The most recent inspection on October 1, 2025, found no deficiencies during the on-site investigation of complaints. Earlier inspections showed a pattern of deficiencies related primarily to documentation issues, including abuse reporting, caregiver skills verification, resident service plans, and accident or injury records. Enforcement actions with fines were imposed several times in the past, with amounts ranging from $750 to $1,250, all of which have been paid in full; no license suspensions or immediate jeopardy findings were listed in the available reports. Most complaint investigations were unsubstantiated, and no substantiated complaints involved enforcement actions beyond fines. The facility’s record shows improvement over time, with recent inspections consistently free of deficiencies.
Deficiencies (last 4 years)
Deficiencies (over 4 years)4.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Deficiencies cited during the on-site investigation of complaints AZ00216000 and AZ00219843.
Findings
Deficiencies cited during the on-site investigation of complaints AZ00216000 and AZ00219843.
Deficiencies (3)
Description
C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: a. Provides a resident with the assisted living services in the resident's service plan
C. A manager shall ensure that a resident's medical record contains: 12. A medication order from a medical practitioner for each medication that is administered
D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver or assistant caregiver documents the event
Deficiencies cited during the on-site compliance inspection and investigation of complaints AZ00213417, AZ00212978, and AZ00213439.
Findings
Deficiencies cited during the on-site compliance inspection and investigation of complaints AZ00213417, AZ00212978, and AZ00213439.
Deficiencies (2)
Description
A. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have more than incidental contact with residents, provide documentation of freedom from infectious tuberculosis (TB)
A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area inaccessible to residents
The facility was found not in substantial compliance due to failure to report and document suspected abuse, neglect, or exploitation, posing a potential safety risk to residents.
Fines & Penalties (1)
Amount
Reason
Status
$1,000.00
Failure to document report of suspected abuse, neglect, or exploitation as required by A.A.C. R9-10-803.J.1-6.
One deficiency cited during the on-site investigation of complaint AZ00208556 related to abuse reporting documentation.
Findings
One deficiency cited during the on-site investigation of complaint AZ00208556 related to abuse reporting documentation.
Deficiencies (1)
Description
J. If a manager has a reasonable basis, according to A.R.S. § 46-454, to believe abuse, neglect or exploitation has occurred on the premises or while providing services, the manager shall ensure abuse reporting documentation
The facility was found deficient in multiple areas including failure to document reports to peace officers or protective services, failure to verify caregiver skills, and failure to notify appropriate parties after resident incidents, resulting in a total civil fine of $1,250.
Fines & Penalties (3)
Amount
Reason
Status
$500.00
Failure to document the report made to a peace officer or to the adult protective services central intake unit, posing a potential safety risk and rights violation.
Pending
$250.00
Failure to ensure a caregiver's skills and knowledge were verified and documented before providing physical or behavioral health services.
Pending
$500.00
Failure to ensure notification and documentation after a resident's accident, emergency, or injury, posing a risk due to lack of information and possible misleading documentation.
Four deficiencies cited during the on-site investigation of complaints AZ00205712, AZ00205418, AZ00201435 and AZ00198860 related to abuse reporting, caregiver skills verification, documentation of services, and accident/injury documentation.
Findings
Four deficiencies cited during the on-site investigation of complaints AZ00205712, AZ00205418, AZ00201435 and AZ00198860 related to abuse reporting, caregiver skills verification, documentation of services, and accident/injury documentation.
Deficiencies (4)
Description
J. If a manager has a reasonable basis, according to A.R.S. § 46-454, to believe abuse, neglect or exploitation has occurred on the premises or while providing services, the manager shall ensure abuse reporting documentation
A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented before providing physical health services
C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record
D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver or assistant caregiver documents the event
Four deficiencies cited during the on-site compliance inspection and investigation of complaint #AZ00195276 related to staff training on fall prevention, resident written service plans including timeliness, content, and signatures.
Findings
Four deficiencies cited during the on-site compliance inspection and investigation of complaint #AZ00195276 related to staff training on fall prevention, resident written service plans including timeliness, content, and signatures.
Deficiencies (4)
Description
36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition A. Each health care institution shall develop and administer a training program for all staff regarding fall prevention and fall recovery
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 1. Is completed no later than 14 calendar days after the resident's date of acceptance
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes a description of the resident's medical or health problems
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
Five deficiencies cited during the on-site investigation of complaint AZ00188599 related to governing authority compliance, policies and procedures, resident death notification, and resident written service plans.
Findings
Five deficiencies cited during the on-site investigation of complaint AZ00188599 related to governing authority compliance, policies and procedures, resident death notification, and resident written service plans.
Deficiencies (5)
Description
A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411
C. A manager shall ensure that policies and procedures are: 1. Established, documented, and implemented to protect the health and safety of a resident
K. A manager shall provide written notification to the Department of a resident's: 1. Death, if the resident's death is required to be reported according to regulations
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the level of service the resident was expected to receive
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