The most recent inspection on May 30, 2025, found one deficiency related to tuberculosis screening documentation and implementation. Earlier inspections showed multiple deficiencies involving caregiver training, supervision, policy implementation, and presence of qualified personnel, with enforcement actions resulting in fines totaling $2,250. Inspectors frequently cited issues with training documentation, verification of caregiver skills, and ensuring appropriate staff presence when residents were on the premises. Complaint investigations included one substantiated case involving similar concerns about training and supervision. The facility’s record shows ongoing challenges with staff qualifications and policy adherence, with some enforcement actions in the past but a reduction in the number of deficiencies in the latest report.
Deficiencies (last 3 years)
Deficiencies (over 3 years)3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The facility was found to have multiple deficiencies related to health and safety risks posed by untrained or unqualified personnel and lack of proper documentation and training verification, resulting in civil fines totaling $1,750.
Fines & Penalties (4)
Amount
Reason
Status
$500.00
Failure to implement policies and procedures to protect resident health and safety related to CPR training.
—
$500.00
Failure to ensure caregiver training documentation was completed and approved.
—
$250.00
Failure to verify and document caregiver or assistant caregiver skills before providing physical health services.
—
$500.00
Failure to ensure at least one manager or caregiver was present when a resident was on the premises.
Seven deficiencies found related to policy implementation, caregiver training, supervision, tuberculosis evidence, personnel records, and presence of staff.
Findings
Seven deficiencies found related to policy implementation, caregiver training, supervision, tuberculosis evidence, personnel records, and presence of staff.
Complaint Details
Complaint AZ00218879
Deficiencies (7)
Description
C. — Policies and procedures to protect resident health and safety
A. — Caregiver training documentation
A. — Assistant caregiver supervision
A. — Verification of caregiver and assistant caregiver skills
A. — Evidence of freedom from infectious tuberculosis
B. — Presence of manager or caregiver when residents are on premises
