The most recent inspection on August 22, 2025, was an off-site review to change the licensed level of care and had no deficiencies cited. Earlier inspections showed a pattern of deficiencies mainly related to documentation, caregiver training and skills verification, resident service plans, and medical record keeping. Enforcement actions included fines totaling $5,250 across several reports, with the most significant fines issued in late 2023 and early 2024; no license suspensions or immediate jeopardy findings were listed in the available reports. Complaint investigations were mixed, with some substantiated deficiencies related to service plans and caregiver skills, while others were unsubstantiated. The absence of deficiencies in the most recent inspection suggests improvement following prior citations and enforcement actions.
Deficiencies (last 3 years)
Deficiencies (over 3 years)4.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Deficiency found related to resident written service plans during complaint investigation AZ00219513.
Findings
Deficiency found related to resident written service plans during complaint investigation AZ00219513.
Complaint Details
Complaint AZ00219513
Deficiencies (1)
Description
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: a. A description of services provided
Multiple deficiencies found during on-site compliance inspection and complaint investigation AZ00201355 related to documentation, training, tuberculosis screening, residency agreements, medical records, disaster plan, and incident documentation.
Findings
Multiple deficiencies found during on-site compliance inspection and complaint investigation AZ00201355 related to documentation, training, tuberculosis screening, residency agreements, medical records, disaster plan, and incident documentation.
Complaint Details
Complaint AZ00201355
Deficiencies (11)
Description
E. A manager shall ensure that documentation required by this Article is provided to the Department within two hours after a Department request
A. A manager shall ensure that a caregiver provides documentation of completion of a caregiver training program approved by the Department
A. A manager shall ensure that an employee provides documentation of freedom from infectious tuberculosis (TB)
A. A manager shall ensure that before providing assisted living services, current documentation of required health screenings is provided
C. A manager shall ensure that personnel records include documentation of compliance with rules
A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis before admission
D. A manager shall ensure a documented residency agreement before or at acceptance
C. A manager shall ensure caregivers document services provided in resident medical records
C. A manager shall ensure resident medical records contain required resident information
A. A manager shall ensure the disaster plan is reviewed at least once every 12 months
D. A manager shall ensure caregivers document incidents resulting in medical services
The facility was found deficient in multiple areas including caregiver training, first aid documentation, personnel records, and medical records, resulting in civil fines totaling $2500.
Fines & Penalties (4)
Amount
Reason
Status
$500.00
Failure to ensure a caregiver provided documentation of completion of a caregiver training program.
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$500.00
Failure to provide current documentation of first aid training for two caregivers before providing assisted living services.
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$500.00
Failure to ensure personnel records included required documentation of compliance for seven personnel.
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$1,000.00
Failure to ensure medical records included all required information for two of six resident records sampled.
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