Inspection Reports for Desert Terrace Healthcare Center
2509 N 24th St, Phoenix, AZ 85008, United States, AZ, 85008
Back to Facility ProfileDeficiencies per Year
12
9
6
3
0
Unclassified
Inspection Report
Complaint Investigation
Capacity: 108
Deficiencies: 12
Sep 3, 2025
Visit Reason
State-compiled facility profile showing 22 inspections from 2023-2025 with complaint investigation and deficiency history.
Findings
Across multiple complaint investigations from 2023 to 2025, Desert Terrace Healthcare Center had several deficiencies primarily related to resident abuse, medication administration delays, documentation issues, and life safety code violations. Many inspections found no deficiencies, but multiple complaint surveys cited abuse and care plan failures.
Complaint Details
Multiple complaint investigations were conducted from 2023 through 2025 with intake numbers listed for each. Several complaint inspections found no deficiencies, while others cited abuse and care deficiencies.
Deficiencies (12)
| Description |
|---|
| R9-10-410.B. An administrator shall ensure that: R9-10-410.B.3.a. Abuse; The facility failed to ensure residents were free from abuse. |
| § 483.25 Quality of care. The facility failed to ensure accurate documentation of vital signs and blood glucose monitoring for resident #12. |
| R9-10-414.B. An administrator shall ensure that a care plan for a resident: R9-10-414.B.3.b. Assist the resident in maintaining the resident's highest practicable well-being. Failed to ensure accurate medical record documentation for resident #12. |
| R9-10-403.C. An administrator shall ensure that: R9-10-403.C.2.d. Cover storing, dispensing, administering, and disposing of medication; The facility failed to ensure timely medication administration for 3 residents. |
| §483.45 Pharmacy Services. The facility failed to ensure timely medication administration for 3 residents. |
| Hazardous Areas - Enclosure. The facility failed to maintain rated doors and self-closing hardware for hazardous areas as required by NFPA 101 Life Safety Code. |
| Subdivision of Building Spaces - Smoke Barrier Construction. The facility failed to seal penetrations in fire/smoke barriers allowing smoke and heat to penetrate other areas. |
| Fire Drills. The facility failed to provide documentation for two fire drills for the same shift in 2023 as required by Life Safety Code. |
| Electrical Systems - Essential Electric System Maintenance and Testing. The facility failed to ensure required annual load bank test of emergency generator was completed. |
| Electrical Equipment - Power Cords and Extension Cords. The facility failed to prevent use of extension cords and daisy chained power strips creating electrical hazards. |
| §483.24(c)(2) The activities program must be directed by a qualified professional. The facility failed to ensure the activities program was directed by a qualified professional. |
| R9-10-406.I. An administrator shall designate a qualified individual to provide: R9-10-406.I.2. Recreational Activities. The facility failed to ensure the activities program was directed by a qualified professional. |
Report Facts
Inspections on page: 22
Total deficiencies: 14
Complaint inspections: 21
Total capacity: 108
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| DON (Director of Nursing) staff #6 | Director of Nursing | Named in medication documentation and abuse incident findings |
| Activities Director staff #33 | Activities Director | Named in activities program qualification deficiencies |
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