The most recent inspection on September 11, 2025, included enforcement action resulting in a $500 fine that has been paid in full. Earlier inspections showed a pattern of deficiencies related to safety, administration policies, caregiver qualifications, resident dignity and privacy, and staff training. Complaint investigations found multiple issues including medication administration errors and personnel documentation problems, but no substantiated complaints were noted in the most recent reports. Enforcement actions involved fines totaling several thousand dollars over time, with no license suspensions or immediate jeopardy findings listed in the available reports. The facility’s inspection history shows ongoing challenges with compliance, particularly in safety and staff management, with no clear improvement trend.
Deficiencies (last 2 years)
Deficiencies (over 2 years)5.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Four deficiencies related to administration policies, directed care services alert systems, alarm device failure, and oxygen container safety were found.
Findings
Four deficiencies related to administration policies, directed care services alert systems, alarm device failure, and oxygen container safety were found.
Deficiencies (4)
Description
R9-10-803.C.1.a-w — Administration policies and procedures
R9-10-815.E.1-2 — Directed care services alert systems
R9-10-815.F.2.a-c — Directed care services alarm device failure
The facility was found deficient in verifying caregiver qualifications, maintaining personnel records, and protecting resident dignity and privacy, resulting in civil fines totaling $1,750.
Fines & Penalties (4)
Amount
Reason
Status
$250.00
Failure to verify and document a caregiver's skills and knowledge before providing physical health services.
—
$500.00
Failure to ensure the facility had a caregiver with the necessary qualifications, experience, skills, and knowledge.
—
$500.00
Failure to maintain a personnel record for one of three sampled employees or volunteers.
—
$500.00
Failure to ensure a resident was treated with dignity, respect, and consideration.
Ten deficiencies found including failures in staff training, personnel records, resident service plans, dignity and privacy, medication administration, and facility safety.
Findings
Ten deficiencies found including failures in staff training, personnel records, resident service plans, dignity and privacy, medication administration, and facility safety.
Complaint Details
Complaint #AZ00195420
Deficiencies (7)
Description
36-420.01 — Fall prevention training program not developed
Personnel verification and documentation failures
Resident service plan deficiencies
Resident dignity and privacy violations
Medication administration errors
Poisonous/toxic materials not secured
Bathroom accessibility and supplies issues
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