Inspection Reports for Celestial Care

1924 N Pennington Dr, Chandler, AZ 85224, United States, AZ, 85224

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Inspection Report Summary

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.

81% worse than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

12 9 6 3 0
2023
2024
2025
Inspection Report Complaint Investigation Capacity: 10 Deficiencies: 4 Jun 23, 2025
Visit Reason
Four deficiencies found related to administration policies, residency agreements, directed care services, and food services.
Findings
Four deficiencies found related to administration policies, residency agreements, directed care services, and food services.
Deficiencies (4)
Description
R9-10-803.C.1.v. — Administration
R9-10-807.A.1-2. — Residency and Residency Agreements
R9-10-815.F.2.a-c. — Directed Care Services
R9-10-818.C.5. — Food Services
Enforcement Action Enforcement Fines: 1 Total: $500.00 Jun 23, 2025
Summary
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)
AmountReasonStatus
$500.00Failure 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.
Enforcement Action Enforcement Fines: 4 Total: $1,750.00 Oct 3, 2024
Summary
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)
AmountReasonStatus
$750.00Failure to ensure abuse reporting compliance as required by A.R.S. § 46-454 and R9-10-803(J).
$250.00Failure to verify and document caregiver skills and knowledge before providing services.
$500.00Failure to ensure caregiver documentation of first aid training.
$250.00Failure to maintain personnel records documenting compliance with A.R.S. § 36-411(C)(1).
Enforcement Action Enforcement Fines: 1 Total: $2,000.00 Sep 17, 2024
Summary
A fine of $2,000.00 was imposed and has been fully paid as part of the enforcement action.
Fines & Penalties (1)
AmountReasonStatus
$2,000.00Fine imposed as part of enforcement actionPaid
Inspection Report Complaint Investigation Capacity: 10 Deficiencies: 9 Sep 4, 2024
Visit Reason
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
Enforcement Action Enforcement Fines: 1 Total: $500.00 May 23, 2024
Summary
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)
AmountReasonStatus
$500.00Failure to immediately report suspected abuse according to A.R.S. §46-454.
Enforcement Action Enforcement Fines: 1 Total: $500.00 Apr 30, 2024
Summary
The enforcement resulted in a $500 fine which has been paid in full.
Fines & Penalties (1)
AmountReasonStatus
$500.00Fine related to enforcement action against the facilityPaid
Inspection Report Complaint Investigation Capacity: 10 Deficiencies: 7 Apr 10, 2024
Visit Reason
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
B.3.b. — Medication administration compliance
Inspection Report Capacity: 10 Deficiencies: 0 Oct 30, 2023
Visit Reason
No deficiencies found during off-site modification inspection to increase occupancy.
Findings
No deficiencies found during off-site modification inspection to increase occupancy.
Inspection Report Monitoring Capacity: 10 Deficiencies: 0 Jun 2, 2023
Visit Reason
No deficiencies found during on-site abbreviated initial follow-up inspection.
Findings
No deficiencies found during on-site abbreviated initial follow-up inspection.
Inspection Report Capacity: 10 Deficiencies: 0 Jan 25, 2023
Visit Reason
No deficiencies found during on-site initial inspection and off-site documentation review.
Findings
No deficiencies found during on-site initial inspection and off-site documentation review.
Enforcement Action Enforcement Total: $0.00 Nodate Enforcement

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