The most recent inspection on July 16, 2025, included enforcement action resulting in a paid fine of $1,250. Earlier inspections showed repeated deficiencies primarily related to caregiver skills verification, staff training on fall prevention and CPR, and medication storage security. Complaint investigations and prior inspections also noted issues with personnel documentation, residency agreements, and environmental standards. No substantiated complaints were reported, and enforcement actions included fines but no license suspensions or immediate jeopardy findings. The facility’s record shows ongoing challenges with staff training and compliance, with enforcement actions continuing through the latest inspection.
Deficiencies (last 2 years)
Deficiencies (over 2 years)7.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The facility was found deficient in multiple areas including caregiver skill verification, CPR training documentation, and staff fall prevention training, resulting in repeat deficiencies and associated civil fines.
Fines & Penalties (3)
Amount
Reason
Status
$500.00
Failure to ensure caregiver's or assistant caregiver's skills and knowledge were verified and documented before providing physical health services.
—
$500.00
Failure to ensure caregiver provided current documentation of first aid and CPR training including demonstration of ability to perform CPR.
—
$250.00
Failure to develop and administer a training program for all staff regarding fall prevention and fall recovery including initial and continued competency training.
Seven deficiencies found related to fall prevention training, tuberculosis screening, administration compliance, personnel documentation, residency agreements, and environmental standards.
Findings
Seven deficiencies found related to fall prevention training, tuberculosis screening, administration compliance, personnel documentation, residency agreements, and environmental standards.
Deficiencies (7)
Description
A.R.S. § 36-420.01.A. Health care institutions; fall prevention and fall recovery; training programs; definition
R9-10-113.A.1-2. Tuberculosis Screening
R9-10-803.A.9. Administration
R9-10-806.A.10. Personnel
R9-10-806.A.4.a-b. Personnel
R9-10-807.D.1-10. Residency and Residency Agreements
The facility was found deficient in verifying caregiver skills and controlling resident egress, posing health and safety risks to residents. Civil fines totaling $1250 were assessed.
Fines & Penalties (2)
Amount
Reason
Status
$750.00
Failure to ensure an assistant caregiver's skills and knowledge were verified before providing physical health services.
Pending
$500.00
Failure to ensure a means of exiting the facility controlled or alerted employees of a resident's egress.
Seven deficiencies found related to fall prevention training, policy implementation, caregiver skills verification, personnel records, acceptance documentation, exit safety, and medication storage.
Findings
Seven deficiencies found related to fall prevention training, policy implementation, caregiver skills verification, personnel records, acceptance documentation, exit safety, and medication storage.
Deficiencies (7)
Description
36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition
C. A manager shall ensure that policies and procedures are established, documented, and implemented to protect resident health and safety
A. A manager shall ensure that caregiver skills and knowledge are verified and documented
C. A manager shall ensure personnel records include documentation of completed orientation
B. A manager shall ensure individuals submit documentation dated within 90 calendar days before acceptance
F. A manager shall ensure means of exiting the facility alert employees of resident egress
F. When medication is stored by an assisted living facility, a manager shall ensure medication is stored in a locked area