Inspection Reports for Estancia Assisted Living IV
4221 E Holmes Cir, Mesa, AZ 85206, USA, AZ, 85206
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Inspection Report
Complaint Investigation
Capacity: 9
Deficiencies: 7
Aug 27, 2025
Visit Reason
State-compiled facility profile showing 5 inspections from 2023-10 to 2025-08 with deficiency history and complaint investigations.
Findings
Across all inspections, deficiencies were found related to employee fingerprinting requirements, tuberculosis screening, service plan documentation, vaccination notifications, disaster drills, CPR training, and provision of assisted living services. Some inspections found no deficiencies.
Complaint Details
The most recent inspection on 2025-08-27 included investigation of complaints 00142278, 00142288, 00107361, and 00107427. Other complaint inspections occurred on 2024-06-24 and 2024-05-08 with findings noted in the latter.
Deficiencies (7)
| Description |
|---|
| A.R.S. § 36-411.A-H. Residential care institutions; nursing care institutions; home health agencies; fingerprinting requirements; exemptions; definitions - Failed to make documented good faith efforts to contact previous employers for two employees. |
| R9-10-807.A.1-2. Residency and Residency Agreements - Failed to ensure a resident provided evidence of freedom from infectious tuberculosis as specified. |
| R9-10-808.A.2.a-c. Service Plans - Failed to ensure a resident had a written service plan signed and dated by required parties. |
| R9-10-811.C.17. Medical Records - Failed to ensure documentation of notification of availability of influenza and pneumonia vaccinations for a resident. |
| R9-10-819.A.4. Emergency and Safety Standards - Failed to ensure disaster drills for employees were conducted on each shift at least once every three months and documented. |
| A. A manager shall ensure that: 10. Before providing assisted living services to a resident, a manager or caregiver provides current documentation of first aid training and cardiopulmonary resuscitation training certification specific to adults - Failed to ensure caregiver provided CPR training with hands-on demonstration. |
| C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: a-g - Failed to ensure caregiver provided activities of daily living according to resident's service plan for two residents. |
Report Facts
Inspections on page: 5
Total deficiencies: 7
Complaint inspections: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maryam Rashid | Office Manager | Named as person responsible for multiple deficiencies including fingerprinting, tuberculosis documentation, service plans, vaccination notifications, disaster drills |
| E1 | Employee referenced in fingerprinting and assisted living service deficiencies | |
| E2 | Employee referenced in fingerprinting and CPR training deficiencies | |
| E4 | Interviewed regarding multiple deficiencies |
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