Inspection Reports for Highgate Senior Living – Flagstaff

1831 N Jasper Dr, Flagstaff, AZ 86001, United States, AZ, 86001

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Inspection Report Summary

The most recent inspection on November 10, 2025, included enforcement action resulting in a fine that has been paid in full. Earlier inspections showed a pattern of deficiencies primarily related to fingerprint clearance compliance, personnel training and documentation, and environmental safety. Prior reports also noted issues with administrative documentation, resident service plans, and emergency drill records. Complaint investigations were mostly unsubstantiated, and no license suspensions or immediate jeopardy findings were listed in the available reports. The facility’s record shows ongoing challenges with regulatory compliance, particularly in personnel and documentation areas, with enforcement actions addressing repeat deficiencies over time.

Deficiencies (last 4 years)

Deficiencies (over 4 years) 5.8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

57% worse than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

16 12 8 4 0
2022
2023
2024
2025

Enforcement Action

Enforcement
Fines: 1 Total: $750.00 Date: Nov 10, 2025

Summary
The enforcement resulted in a fine which has been paid in full, indicating resolution of the issue.

Fines & Penalties (1)
AmountReasonStatus
$750.00Fine associated with enforcement action #00144416Paid

Inspection Report

Complaint Investigation
Capacity: 105 Deficiencies: 4 Date: Aug 7, 2025

Visit Reason
Four deficiencies found related to administration, personnel skills verification, tuberculosis testing, and environmental safety during complaint and annual compliance inspection.

Findings
Four deficiencies found related to administration, personnel skills verification, tuberculosis testing, and environmental safety during complaint and annual compliance inspection.

Deficiencies (4)
R9-10-803.A.9. — Administration fingerprint clearance compliance
R9-10-806.A.4.a-b. — Personnel skills and knowledge verification
R9-10-806.A.8.a-b. — Personnel tuberculosis testing
R9-10-820.A.1.b. — Environmental safety hazards

Inspection Report

Complaint Investigation
Capacity: 105 Deficiencies: 0 Date: Aug 16, 2024

Visit Reason
No deficiencies found during investigation of complaints AZ00214616 and AZ00214617.

Findings
No deficiencies found during investigation of complaints AZ00214616 and AZ00214617.

Enforcement Action

Enforcement
Fines: 1 Total: $500.00 Date: Apr 25, 2024

Summary
The enforcement resulted in a civil fine for the repeat deficiency related to fingerprint clearance card non-compliance, with the licensee agreeing to pay the fine and comply with corrective actions.

Fines & Penalties (1)
AmountReasonStatus
$500.00One employee did not have a current and valid fingerprint clearance card and did not apply for a fingerprint clearance card within 20 working days of employment, a repeat deficiency from prior complaint investigation.

Enforcement Action

Enforcement
Fines: 1 Total: $500.00 Date: Apr 9, 2024

Summary
The enforcement resulted in a fine which has been paid in full, indicating resolution of the issue.

Fines & Penalties (1)
AmountReasonStatus
$500.00Fine associated with enforcement action #00111424Paid

Inspection Report

Complaint Investigation
Capacity: 105 Deficiencies: 1 Date: Mar 25, 2024

Visit Reason
One deficiency found related to failure to ensure fingerprint clearance documentation during complaint investigation.

Findings
One deficiency found related to failure to ensure fingerprint clearance documentation during complaint investigation.

Deficiencies (1)
A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.

Inspection Report

Complaint Investigation
Capacity: 105 Deficiencies: 0 Date: Feb 9, 2024

Visit Reason
No deficiencies found during investigation of complaints AZ00204487 and AZ00205433.

Findings
No deficiencies found during investigation of complaints AZ00204487 and AZ00205433.

Enforcement Action

Enforcement
Fines: 1 Total: $1,500.00 Date: Jan 2, 2024

Summary
The enforcement resulted in a fine which has been fully paid, indicating resolution of the issue.

Fines & Penalties (1)
AmountReasonStatus
$1,500.00Fine associated with enforcement action #00111964Paid

Enforcement Action

Enforcement
Fines: 2 Total: $1,500.00 Date: Dec 7, 2023

Summary
The enforcement resulted in civil fines totaling $1,500 for violations including an expired fingerprint clearance card and lack of required training documentation for employees.

Fines & Penalties (2)
AmountReasonStatus
$500.00One employee's fingerprint clearance card was expired and no application for a new card was made.
$1,000.00One employee had no documentation of CPR training and one employee's first aid training was expired; this was a repeat deficiency.

Inspection Report

Complaint Investigation
Capacity: 105 Deficiencies: 14 Date: Dec 7, 2023

Visit Reason
Fourteen deficiencies found during compliance inspection and complaint investigation including failures in personnel documentation, posting requirements, documentation maintenance, and emergency drills.

Findings
Fourteen deficiencies found during compliance inspection and complaint investigation including failures in personnel documentation, posting requirements, documentation maintenance, and emergency drills.

Deficiencies (14)
A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.
D. A manager shall ensure conspicuous posting of resident rights
D. A manager shall ensure posting location of inspection reports
A manager shall submit documented reports to governing authority
A. A manager shall ensure documentation before providing care services
A. Except as provided in R9-10-808(B)(2), ensure resident TB freedom evidence
A. Except as required, ensure resident written service plans are reviewed and updated
C. A manager shall ensure resident medical records document vaccination notifications
B. A manager shall not accept or retain residents without required documentation
D. A manager shall ensure availability of current toxicology reference guide
A. A manager shall maintain food menus for at least 60 days
A. A manager shall conduct and document disaster drills quarterly
A. A manager shall conduct evacuation drills semiannually and maintain documentation
A. A manager shall maintain evacuation drill documentation for 12 months

Inspection Report

Complaint Investigation
Capacity: 105 Deficiencies: 0 Date: Feb 23, 2023

Visit Reason
No deficiencies found during investigation of complaint #AZ00188813.

Findings
No deficiencies found during investigation of complaint #AZ00188813.

Inspection Report

Annual Inspection
Capacity: 105 Deficiencies: 4 Date: Nov 29, 2022

Visit Reason
Four deficiencies found during on-site compliance inspection including failures in fall prevention training, documentation of first aid training, resident service plans, and fire inspection documentation.

Findings
Four deficiencies found during on-site compliance inspection including failures in fall prevention training, documentation of first aid training, resident service plans, and fire inspection documentation.

Deficiencies (4)
36-420.01. Health care institutions — Fall prevention training program
A. A manager shall ensure documentation of first aid training before providing services
A. Except as required, ensure resident written service plans include medication storage
E. A manager shall maintain current fire inspection documentation

Enforcement Action

Enforcement
Total: $0.00 Date: Nodate Enforcement

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