Inspection Reports for La Sonora at Dove Mountain
5250 W Dove Centre Rd, Marana, AZ 85658, United States, AZ, 85658
Back to Facility Profile
Inspection Report
Complaint Investigation
Capacity: 116
Deficiencies: 20
Sep 29, 2025
Visit Reason
State-compiled facility profile showing 11 inspections from 2023-10 to 2025-09 with deficiency history and complaint investigations.
Findings
Across multiple inspections, numerous deficiencies were found including failures in medication administration, tuberculosis screening, abuse reporting and investigation, resident rights violations, emergency documentation, and environmental safety. Several repeat citations and enforcement actions were noted.
Complaint Details
The page includes multiple complaint investigations with findings of abuse, neglect, and failure to comply with reporting and documentation requirements, including investigations of complaints numbered 00145732, 00145700, 00104411, 00146051, 00146047, 00104285, 00104208, and others.
Deficiencies (20)
| Description |
|---|
| R9-10-817.B.3.a-c. Medication Services: Failed to ensure medication was administered to a resident in compliance with a medication order. |
| R9-10-806.A.8.a-b. Personnel: Failed to ensure employees provided documentation of freedom from infectious tuberculosis on or before the date services began. |
| R9-10-807.A.1-2. Residency and Residency Agreements: Failed to ensure residents provided evidence of freedom from infectious tuberculosis within seven calendar days after occupancy. |
| R9-10-810.B.2.i. Resident Rights: Failed to ensure a resident was not subjected to restraint. |
| R9-10-820.A.11. Environmental Standards: Failed to ensure poisonous or toxic materials were maintained in labeled containers in a locked area inaccessible to residents. |
| R9-10-803.J.1-6. Administration: Failed to immediately report suspected abuse, neglect, or exploitation as required by law. |
| R9-10-806.A.4.a-b. Personnel: Failed to verify and document caregiver skills and knowledge before providing physical health services. |
| R9-10-810.B.1. Resident Rights: Failed to ensure a resident was treated with dignity, respect, and consideration. |
| 36-420.04. Emergency responders; patient information: Failed to provide required documentation to emergency responders for residents transported to hospital. |
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411: Failed to ensure compliance for personnel background checks. |
| A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented before providing services: Failed to verify and document skills for a caregiver. |
| A. A manager shall ensure that: 10. Provides current documentation of first aid and CPR training specific to adults: Failed to ensure caregiver had current CPR documentation. |
| F. A manager of an assisted living facility authorized to provide directed care services shall ensure means of exiting the facility controls or alerts employees of resident egress: Failed to ensure exit door alarm functioned properly. |
| A. A manager shall ensure that: 2. Disaster plan is reviewed at least once every 12 months: Failed to review disaster plan annually. |
| A. A manager shall ensure that: 5. Evacuation drill for employees and residents is conducted at least once every six months: Failed to conduct and document evacuation drill within required timeframe. |
| D. When a resident has an accident, emergency, or injury needing medical services, a manager shall ensure documentation of the event: Failed to document required information for resident accident and injury. |
| R9-10-113. Tuberculosis Screening: Failed to implement tuberculosis infection control activities including baseline screening for personnel. |
| B. A manager shall ensure that: 1. A resident is treated with dignity, respect, and consideration: Failed to prevent abuse and mistreatment of residents. |
| J. If a manager has reasonable basis to believe abuse, neglect or exploitation occurred, the manager shall: Failed to document suspected abuse, maintain documentation, and include actions taken to prevent recurrence. |
| D. When a resident has an accident, emergency, or injury needing medical services, a manager shall ensure documentation: Failed to document required details of accidents and injuries. |
Report Facts
Inspections on page: 11
Total deficiencies: 28
Complaint inspections: 11
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rebecca Allison | Executive Director | Named as person responsible in multiple deficiency findings related to medication administration, abuse reporting, and personnel verification |
| E1 | Facility manager/executive director involved in interviews and acknowledged multiple deficiencies | |
| E2 | Caregiver or staff member involved in medication administration and abuse findings | |
| E4 | Employee with personnel record deficiencies and involved in abuse investigation | |
| E5 | Caregiver involved in restraint and abuse allegations | |
| E6 | Staff member involved in abuse and resident rights violation findings | |
| E8 | Employee identified in misappropriation of resident property | |
| E9 | Caregiver with skills verification deficiencies |
Loading inspection reports...
