Inspection Report Summary
The most recent inspection on August 27, 2025, found no deficiencies during the on-site compliance review. Earlier inspections showed multiple deficiencies related mainly to employee competency, fingerprint clearance verification, documentation accuracy, and training, with enforcement actions in April and May 2024 resulting in civil fines totaling $1,250. Inspectors cited issues such as unverified caregiver skills, false documentation of services, lack of fall prevention training, and incomplete personnel records. Complaint investigations were not noted in the available reports. The facility’s record indicates improvement, with the latest inspection showing no deficiencies following prior enforcement and citations.
Deficiencies (last 2 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Two employees' fingerprint clearance cards were not validated with DPS (repeat deficiency). | — |
| $250.00 | Two caregivers' skills and knowledge were not verified and documented before providing physical health services. | — |
| $500.00 | Services were documented in residents' medical records before being provided; false and misleading information was given to the Department. | — |
| $250.00 | Two employees did not have fall prevention and fall recovery training (repeat deficiency). | — |
| Amount | Reason | Status |
|---|---|---|
| $1,250.00 | Fine imposed as part of enforcement action | Paid |
| Description |
|---|
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition — employee competency in fall prevention and recovery |
| A.R.S. § 36-411 — Verification of employees' fingerprint clearance cards |
| Personnel record requirements — verification and documentation of caregiver skills and knowledge |
| Documentation retention — maintain documentation for at least 12 months after last date |
| Personnel record requirements — inclusion of employee starting date |
| Service documentation — documenting services provided in resident medical records |
| R9-10-113. Tuberculosis Screening — implementation of tuberculosis infection control activities |
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