Inspection Report Summary
The most recent inspection on October 14, 2025, found no deficiencies during the complaint investigation. Earlier inspections showed a pattern of deficiencies related mainly to fall prevention training, personnel skills verification, environmental standards, and compliance with fire inspections. Enforcement actions included fines of $750 and $250 for repeated issues, particularly the absence of a fall prevention and fall recovery training program. Complaint investigations were consistently unsubstantiated, with no deficiencies found in those cases. The facility’s record shows some improvement as recent complaint investigations were clean, but prior inspections and enforcement actions indicate ongoing challenges with training and environmental compliance.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
8% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Capacity: 97
Deficiencies: 0
Date: Oct 14, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00147460 and 00147546.
Findings
No deficiencies were found during the on-site investigation of complaints 00147460 and 00147546.
Inspection Report
Complaint Investigation
Capacity: 97
Deficiencies: 0
Date: Oct 6, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00146801, 00146784, and 00146721.
Findings
No deficiencies were found during the on-site investigation of complaints 00146801, 00146784, and 00146721.
Enforcement Action
Enforcement
Fines: 1
Total: $750.00
Date: Aug 16, 2025
Summary
The enforcement action resulted in a $750 fine which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $750.00 | Fine associated with enforcement action #00134920 | Paid |
Enforcement Action
Enforcement
Fines: 2
Total: $750.00
Date: Jun 10, 2025
Summary
The facility was found deficient in ensuring caregiver competency and providing safe egress for residents, posing risks to resident safety and staff ability to meet resident needs.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Failure to ensure a caregiver's skills and knowledge were verified and documented before providing physical health services. | — |
| $500.00 | Failure to ensure there was a means of exiting the facility for a resident without a key or special knowledge that alerted employees of egress. | — |
Inspection Report
Annual Inspection
Capacity: 97
Deficiencies: 3
Date: Jun 10, 2025
Visit Reason
Deficiencies found related to personnel skills verification, directed care services door alert systems, and environmental standards for poisonous materials.
Findings
Deficiencies found related to personnel skills verification, directed care services door alert systems, and environmental standards for poisonous materials.
Deficiencies (3)
R9-10-806.A.4.a-b — Personnel
R9-10-815.F.2.a-c — Directed Care Services
R9-10-819.A.11 — Environmental Standards
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Date: May 28, 2024
Summary
A fine of $250.00 was imposed and has been paid in full as of 2024-07-02.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Fine related to enforcement action | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Date: Apr 16, 2024
Summary
The facility was found to be non-compliant due to the absence of a fall prevention and fall recovery training program, resulting in a civil fine.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Facility did not have a fall prevention and fall recovery training program, a repeat deficiency from a prior inspection. | — |
Inspection Report
Annual Inspection
Capacity: 97
Deficiencies: 2
Date: Apr 16, 2024
Visit Reason
Deficiencies found related to fall prevention training and fire inspection compliance.
Findings
Deficiencies found related to fall prevention training and fire inspection compliance.
Deficiencies (2)
36-420.01 — Fall prevention training
Fire inspection compliance failure
Inspection Report
Complaint Investigation
Capacity: 97
Deficiencies: 0
Date: Jul 18, 2023
Visit Reason
No deficiencies were found during the investigation of complaint #AZ00197928.
Findings
No deficiencies were found during the investigation of complaint #AZ00197928.
Inspection Report
Annual Inspection
Capacity: 97
Deficiencies: 7
Date: Feb 2, 2023
Visit Reason
Multiple deficiencies found including fall prevention training, posting of inspection reports, quality management program, toxicology guide availability, food menu posting and adherence, and disaster plan review.
Findings
Multiple deficiencies found including fall prevention training, posting of inspection reports, quality management program, toxicology guide availability, food menu posting and adherence, and disaster plan review.
Deficiencies (7)
36-420.01 — Fall prevention training
Posting of inspection reports failure
Quality management program failure
Toxicology reference guide unavailable
Food menu posting failure
Meals not served according to posted menus
Disaster plan not reviewed annually
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