Inspection Reports for Legacy of Hearts Assisted Living LLC
4638 E Summerhaven Dr, Phoenix, AZ 85044, AZ, 85044
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Inspection Report
Complaint Investigation
Capacity: 5
Deficiencies: 10
Aug 20, 2025
Visit Reason
State-compiled facility profile showing 2 inspections from 2023-12-20 to 2025-08-20 with deficiency history and complaint investigations.
Findings
Across two complaint and compliance inspections, multiple deficiencies were identified including failures in first aid provision, quality management, documentation of incidents, employee record completeness, medication administration documentation, and environmental safety measures.
Complaint Details
The inspections included investigations of multiple complaints: 00105316 for the 2025 inspection and AZ00200125, AZ00202048, AZ00203162, and AZ00204115 for the 2023 inspection.
Deficiencies (10)
| Description |
|---|
| A.R.S. § 36-420.B.2. Health care institutions; cardiopulmonary resuscitation; first aid; immunity; falls; definition - Failed to ensure appropriate first aid was provided before EMS arrival to a resident who fell but was uninjured. |
| R9-10-804.1.a-e. Quality Management - Failed to implement an ongoing quality management program including documentation and evaluation of incidents. |
| R9-10-819.D.2.a-f. Emergency and Safety Standards - Failed to document date/time, description, observers, actions taken, notifications, and prevention measures for a resident incident requiring medical services. |
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411. - Failed to ensure employee fingerprint clearance compliance for one employee. |
| A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented before providing physical health services - Failed to verify and document skills for one caregiver. |
| C. A manager shall ensure that a personnel record for each employee or volunteer includes documentation of completed orientation and in-service education - Failed to ensure orientation form was signed and dated for one employee. |
| C. A manager shall ensure that a personnel record for each employee or volunteer includes all required documentation per A.A.C. R9-10-806(C)(1) - Failed to provide complete documentation for one employee. |
| E. A manager shall ensure that: 2.b. A calendar of planned activities is posted in a location easily seen by residents - Failed to post a current calendar of activities. |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 3.c. Medication administered is documented in the resident's medical record - Failed to accurately document medication administration for two residents. |
| C. A manager shall ensure that food is obtained, prepared, served, and stored properly: 5. Refrigerator contains a working thermometer accurate to plus or minus 3° F - Refrigerator thermometer was broken and inaccurate. |
Report Facts
Inspections on page: 2
Total deficiencies: 10
Complaint Inspections: 2
Total Capacity: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bruno Ezealah | Facility Manager | Named as person responsible in multiple deficiency findings |
| E1 | Interviewed and acknowledged multiple deficiencies | |
| E2 | Assistant Caregiver | Referenced in deficiencies related to skills verification and documentation |
| E3 | Referenced in deficiencies related to fingerprint clearance and personnel record documentation |
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