The most recent inspection on April 30, 2025, found no deficiencies. Earlier inspections showed a pattern of occasional deficiencies primarily related to medical record maintenance, care plan development and review, transfer and discharge documentation, and medication administration compliance. Complaint investigations were mostly unsubstantiated, with only a few substantiated deficiencies in those areas. There were no fines, immediate jeopardy findings, or license actions listed in the available reports. The facility’s inspection history indicates some improvement over time, with fewer deficiencies cited in recent surveys compared to earlier ones.
Deficiencies (last 4 years)
Deficiencies (over 4 years)7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Complaint survey conducted for complaint #'s AZ00217107, AZ00217522, AZ00217188 with two deficiencies cited related to comprehensive care plans and care plan review.
Findings
Complaint survey conducted for complaint #'s AZ00217107, AZ00217522, AZ00217188 with two deficiencies cited related to comprehensive care plans and care plan review.
Complaint Details
Investigation of complaint #'s AZ00217107, AZ00217522, AZ00217188
Complaint survey conducted for intake #s AZ00213882 and AZ00213931 with two deficiencies cited related to transfer and discharge requirements and transfer documentation.
Findings
Complaint survey conducted for intake #s AZ00213882 and AZ00213931 with two deficiencies cited related to transfer and discharge requirements and transfer documentation.
Complaint Details
Investigation of intake #s AZ00213882 and AZ00213931
State compliance survey conducted in conjunction with complaint investigations with 20 deficiencies cited related to quality management, care plans, staff training, resident care, staffing, medication, food safety, and documentation.
Findings
State compliance survey conducted in conjunction with complaint investigations with 20 deficiencies cited related to quality management, care plans, staff training, resident care, staffing, medication, food safety, and documentation.
Complaint Details
Investigation of intake #s AZ00203480 and AZ00199182
Deficiencies (20)
Description
R9-10-404 — Quality management program
§483.21(b) — Comprehensive Care Plans
R9-10-406.H — In-service education
§483.24(a) — Resident care and services
§483.24(a)(2) — Assistance with activities of daily living
§483.24(c) — Activities program
§483.35(a) — Sufficient nursing staff
§483.35(b) — Registered nurse services
§483.45(d) — Unnecessary drugs
§483.55 — Dental services
§483.60(d) — Food and drink quality
§483.60(i) — Food safety requirements
§483.20(f)(5) — Resident-identifiable information
§483.75(c) — Program feedback and monitoring
§483.95 — Training requirements
R9-10-412.B — Unnecessary drug administration
R9-10-413.B — Medical director responsibilities
R9-10-414.B — Care plan review and revision
R9-10-414.B — Care plan development and implementation
R9-10-423.B — Food-contact surface sanitation
Inspection Report Life SafetyCapacity: 120Deficiencies: 1May 2, 2024
Visit Reason
Recertification survey for Medicare under Life Safety Code 2012, Chapter 18, New. Facility meets standards based on acceptance of plan of correction with one deficiency related to electrical equipment testing and maintenance.
Findings
Recertification survey for Medicare under Life Safety Code 2012, Chapter 18, New. Facility meets standards based on acceptance of plan of correction with one deficiency related to electrical equipment testing and maintenance.
Deficiencies (1)
Description
Electrical Equipment - Testing and Maintenance Requirements
Complaint survey conducted for intake #s AZ00208350, AZ00206490, AZ00203611 and AZ00203650 with two deficiencies cited related to medication administration compliance.
Findings
Complaint survey conducted for intake #s AZ00208350, AZ00206490, AZ00203611 and AZ00203650 with two deficiencies cited related to medication administration compliance.
Complaint Details
Investigation of intake #s AZ00208350, AZ00206490, AZ00203611 and AZ00203650
State compliance survey conducted in conjunction with multiple complaints with no deficiencies cited. Census was 47.
Findings
State compliance survey conducted in conjunction with multiple complaints with no deficiencies cited. Census was 47.
Complaint Details
Investigation of multiple complaints with census 47
Inspection Report Life SafetyCapacity: 120Deficiencies: 0Dec 15, 2022
Visit Reason
Recertification survey for Medicare under Life Safety Code 2012, Chapter 19, Existing. Facility meets standards based on acceptance of plan of correction with no deficiencies cited.
Findings
Recertification survey for Medicare under Life Safety Code 2012, Chapter 19, Existing. Facility meets standards based on acceptance of plan of correction with no deficiencies cited.
Report
File
complaint-inspection_2023-04-28.pdf
Report
File
complaint-inspection_2024-01-10.pdf
Report
File
complaint-inspection_2024-04-11.pdf
Report
File
complaint-inspection_2024-08-01.pdf
Report
File
complaint-inspection_2024-10-22.pdf
Report
File
complaint-inspection_2025-03-24.pdf
Report
File
complaint-inspection_2025-08-12.pdf
Report
File
complaint-inspection_2025-11-13.pdf
Report
File
health-inspection_2021-09-23.pdf
Report
File
health-inspection_2022-12-15.pdf
Report
File
health-inspection_2024-05-06.pdf
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