The most recent inspection on June 23, 2025, identified deficiencies related to administration policies, residency agreements, directed care services, and food services, along with an enforcement action involving a civil fine due to a resident’s egress safety issue. Earlier inspections showed a pattern of deficiencies primarily involving caregiver qualifications, abuse reporting, personnel records, and training, with multiple enforcement actions and fines totaling several thousand dollars. Complaint investigations were mostly unsubstantiated, though some deficiencies overlapped with complaint-related inspections. Enforcement actions included fines ranging from $500 to $2,000, all of which were paid, and no license suspensions or immediate jeopardy findings were listed in the available reports. The facility’s inspection history shows ongoing challenges with regulatory compliance, particularly in staff documentation and resident safety, without a clear trend of improvement or worsening over time.
Deficiencies (last 3 years)
Deficiencies (over 3 years)6.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The deficient practice posed a health and safety risk as the facility was unaware of the general or specific whereabouts of a resident, resulting in a civil fine.
Fines & Penalties (1)
Amount
Reason
Status
$500.00
Failure to ensure the means of exiting the facility for a resident who did not have a key or special knowledge for egress, posing a health and safety risk.
The facility was found deficient in multiple areas related to caregiver qualifications and abuse reporting, posing health and safety risks to residents. Civil fines totaling $1,750 were assessed.
Fines & Penalties (4)
Amount
Reason
Status
$750.00
Failure to ensure abuse reporting compliance as required by A.R.S. § 46-454 and R9-10-803(J).
—
$250.00
Failure to verify and document caregiver skills and knowledge before providing services.
—
$500.00
Failure to ensure caregiver documentation of first aid training.
—
$250.00
Failure to maintain personnel records documenting compliance with A.R.S. § 36-411(C)(1).
Nine deficiencies found related to fall prevention training, abuse reporting, caregiver skills verification, orientation, first aid documentation, personnel records, tuberculosis documentation, service plans, and medication administration.
Findings
Nine deficiencies found related to fall prevention training, abuse reporting, caregiver skills verification, orientation, first aid documentation, personnel records, tuberculosis documentation, service plans, and medication administration.
Complaint Details
Investigation of complaint AZ00215446
Deficiencies (9)
Description
36-420.01. — Fall prevention and fall recovery training
J. (A.R.S. § 46-454) — Abuse reporting
A.4. — Caregiver skills and knowledge verification
A.9. — Caregiver orientation
A.10. — First aid training documentation
C.1.b. — Personnel record employment start date
C.1.c.ix. — Personnel record compliance documentation
A. Except as provided in R9-10-808(B)(2) — Tuberculosis documentation
A. Except as required in subsection (B) — Resident service plan
The facility was found non-compliant for not immediately reporting suspected abuse, resulting in a civil fine of $500. The licensee agreed to pay the fine and comply with corrective actions to avoid further enforcement.
Fines & Penalties (1)
Amount
Reason
Status
$500.00
Failure to immediately report suspected abuse according to A.R.S. §46-454.
Seven deficiencies found related to policies and procedures, abuse reporting, personnel records, tuberculosis documentation, service plans, caregiver documentation, and medication administration.
Findings
Seven deficiencies found related to policies and procedures, abuse reporting, personnel records, tuberculosis documentation, service plans, caregiver documentation, and medication administration.
Complaint Details
Investigations of complaints AZ00200130, AZ00200211, AZ00202992
Deficiencies (7)
Description
C. A manager shall ensure policies and procedures are established and implemented
J. (A.R.S. § 46-454) — Abuse reporting
C.1.c.ix. — Personnel record compliance documentation
A. Except as provided in R9-10-808(B)(2) — Tuberculosis documentation
A. Except as required in subsection (B) — Resident service plan
C.1.g. — Caregiver documentation of services provided