Inspection Report Summary
The most recent inspection on July 21, 2025, was a complaint investigation with no deficiencies cited. Earlier inspections showed a mix of results, including a September 10, 2024, recertification survey that cited several deficiencies related to fire safety systems and building maintenance, and an August 26, 2024, survey that noted issues with personnel records and expired food items. Prior reports from July 2023 identified deficiencies in quality of care, medication management, food safety, and facility maintenance, but the Life Safety Code recertification from that same month had no deficiencies. Complaint investigations conducted in 2025 were all unsubstantiated with no deficiencies found. The inspection history shows some improvement in recent complaint surveys, although some facility maintenance and administrative issues appeared in earlier inspections.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
5.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
54% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
45% occupied
Based on a July 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 9
Capacity: 20
Deficiencies: 0
Jul 21, 2025
Visit Reason
Complaint survey conducted with no deficiencies cited.
Findings
Complaint survey conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Census: 9
Capacity: 20
Deficiencies: 0
Jun 11, 2025
Visit Reason
Complaint survey conducted with no deficiencies cited.
Findings
Complaint survey conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Census: 9
Capacity: 20
Deficiencies: 0
Apr 23, 2025
Visit Reason
Risk based complaint survey conducted with no deficiencies cited.
Findings
Risk based complaint survey conducted with no deficiencies cited.
Inspection Report
Census: 9
Capacity: 20
Deficiencies: 5
Sep 10, 2024
Visit Reason
Recertification survey for Medicare under Life Safety Code 2012. Facility meets standards based on acceptance of plan of correction.
Findings
Recertification survey for Medicare under Life Safety Code 2012. Facility meets standards based on acceptance of plan of correction.
Deficiencies (5)
| Description |
|---|
| Multiple Occupancies - Construction Type Where separated occupancies are in accordance with 18/19.1.3.2 or 18/19.1.3.4, the most stringent constructio... |
| Spinkler System - Installation 2012 EXISTING Nursing homes, and hospitals where required by construction type, are protected throughout by an approved... |
| Subdivision of Building Spaces - Smoke Barrier Construction 2012 EXISTING Smoke barriers shall be constructed to a 1/2-hour fire resistance rating per... |
| Maintenance, Inspection & Testing - Doors Fire doors assemblies are inspected and tested annually in accordance with NFPA 80, Standard for Fire Do... |
| Electrical Systems - Maintenance and Testing Hospital-grade receptacles at patient bed locations and where deep sedation or general anesthesia is admi... |
Inspection Report
Annual Inspection
Census: 9
Capacity: 20
Deficiencies: 2
Aug 26, 2024
Visit Reason
State compliance survey conducted with two deficiencies cited related to personnel records and expired food items.
Findings
State compliance survey conducted with two deficiencies cited related to personnel records and expired food items.
Deficiencies (2)
| Description |
|---|
| R9-10-406.F. An administrator shall ensure that a personnel record is maintained for each personnel member, employee, volunteer, or student that inclu... |
| R9-10-423.A. An administrator shall ensure that: R9-10-423.A.3. If a nursing care institution contracts with a food establishment, as defined in 9 A.A... |
Inspection Report
Complaint Investigation
Census: 9
Capacity: 20
Deficiencies: 10
Jul 17, 2023
Visit Reason
State compliance survey conducted with multiple deficiencies cited related to quality of care, medication management, food safety, and facility maintenance.
Findings
State compliance survey conducted with multiple deficiencies cited related to quality of care, medication management, food safety, and facility maintenance.
Deficiencies (10)
| Description |
|---|
| R9-10-403.C. An administrator shall ensure that: R9-10-403.C.2. Policies and procedures for physical health services and behavioral health services ar... |
| R9-10-404. An administrator shall ensure that: R9-10-404.1. A plan is established, documented, and implemented for an ongoing quality management progr... |
| § 483.25 Quality of care Quality of care is a fundamental principle that applies to all treatment and care provided to facility residents. Based on t... |
| §483.25(d) Accidents. The facility must ensure that - §483.25(d)(1) The resident environment remains as free of accident hazards as is possible; and... |
| §483.45 Pharmacy Services The facility must provide routine and emergency drugs and biologicals to its residents, or obtain them under an agreement d... |
| §483.60(i) Food safety requirements. The facility must - §483.60(i)(1) - Procure food from sources approved or considered satisfactory by federal, s... |
| §483.75(c) Program feedback, data systems and monitoring. A facility must establish and implement written policies and procedures for feedback, data ... |
| R9-10-421.D. When medication is stored at a nursing care institution, an administrator shall ensure that: R9-10-421.D.3. Policies and procedures are e... |
| R9-10-423.A. An administrator shall ensure that: R9-10-423.A.3. If a nursing care institution contracts with a food establishment, as defined in 9 A.A... |
| R9-10-425.A. An administrator shall ensure that: R9-10-425.A.1. A nursing care institution's premises and equipment are: R9-10-425.A.1.b. Free from a ... |
Inspection Report
Census: 9
Capacity: 20
Deficiencies: 0
Jul 17, 2023
Visit Reason
Recertification survey for Medicare under Life Safety Code 2012. Facility meets standards with no deficiencies cited.
Findings
Recertification survey for Medicare under Life Safety Code 2012. Facility meets standards with no deficiencies cited.
Report
File
complaint-inspection_2023-07-21.pdf
Report
File
health-inspection_2023-07-21.pdf
Report
File
health-inspection_2024-08-27.pdf
Report
File
health-inspection_2025-08-27.pdf
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