Inspection Report Summary
Most inspections at this facility found no deficiencies, but some reports between 2023 and 2025 identified issues primarily related to documentation, resident safety, and compliance with emergency and medication administration procedures. The facility received enforcement actions in 2023 and 2024 with fines totaling $5,400, though no license suspensions or immediate jeopardy findings were noted. The most recent inspection on October 1, 2025, cited multiple deficiencies including failure to report suspected abuse, incomplete disaster plan reviews, and inadequate documentation of incidents and medication administration. Several complaint investigations were conducted, with some resulting in deficiencies while others were unsubstantiated. There is no clear pattern of improvement or decline, as deficiencies appeared intermittently over the period.
Deficiencies per Year
12
9
6
3
0
Unclassified
Inspection Report
Compliance (annual)
Capacity: 102
Deficiencies: 3
Oct 1, 2025
Visit Reason
Found out of compliance with Settlement Agreement Term 5 related to maintaining substantial compliance with assisted living regulations; 3 deficiencies related to abuse reporting, disaster plan review, and incident reporting.
Findings
Found out of compliance with Settlement Agreement Term 5 related to maintaining substantial compliance with assisted living regulations; 3 deficiencies related to abuse reporting, disaster plan review, and incident reporting.
Deficiencies (3)
| Description |
|---|
| R9-10-803.J.1-6 — Abuse reporting documentation |
| R9-10-819.A.2 — Disaster plan review |
| R9-10-819.D.2.a-f — Incident reporting |
Inspection Report
Complaint Investigation
Capacity: 102
Deficiencies: 0
Jun 2, 2025
Visit Reason
No deficiencies found during investigation of complaints 00132091, 00132088, and 00105634.
Findings
No deficiencies found during investigation of complaints 00132091, 00132088, and 00105634.
Complaint Details
Investigation of complaints 00132091, 00132088, and 00105634
Inspection Report
Complaint Investigation
Capacity: 102
Deficiencies: 0
Jan 13, 2025
Visit Reason
No deficiencies cited during investigation of complaints AZ00220157, AZ00221446, and AZ00221407.
Findings
No deficiencies cited during investigation of complaints AZ00220157, AZ00221446, and AZ00221407.
Complaint Details
Investigation of complaints AZ00220157, AZ00221446, and AZ00221407
Inspection Report
Complaint Investigation
Capacity: 102
Deficiencies: 0
Nov 8, 2024
Visit Reason
No deficiencies cited during investigation of complaints AZ00218489, AZ00215901, and AZ00213724.
Findings
No deficiencies cited during investigation of complaints AZ00218489, AZ00215901, and AZ00213724.
Complaint Details
Investigation of complaints AZ00218489, AZ00215901, and AZ00213724
Inspection Report
Complaint Investigation
Capacity: 102
Deficiencies: 0
Jul 1, 2024
Visit Reason
No deficiencies cited during investigation of complaints AZ00212130 and AZ00212180.
Findings
No deficiencies cited during investigation of complaints AZ00212130 and AZ00212180.
Complaint Details
Investigation of complaints AZ00212130 and AZ00212180
Enforcement Action
Enforcement
Fines: 1
Total: $4,900.00
Jun 18, 2024
Summary
The enforcement resulted in a fine which has been fully paid as of the completed date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $4,900.00 | Fine related to enforcement action against the facility | Paid |
Inspection Report
Complaint Investigation
Capacity: 102
Deficiencies: 9
Jun 6, 2024
Visit Reason
Found out of compliance with Settlement Agreement Terms #6 and #11 related to providing false/misleading information and failure to cure violations; 9 deficiencies cited.
Findings
Found out of compliance with Settlement Agreement Terms #6 and #11 related to providing false/misleading information and failure to cure violations; 9 deficiencies cited.
Complaint Details
Investigation and compliance inspection related to Settlement Agreement Terms #6 and #11
Deficiencies (9)
| Description |
|---|
| A. A manager shall ensure that: 8. Employee and volunteer qualifications documentation |
| C. Personnel records documentation |
| B. Medication administration documentation |
| A. Disaster drills conducted and documented |
| A. Evacuation drills conducted |
| E. Fire inspections conducted |
| A. Garbage and refuse storage |
| A. Oxygen containers secured |
| A. Poisonous/toxic materials stored securely |
Inspection Report
Complaint Investigation
Capacity: 102
Deficiencies: 9
Apr 18, 2024
Visit Reason
Found multiple deficiencies related to employee documentation, medication administration, disaster and evacuation drills, fire inspections, garbage storage, oxygen container security, and poisonous/toxic materials during investigation of complaint AZ00209015.
Findings
Found multiple deficiencies related to employee documentation, medication administration, disaster and evacuation drills, fire inspections, garbage storage, oxygen container security, and poisonous/toxic materials during investigation of complaint AZ00209015.
Complaint Details
Investigation of complaint AZ00209015
Deficiencies (9)
| Description |
|---|
| A. A manager shall ensure that: 8. Employee documentation |
| C. Personnel records documentation |
| B. Medication administration documentation |
| A. Disaster drills conducted and documented |
| A. Evacuation drills conducted |
| E. Fire inspections conducted |
| A. Garbage and refuse storage |
| A. Oxygen containers secured |
| A. Poisonous/toxic materials stored securely |
Inspection Report
Complaint Investigation
Capacity: 102
Deficiencies: 2
Mar 28, 2024
Visit Reason
Two deficiencies cited related to emergency responder documentation and food protection from contamination during investigation of complaints AZ00208244 and AZ00208259.
Findings
Two deficiencies cited related to emergency responder documentation and food protection from contamination during investigation of complaints AZ00208244 and AZ00208259.
Complaint Details
Investigation of complaints AZ00208244 and AZ00208259
Deficiencies (2)
| Description |
|---|
| 36-420.04 Emergency responders documentation |
| C. Food protection from contamination |
Inspection Report
Complaint Investigation
Capacity: 102
Deficiencies: 0
Feb 29, 2024
Visit Reason
No deficiencies cited during investigation of complaints AZ00206966 and AZ00206994.
Findings
No deficiencies cited during investigation of complaints AZ00206966 and AZ00206994.
Complaint Details
Investigation of complaints AZ00206966 and AZ00206994
Inspection Report
Complaint Investigation
Capacity: 102
Deficiencies: 2
Feb 22, 2024
Visit Reason
Two deficiencies cited related to governing authority compliance with A.R.S. § 36-411 and abuse reporting during investigation of complaint AZ00206670.
Findings
Two deficiencies cited related to governing authority compliance with A.R.S. § 36-411 and abuse reporting during investigation of complaint AZ00206670.
Complaint Details
Investigation of complaint AZ00206670
Deficiencies (2)
| Description |
|---|
| A. Governing authority compliance with A.R.S. § 36-411 |
| J. Abuse, neglect, or exploitation reporting |
Inspection Report
Complaint Investigation
Capacity: 102
Deficiencies: 1
Aug 16, 2023
Visit Reason
One deficiency cited related to caregiver documentation of services during investigation of complaint AZ00195912.
Findings
One deficiency cited related to caregiver documentation of services during investigation of complaint AZ00195912.
Complaint Details
Investigation of complaint AZ00195912
Deficiencies (1)
| Description |
|---|
| C. Caregiver documentation of services |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Jun 29, 2023
Summary
The facility failed to ensure proper CPR training documentation and personnel records for CPR training, posing a risk to resident health and safety. The Department was unable to determine substantial compliance during the inspection.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to establish and document policies and procedures to protect health and safety including CPR training and personnel records documentation. | Pending |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Jun 27, 2023
Summary
The enforcement resulted in a fine which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine associated with enforcement action #00113095 | Paid |
Inspection Report
Compliance (annual)
Capacity: 102
Deficiencies: 5
May 22, 2023
Visit Reason
Found out of compliance with Settlement Agreement Terms #5 and #8 related to maintaining substantial compliance and compliance with A.R.S. § 36-411; 5 deficiencies cited related to policies and procedures, documentation, CPR training, and tuberculosis evidence.
Findings
Found out of compliance with Settlement Agreement Terms #5 and #8 related to maintaining substantial compliance and compliance with A.R.S. § 36-411; 5 deficiencies cited related to policies and procedures, documentation, CPR training, and tuberculosis evidence.
Deficiencies (5)
| Description |
|---|
| Policies and procedures to protect health and safety |
| Documentation required by Article 8 provided timely |
| CPR training documentation |
| Compliance with A.R.S. § 36-411(C)(2) |
| Evidence of freedom from infectious tuberculosis |
Report
File
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