu posting.
Findings
Deficiencies were found during the compliance inspection and investigation of complaints #AZ00186266 and #AZ00191641 conducted on April 3, 2023, including fingerprinting, fall prevention training, caregiver training documentation, personnel records, resident service plans, medical records, and food menu posting.
Deficiencies (7)
A.R.S. § 36-411. Residential care institutions; nursing care institutions; home health agencies; fingerprinting requirements; exemptions; definitions
36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition
A. A manager shall ensure that: 1. A caregiver: b. Provides documentation of: i. Completion of a caregiver training program approved by the Department
C. A manager shall ensure that a personnel record for each employee or volunteer: 1. Includes: c. Documentation of: iii. The individual's completed or ongoing orientation
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 updated, is signed and dated by the resident or resident's representative
C. A manager shall ensure that a resident's medical record contains: 7. Except as allowed in R9-10-808(B)(2), documentation of freedom from infectious tuberculosis (TB)
A. A manager shall ensure that: 1. A food menu: c. Is conspicuously posted at least one calendar day before the first meal on the food menu is served
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Feb 7, 2023
Summary
The facility was fined $500.00 which has been paid in full as of the completion date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Financial penalty related to enforcement action | Paid |
Viewing
Loading inspection reports...
