Deficiencies (last 2 years)
Deficiencies (over 2 years)
3.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
5% better than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 0
Date: Aug 27, 2025
Visit Reason
No deficiencies were found during the on-site compliance inspection conducted on August 27, 2025.
Findings
No deficiencies were found during the on-site compliance inspection conducted on August 27, 2025.
Enforcement Action
Enforcement
Fines: 4
Total: $1,250.00
Date: May 8, 2024
Summary
The facility was found to have multiple violations including repeat deficiencies related to fingerprint clearance and fall prevention training, unverified caregiver skills, and false documentation of services, resulting in civil fines totaling $1,250.
Fines & Penalties (4)
| 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). | — |
Inspection Report
Capacity: 10
Deficiencies: 0
Date: May 1, 2024
Visit Reason
No deficiencies were found during the on-site inspection for modification of the facility's floor plan completed on May 1, 2024.
Findings
No deficiencies were found during the on-site inspection for modification of the facility's floor plan completed on May 1, 2024.
Enforcement Action
Enforcement
Fines: 1
Total: $1,250.00
Date: Apr 23, 2024
Summary
A fine of $1,250.00 was imposed and has been paid in full as part of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,250.00 | Fine imposed as part of enforcement action | Paid |
Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 7
Date: Apr 8, 2024
Visit Reason
Seven deficiencies were found related to employee competency, fingerprint clearance verification, personnel records, documentation retention, service documentation, and tuberculosis screening.
Findings
Seven deficiencies were found related to employee competency, fingerprint clearance verification, personnel records, documentation retention, service documentation, and tuberculosis screening.
Deficiencies (7)
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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