Inspection Reports for Catalina Springs Memory Care

9685 N Oracle Rd, Oro Valley, AZ 85704, United States, AZ, 85704

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Inspection Report Summary

The most recent inspection on March 24, 2025, found no deficiencies during the complaint investigation. Earlier inspections showed a pattern of deficiencies mainly related to resident service plans, medication administration, documentation, and caregiver training. Complaint investigations occasionally substantiated issues, particularly around documentation and caregiver skills, but no fines or enforcement actions were listed in the available reports. Most complaints were unsubstantiated or resulted in minor citations without further enforcement. The facility’s record shows some recurring issues but also signs of improvement, as the latest inspection was free of deficiencies.

Deficiencies (last 4 years)

Deficiencies (over 4 years) 2.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

24% better than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

4 3 2 1 0
2022
2023
2024
2025

Inspection Report

Complaint Investigation
Capacity: 56 Deficiencies: 0 Date: Mar 24, 2025

Visit Reason
No deficiencies were found during the on-site compliance inspection and investigation of complaints 00123700 and 00123687.

Findings
No deficiencies were found during the on-site compliance inspection and investigation of complaints 00123700 and 00123687.

Inspection Report

Complaint Investigation
Capacity: 56 Deficiencies: 1 Date: Sep 11, 2024

Visit Reason
Investigation of complaint AZ00214947 found no deficiencies.

Findings
Investigation of complaint AZ00214947 found no deficiencies.

Deficiencies (1)
B. Medication administration compliance failure

Inspection Report

Complaint Investigation
Capacity: 56 Deficiencies: 2 Date: Aug 15, 2024

Visit Reason
Investigation of complaints AZ00212465 and AZ00212128 cited two deficiencies related to resident service plans.

Findings
Investigation of complaints AZ00212465 and AZ00212128 cited two deficiencies related to resident service plans.

Deficiencies (2)
A. Failure to update resident written service plan quarterly
C. Service plan for directed care services incomplete

Inspection Report

Complaint Investigation
Capacity: 56 Deficiencies: 0 Date: Apr 3, 2024

Visit Reason
Investigation of complaint AZ00208102 found no deficiencies.

Findings
Investigation of complaint AZ00208102 found no deficiencies.

Inspection Report

Annual Inspection
Capacity: 56 Deficiencies: 2 Date: Dec 19, 2023

Visit Reason
Compliance inspection and complaint investigation cited two deficiencies including governing authority compliance and service plan requirements.

Findings
Compliance inspection and complaint investigation cited two deficiencies including governing authority compliance and service plan requirements.

Deficiencies (2)
A. Governing authority failed to ensure compliance with A.R.S. § 36-411
C. Service plan for directed care services incomplete

Inspection Report

Complaint Investigation
Capacity: 56 Deficiencies: 1 Date: May 4, 2023

Visit Reason
Investigation of complaints AZ00193608 and AZ00190308 cited one deficiency related to notification of resident self-injury.

Findings
Investigation of complaints AZ00193608 and AZ00190308 cited one deficiency related to notification of resident self-injury.

Deficiencies (1)
K. Failure to provide timely written notification of resident self-injury

Inspection Report

Annual Inspection
Capacity: 56 Deficiencies: 1 Date: Dec 5, 2022

Visit Reason
Compliance inspection cited one deficiency related to caregiver first aid training documentation.

Findings
Compliance inspection cited one deficiency related to caregiver first aid training documentation.

Deficiencies (1)
A. Caregiver failed to provide current first aid training documentation

Inspection Report

Complaint Investigation
Capacity: 56 Deficiencies: 4 Date: Dec 5, 2022

Visit Reason
Investigation of complaints AZ00185712, AZ00186685, and AZ00187705 substantiated three allegations and cited four deficiencies related to documentation, caregiver skills, and medication policies.

Findings
Investigation of complaints AZ00185712, AZ00186685, and AZ00187705 substantiated three allegations and cited four deficiencies related to documentation, caregiver skills, and medication policies.

Deficiencies (4)
A. Manager failed to provide documentation to Department within two hours
A. Caregiver skills and knowledge not verified and documented before service
C. Failure to document services provided in resident medical record
F. Policies and procedures for discarding medication not implemented

Enforcement Action

Enforcement
Total: $0.00 Date: Nodate Enforcement 2

Enforcement Action

Enforcement
Total: $0.00 Date: Nodate Enforcement

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