Inspection Reports for Inspira Gateway by Cogir
4533 E Banner Gateway Dr, Mesa, AZ 85206, United States, AZ, 85206
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Inspection Report
Complaint Investigation
Capacity: 165
Deficiencies: 13
Oct 10, 2025
Visit Reason
State-compiled facility profile showing 2 inspections from 2023-09-12 to 2025-10-10 with deficiency history and complaint investigations.
Findings
Across two inspections, multiple deficiencies were identified including failures in emergency responder documentation, death reporting, service plan completeness and updates, safety hazards, and equipment maintenance, posing health and safety risks to residents.
Complaint Details
The inspections included investigations of multiple complaints including complaint numbers 00105492, 00127807, 00108288, 00136528, 00146916, 00145510, 00105599, 00102927, and AZ00199535.
Deficiencies (13)
| Description |
|---|
| A.R.S. § 36-420.04.A.1-9. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document: Failed to provide emergency responders with required written documentation including HIPAA release for multiple residents. |
| R9-10-803.K.1. Administration: Failed to provide written notification to the Department of a resident’s death within one working day as required. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3.b. The level of service the resident is expected to receive;: Failed to ensure residents' service plans included the level of service expected. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4.b.ii. Is reviewed and updated at least once every six months for a resident receiving personal care services: Failed to ensure service plan was reviewed and updated at least every six months. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5.a-d. Is signed and dated by resident/representative, manager, and medical reviewer: Failed to ensure service plans were signed and dated as required. |
| F. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving personal care services includes: 1. Skin maintenance to prevent and treat bruises, injuries, pressure sores, and infections;: Failed to include treatment of wounds in service plans. |
| B. A manager of an assisted living facility authorized to provide directed care services shall not accept or retain a resident who, except as provided in R9-10-814(B)(2): 1. Is confined to a bed or chair because of an inability to ambulate even with assistance; or: Failed to have PCP or medical practitioner determinations for residents unable to ambulate. |
| E. A manager shall ensure that: 1. A bell, intercom, or other mechanical means to alert employees to a resident's needs or emergencies is available in a bedroom being used by a resident receiving directed care services; or: Failed to provide call alert system for a memory care resident. |
| D. A manager shall ensure that: 1. A current drug reference guide is available for use by personnel members, and: Failed to maintain a current drug reference guide for medication administration. |
| A. A manager shall ensure that: 2. The disaster plan required in subsection (A)(1) is reviewed at least once every 12 months;: Failed to review and document disaster plan annually. |
| A. A manager shall ensure that: 1.b. The premises and equipment used at the assisted living facility are free from a condition or situation that may cause a resident or other individual to suffer physical injury;: Failed to secure CO2 tanks posing physical injury risk. |
| A. A manager shall ensure that: 6. Hot water temperatures are maintained between 95º F and 120º F in areas of an assisted living facility used by residents;: Failed to maintain hot water temperature within safe range. |
| 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 separate from food preparation and storage, dining areas, and medications and are inaccessible to residents;: Failed to store poisonous or toxic materials in locked area inaccessible to residents. |
Report Facts
Inspections on page: 2
Total deficiencies: 13
Complaint Inspections: 2
Total capacity: 165
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amber McCord | Executive Director | Named as person responsible in deficiencies related to emergency responder documentation and death reporting |
| E1 | Compliance Officer/Manager | Interviewed and acknowledged multiple deficiencies in service plans, safety, and documentation |
| E2 | Interviewed regarding emergency responder documentation and exit interview | |
| E3 | Interviewed regarding death reporting and exit interview | |
| E6 | Medtech on duty | Responded to resident emergency in death reporting deficiency |
| E10 | Acknowledged drug reference guide deficiency |
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