The most recent inspection on November 28, 2025, included enforcement action resulting in a $750 fine that has been paid in full. Earlier inspections showed repeated deficiencies related primarily to documentation of services, caregiver training and supervision, service plans, and the proper storage of poisonous or toxic materials. Complaint investigations were mostly unsubstantiated, with no notable substantiated complaints reported. Enforcement actions were frequent and included fines totaling several thousand dollars over time, but no license suspensions or immediate jeopardy findings were listed in the available reports. The pattern of citations suggests ongoing challenges with documentation and caregiver oversight, with some enforcement actions resolved promptly.
Deficiencies (last 3 years)
Deficiencies (over 3 years)10.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The facility was found to have repeated deficiencies related to health and safety, specifically in documentation and storage practices, resulting in civil fines totaling $750.
Fines & Penalties (2)
Amount
Reason
Status
$500.00
Failure to ensure caregiver documented services provided in resident medical records.
—
$250.00
Failure to ensure poisonous or toxic materials were stored in a locked area inaccessible to residents.
Five deficiencies found related to service plan documentation, resident orientation, emergency drills, evacuation drills, and poisonous materials storage.
Findings
Five deficiencies found related to service plan documentation, resident orientation, emergency drills, evacuation drills, and poisonous materials storage.
Deficiencies (5)
Description
R9-10-808.C.1.g. Service Plans — Documentation of services provided
R9-10-811.C.18. Medical Records — Resident orientation documentation
R9-10-819.A.4. Emergency and Safety Standards — Disaster drills documentation
R9-10-819.A.5.a. Emergency and Safety Standards — Evacuation drills documentation
Two deficiencies found related to premises cleaning and poisonous/toxic materials storage.
Findings
Two deficiencies found related to premises cleaning and poisonous/toxic materials storage.
Deficiencies (2)
Description
A. A manager shall ensure that: 1. Premises and equipment are cleaned and disinfected
A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area
The enforcement resulted in multiple fines for failures including ensuring caregiver supervision, proper documentation, service plans, and medication administration compliance.
Fines & Penalties (1)
Amount
Reason
Status
$2,500.00
Civil fines for multiple violations including failure to ensure caregiver supervision, service plans, documentation, and medication administration compliance.
Seven deficiencies found related to documentation submission, caregiver training, assistant caregiver supervision, service plans, documentation of services, and medication administration.
Findings
Seven deficiencies found related to documentation submission, caregiver training, assistant caregiver supervision, service plans, documentation of services, and medication administration.
Deficiencies (6)
Description
E. A manager shall ensure documentation is provided to the Department within two hours
A. A manager shall ensure caregiver training documentation and skills verification
A. A manager shall ensure assistant caregiver interactions with residents
A. A manager shall ensure resident written service plans are timely and complete
C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided
B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order
The facility was found non-compliant for failing to ensure valid documentation of caregiver training and proper CPR training demonstration, resulting in civil fines.
Fines & Penalties (2)
Amount
Reason
Status
$500.00
Failure to ensure one employee had valid documentation of approved caregiver training.
—
$500.00
Failure to ensure CPR training included demonstration of employee's ability to perform CPR; training was online-only.
Nine deficiencies found related to CPR and first aid policies, fall prevention training, governing authority compliance, caregiver training and orientation, CPR certification, service plans, and tuberculosis screening.
Findings
Nine deficiencies found related to CPR and first aid policies, fall prevention training, governing authority compliance, caregiver training and orientation, CPR certification, service plans, and tuberculosis screening.
Deficiencies (9)
Description
36-420. Health care institutions; cardiopulmonary resuscitation; first aid; immunity; falls
36-420.01. Health care institutions; fall prevention and fall recovery; training programs
A. A governing authority shall ensure compliance with A.R.S. § 36-411
A. A manager shall ensure caregiver training documentation and skills verification
A. A manager shall ensure that: 9. Caregiver or assistant caregiver receives orientation specific to duties
A. A manager shall ensure CPR training certification documentation
B. A manager shall ensure documentation dated within 90 calendar days before acceptance
A. A manager shall ensure resident written service plans include level of service
R9-10-113. Tuberculosis Screening — TB infection control activities
The facility was found non-compliant for failing to ensure caregiver competency and for retaining an individual with a behavioral health issue without proper evaluation, resulting in civil fines.
Fines & Penalties (2)
Amount
Reason
Status
$250.00
Failure to ensure caregiver's skills and knowledge were verified and documented before providing physical health services.
—
$500.00
Retention of an individual with a behavioral health issue without proper assessment.
Eight deficiencies found related to documentation submission, caregiver skills verification, retention criteria for behavioral health, service plan signatures, documentation of services, medication administration, and food safety.
Findings
Eight deficiencies found related to documentation submission, caregiver skills verification, retention criteria for behavioral health, service plan signatures, documentation of services, medication administration, and food safety.
Deficiencies (8)
Description
E. A manager shall ensure documentation is provided to the Department within two hours
A. A manager shall ensure caregiver training documentation and skills verification
C. A manager shall not accept or retain an individual if primary condition is behavioral health
A. A manager shall ensure resident written service plans are signed and dated
C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided
B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: a. Is administered in compliance with a medication order
C. A manager shall ensure that food is free from spoilage, filth, or other contamination
C. A manager shall ensure that food is protected from potential contamination
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