Inspection Reports for Legacy of Hearts Assisted Living LLC

4638 E Summerhaven Dr, Phoenix, AZ 85044, AZ, 85044

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Inspection Report Summary

The most recent inspection on August 20, 2025, identified deficiencies related to first aid, quality management, and emergency and safety standards. Earlier inspections showed enforcement actions in December 2023 and February 2024, including fines totaling $1,250 for issues such as employee clearance, caregiver skills verification, and medication documentation. Prior reports also noted deficiencies in governing authority compliance, personnel records, activity calendar posting, and food storage. Complaint investigations were not substantiated in the available reports, and enforcement actions were limited to fines with no license suspensions or immediate jeopardy findings listed. The inspection history indicates ongoing challenges with staff qualifications and documentation, with some repeated issues over time.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 4.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

22% worse than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2025

Inspection Report

Complaint Investigation
Capacity: 5 Deficiencies: 3 Date: Aug 20, 2025

Visit Reason
Deficiencies found related to first aid, quality management, and emergency and safety standards during complaint and compliance inspection.

Findings
Deficiencies found related to first aid, quality management, and emergency and safety standards during complaint and compliance inspection.

Deficiencies (3)
A.R.S. § 36-420.B.2. — Health care institutions; cardiopulmonary resuscitation; first aid; immunity; falls; definition
R9-10-804.1.a-e. — Quality Management
R9-10-819.D.2.a-f. — Emergency and Safety Standards

Enforcement Action

Enforcement
Fines: 1 Total: $1,250.00 Date: Feb 13, 2024

Summary
The enforcement resulted in a fine which has been paid in full.

Fines & Penalties (1)
AmountReasonStatus
$1,250.00Fine associated with enforcement action #00111727Paid

Enforcement Action

Enforcement
Fines: 3 Total: $1,250.00 Date: Dec 20, 2023

Summary
The facility was found non-compliant in ensuring employee clearance, caregiver skills verification, and accurate medication administration records, resulting in civil fines totaling $1250.

Fines & Penalties (3)
AmountReasonStatus
$500.00Failure to ensure compliance with fingerprint clearance for one of three sampled employees.
$250.00Failure to ensure skills and knowledge of one of two sampled caregivers were verified and documented before providing physical health services.
$500.00Failure to ensure medication administered to a resident was documented accurately; medication record was pre-filled presenting false and misleading information.

Inspection Report

Complaint Investigation
Capacity: 5 Deficiencies: 6 Date: Dec 20, 2023

Visit Reason
Deficiencies found related to governing authority compliance, caregiver skills verification, personnel records, activity calendar posting, medication documentation, and food storage.

Findings
Deficiencies found related to governing authority compliance, caregiver skills verification, personnel records, activity calendar posting, medication documentation, and food storage.

Deficiencies (6)
A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.
A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented
C. A manager shall ensure that a personnel record for each employee or volunteer: 1. Includes documentation of orientation and required information
E. A manager shall ensure that: 2. A calendar of planned activities is posted in a location easily seen by residents
B. If an assisted living facility provides medication administration, a manager shall ensure that medication administered is documented
C. A manager shall ensure that food is obtained, prepared, served, and stored properly including refrigerator thermometer accuracy

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