Inspection Reports for Celestial Care
1924 N Pennington Dr, Chandler, AZ 85224, United States, AZ, 85224
Back to Facility Profile
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 15
Jun 23, 2025
Visit Reason
State-compiled facility profile showing 6 inspections from 2023-01 to 2025-06 with deficiency history and complaint investigations.
Findings
Across multiple inspections, deficiencies were found related to infection control, tuberculosis documentation, staff training, medication administration, resident safety, and documentation compliance. Some inspections found no deficiencies, while complaint investigations revealed repeated and uncorrected issues.
Complaint Details
Complaint investigations were conducted on September 4, 2024, April 10, 2024, and June 23, 2025, revealing multiple deficiencies related to tuberculosis documentation, abuse reporting, caregiver training, and medication administration.
Deficiencies (15)
| Description |
|---|
| R9-10-803.C.1.v. Administration: Failed to ensure policies and procedures were established, documented, and implemented to protect resident health and safety covering infection control. |
| R9-10-807.A.1-2. Residency and Residency Agreements: Failed to ensure documentation of freedom from infectious Tuberculosis (TB) was provided as required. |
| R9-10-815.F.2.a-c. Directed Care Services: Failed to ensure means of exiting the facility for residents without keys or special knowledge alerted employees of egress. |
| R9-10-818.C.5. Food Services: Failed to ensure refrigerators used to store food or medication contained a thermometer accurate to plus or minus 3° F placed at the warmest part. |
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs: Failed to administer a training program for all staff regarding fall prevention and recovery. |
| J. Reporting suspected abuse, neglect or exploitation: Failed to comply with requirements to document and report suspected abuse promptly. |
| A. Verification of caregiver skills and knowledge: Failed to verify and document caregiver skills and knowledge before providing services. |
| A. Orientation for caregivers: Failed to ensure caregivers received orientation specific to duties performed. |
| A. Documentation of first aid and CPR training: Failed to ensure caregivers provided documentation of current first aid training. |
| C. Personnel records: Failed to include employee starting date of employment. |
| C. Personnel records: Failed to document compliance with A.R.S. § 36-411(A) and (C) regarding fitness to work for multiple employees. |
| A. Documentation of freedom from infectious tuberculosis: Failed to ensure residents provided required TB documentation, posing exposure risk. |
| A. Written service plan: Failed to update, sign, and date service plans at least once every three months for residents receiving directed care. |
| C. Documentation of services provided: Failed to document services provided in residents' medical records. |
| B. Medication administration: Failed to administer medication in compliance with medication orders. |
Report Facts
Inspections on page: 6
Total deficiencies: 20
Complaint inspections: 3
Total capacity: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Adriana Vazquez | Named as person responsible for multiple deficiencies related to infection control, tuberculosis documentation, resident safety, and food services. | |
| E1 | Acknowledged multiple deficiencies during interviews across inspections. | |
| E2 | Acknowledged multiple deficiencies and was interviewed regarding staff training, medication administration, and documentation. | |
| E4 | Caregiver | Named in deficiency related to lack of first aid training documentation. |
| E6 | Named in medication administration deficiency; not a certified caregiver. |
Loading inspection reports...
