Inspection Report Summary
The most recent inspection on September 19, 2025, identified one deficiency related to ensuring a resident was treated with dignity, respect, and consideration. Earlier inspections showed a mix of deficiencies primarily involving caregiver training and documentation, pet licensing and vaccination, and safety policies including first aid and fall prevention. Enforcement actions in late 2023 included fines for an uncertified caregiver and repeat issues with pet licensing and rabies vaccination, with a $1,000 fine fully paid. Complaint investigations conducted over the past two years were mostly unsubstantiated, with no deficiencies found during those reviews. The facility’s inspection history shows some recurring documentation and safety issues, but more recent inspections suggest a reduction in the number and scope of deficiencies.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% better than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint
Capacity: 259
Deficiencies: 1
Sep 19, 2025
Visit Reason
One deficiency found related to failure to ensure a resident was treated with dignity, respect, and consideration.
Findings
One deficiency found related to failure to ensure a resident was treated with dignity, respect, and consideration.
Deficiencies (1)
| Description |
|---|
| R9-10-810.B.1 — Resident Rights |
Inspection Report
Capacity: 259
Deficiencies: 0
May 13, 2025
Visit Reason
Off-site inspection to change level of care from directed care to personal care completed with no deficiencies cited.
Findings
Off-site inspection to change level of care from directed care to personal care completed with no deficiencies cited.
Inspection Report
Complaint
Capacity: 259
Deficiencies: 0
Apr 14, 2025
Visit Reason
On-site investigation of complaints 00125118 and 00125613 with no deficiencies found.
Findings
On-site investigation of complaints 00125118 and 00125613 with no deficiencies found.
Inspection Report
Complaint
Capacity: 259
Deficiencies: 0
Mar 10, 2025
Visit Reason
On-site investigation of complaint 0010558 with no deficiencies found.
Findings
On-site investigation of complaint 0010558 with no deficiencies found.
Inspection Report
Complaint
Capacity: 259
Deficiencies: 0
Oct 23, 2024
Visit Reason
On-site investigation of complaints AZ00217851 and AZ00217745 with no deficiencies cited.
Findings
On-site investigation of complaints AZ00217851 and AZ00217745 with no deficiencies cited.
Inspection Report
Complaint
Capacity: 259
Deficiencies: 0
Jul 31, 2024
Visit Reason
On-site investigation of complaint AZ00213818 with no deficiencies cited.
Findings
On-site investigation of complaint AZ00213818 with no deficiencies cited.
Inspection Report
Complaint
Capacity: 259
Deficiencies: 0
Jun 11, 2024
Visit Reason
On-site investigation of multiple complaints with no deficiencies cited.
Findings
On-site investigation of multiple complaints with no deficiencies cited.
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Nov 14, 2023
Summary
A fine of $1,000.00 was imposed and has been fully paid as of the completed date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Fine imposed as part of enforcement action | Paid |
Enforcement Action
Enforcement
Fines: 3
Total: $1,000.00
Oct 19, 2023
Summary
The facility was found to have an employee working as a caregiver without proper certification and failed to ensure pets were licensed and vaccinated against rabies, resulting in civil fines.
Fines & Penalties (3)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure an employee working as a caregiver provided documentation of completion of an approved caregiver training program. | — |
| $250.00 | Failure to ensure five pets in the facility were licensed consistent with local ordinances (repeat citation). | — |
| $250.00 | Failure to ensure three pets in the facility were vaccinated against rabies (repeat citation). | — |
Inspection Report
Annual Inspection
Capacity: 259
Deficiencies: 4
Oct 19, 2023
Visit Reason
Four deficiencies found related to caregiver training documentation, resident orientation documentation, pet licensing, and pet rabies vaccination.
Findings
Four deficiencies found related to caregiver training documentation, resident orientation documentation, pet licensing, and pet rabies vaccination.
Deficiencies (4)
| Description |
|---|
| A. A manager shall ensure that: 1. A caregiver: b. Provides documentation of caregiver training |
| C. A manager shall ensure resident's medical record contains orientation documentation |
| A. A manager shall ensure pets are licensed consistent with local ordinances |
| A. A manager shall ensure pets are vaccinated against rabies |
Inspection Report
Complaint
Capacity: 259
Deficiencies: 3
May 26, 2023
Visit Reason
Three deficiencies found related to first aid provision, fall recovery training, and safety policies for wandering residents.
Findings
Three deficiencies found related to first aid provision, fall recovery training, and safety policies for wandering residents.
Deficiencies (3)
| Description |
|---|
| 36-420. Health care institutions; first aid provision |
| 36-420.01. Health care institutions; fall prevention and recovery training |
| F. Manager shall ensure policies for safety of wandering residents |
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