Inspection Report Summary
The most recent inspection on October 1, 2025, found no deficiencies. Earlier inspections showed a pattern of deficiencies mainly related to abuse prevention, infection control, care planning, and administrative policies. Complaint investigations were generally unsubstantiated, with no fines or enforcement actions listed in the available reports. Prior reports noted some issues with emergency preparedness and resident rights, but these were followed by periods without deficiencies. The overall trend suggests improvement in compliance over time.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
10.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
189% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Oct 1, 2025
Visit Reason
The state complaint survey was conducted on October 1, 2025, for complaints #00146378 and 00146575. No deficiencies were cited.
Findings
The state complaint survey was conducted on October 1, 2025, for complaints #00146378 and 00146575. No deficiencies were cited.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Sep 26, 2025
Visit Reason
An onsite complaint survey was conducted on September 26, 2025 for intake #00146040, 00144536, 00144553, 00144338. No deficiencies were cited.
Findings
An onsite complaint survey was conducted on September 26, 2025 for intake #00146040, 00144536, 00144553, 00144338. No deficiencies were cited.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Sep 19, 2025
Visit Reason
The onsite complaint survey was conducted on September 19, 2025 investigating complaints #00145202 and 2620170. No deficiencies were noted.
Findings
The onsite complaint survey was conducted on September 19, 2025 investigating complaints #00145202 and 2620170. No deficiencies were noted.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Aug 14, 2025
Visit Reason
Investigation of complaints 00140781, 00137240, 00138792, and 00136314 was conducted on August 14, 2025. No deficiencies were cited.
Findings
Investigation of complaints 00140781, 00137240, 00138792, and 00136314 was conducted on August 14, 2025. No deficiencies were cited.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 2
Date: Jun 19, 2025
Visit Reason
Investigation of complaints 00133411, 00132731, 00132780 was conducted on June 19, 2025. Two deficiencies were cited related to infection control and administrative policies.
Findings
Investigation of complaints 00133411, 00132731, 00132780 was conducted on June 19, 2025. Two deficiencies were cited related to infection control and administrative policies.
Deficiencies (2)
§483.80 Infection Control The facility must establish and maintain an infection prevention and control program designed to provide a safe, sanitary a...
R9-10-422. An administrator shall ensure that: R9-10-422.3. Policies and procedures are established, documented, and implemented that cover: R9-10-422...
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Jun 3, 2025
Visit Reason
Investigation of intakes #AZ00224603 and 00131574 was conducted on June 3, 2025. No deficiencies were cited.
Findings
Investigation of intakes #AZ00224603 and 00131574 was conducted on June 3, 2025. No deficiencies were cited.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: May 20, 2025
Visit Reason
Complaint survey conducted on May 20, 2025 investigating intake #00130487 and AZ00221961. No deficiencies cited.
Findings
Complaint survey conducted on May 20, 2025 investigating intake #00130487 and AZ00221961. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Mar 13, 2025
Visit Reason
Investigation of complaint 00122141 conducted March 13-14, 2025. No deficiencies cited.
Findings
Investigation of complaint 00122141 conducted March 13-14, 2025. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Dec 26, 2024
Visit Reason
Complaint survey conducted December 26, 2024 for multiple intakes. No deficiencies cited.
Findings
Complaint survey conducted December 26, 2024 for multiple intakes. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Sep 9, 2024
Visit Reason
Investigation of complaint AZ00215493 and AZ00215491 conducted on September 9, 2024. No deficiencies cited.
Findings
Investigation of complaint AZ00215493 and AZ00215491 conducted on September 9, 2024. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 1
Date: Aug 26, 2024
Visit Reason
Onsite complaint survey on August 26, 2024 of intake #AZ00214889 and AZ00214788. One deficiency cited related to abuse prevention.
Findings
Onsite complaint survey on August 26, 2024 of intake #AZ00214889 and AZ00214788. One deficiency cited related to abuse prevention.
Deficiencies (1)
R9-10-410.B. An administrator shall ensure that: R9-10-410.B.3. A resident is not subjected to: R9-10-410.B.3.a. Abuse;
Inspection Report
Life Safety
Capacity: 210
Deficiencies: 3
Date: Aug 7, 2024
Visit Reason
Recertification survey for Medicare under Life Safety Code 2012 conducted August 7, 2024. Three deficiencies cited related to emergency preparedness drills, fire drills, and electrical systems maintenance.
Findings
Recertification survey for Medicare under Life Safety Code 2012 conducted August 7, 2024. Three deficiencies cited related to emergency preparedness drills, fire drills, and electrical systems maintenance.
Deficiencies (3)
(2) Testing. The [facility, except for LTC facilities, RNHCIs and OPOs] must conduct exercises to test the emergency plan at least annually. The [faci...
Fire Drills Fire drills include the transmission of a fire alarm signal and simulation of emergency fire conditions. Fire drills are held at expected ...
Electrical Systems - Maintenance and Testing Hospital-grade receptacles at patient bed locations and where deep sedation or general anesthesia is admi...
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 16
Date: Jul 15, 2024
Visit Reason
State compliance survey conducted July 15-18, 2024 with complaint investigation. Seventeen deficiencies cited related to resident rights, care plans, abuse prevention, respiratory care, and personnel records.
Findings
State compliance survey conducted July 15-18, 2024 with complaint investigation. Seventeen deficiencies cited related to resident rights, care plans, abuse prevention, respiratory care, and personnel records.
Deficiencies (16)
R9-10-403.C. An administrator shall ensure that: R9-10-403.C.1. Policies and procedures are established, documented, and implemented to protect the he...
§483.10(a) Resident Rights. The resident has a right to a dignified existence, self-determination, and communication with and access to persons and s...
§483.10(c)(6) The right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to...
R9-10-406.F. An administrator shall ensure that a personnel record is maintained for each personnel member, employee, volunteer, or student that inclu...
§483.21(b) Comprehensive Care Plans §483.21(b)(1) The facility must develop and implement a comprehensive person-centered care plan for each residen...
§483.21(b) Comprehensive Care Plans §483.21(b)(2) A comprehensive care plan must be- (i) Developed within 7 days after completion of the comprehensi...
§483.21(c)(1) Discharge Planning Process The facility must develop and implement an effective discharge planning process that focuses on the resident...
§ 483.25(i) Respiratory care, including tracheostomy care and tracheal suctioning. The facility must ensure that a resident who needs respiratory car...
§483.35 Nursing Services The facility must have sufficient nursing staff with the appropriate competencies and skills sets to provide nursing and rel...
§483.45(e) Psychotropic Drugs. §483.45(c)(3) A psychotropic drug is any drug that affects brain activities associated with mental processes and beha...
R9-10-408.C. Except for a transfer of a resident due to an emergency, an administrator shall ensure that: R9-10-408.C1. A personnel member coordinates...
R9-10-410.B. An administrator shall ensure that: R9-10-410.B.2. A resident is treated with dignity, respect, and consideration;
R9-10-411.C. An administrator shall ensure that a resident's medical record contains: R9-10-411.C.23. If the resident has been assessed for receiving ...
R9-10-414.B. An administrator shall ensure that a care plan for a resident: R9-10-414.B.1. Is developed, documented, and implemented for the resident ...
R9-10-414.B. An administrator shall ensure that a care plan for a resident: R9-10-414.B.2. Is reviewed and revised based on any change to the resident...
R9-10-419. If respiratory care services are provided on a nursing care institution's premises, an administrator shall ensure that: R9-10-419.2. Respir...
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 2
Date: Jun 10, 2024
Visit Reason
Investigation of multiple complaints conducted June 10-14, 2024. Two deficiencies cited related to freedom from abuse and neglect.
Findings
Investigation of multiple complaints conducted June 10-14, 2024. Two deficiencies cited related to freedom from abuse and neglect.
Deficiencies (2)
§483.12 Freedom from Abuse, Neglect, and Exploitation The resident has the right to be free from abuse, neglect, misappropriation of resident propert...
R9-10-410.B. An administrator shall ensure that: R9-10-410.B.3. A resident is not subjected to: R9-10-410.B.3.a. Abuse;
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 2
Date: May 15, 2024
Visit Reason
Complaint survey conducted May 15-16, 2024 for multiple intakes. Two deficiencies cited related to abuse prevention and infection control.
Findings
Complaint survey conducted May 15-16, 2024 for multiple intakes. Two deficiencies cited related to abuse prevention and infection control.
Deficiencies (2)
§483.12 Freedom from Abuse, Neglect, and Exploitation The resident has the right to be free from abuse, neglect, misappropriation of resident propert...
R9-10-410.B. An administrator shall ensure that: R9-10-410.B.3. A resident is not subjected to: R9-10-410.B.3.a. Abuse;
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Apr 8, 2024
Visit Reason
Investigation of complaint #s AZ00208718, AZ00208618, AZ00208721 conducted on April 8, 2024. No deficiencies cited.
Findings
Investigation of complaint #s AZ00208718, AZ00208618, AZ00208721 conducted on April 8, 2024. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 6
Date: Feb 12, 2024
Visit Reason
Onsite complaint survey conducted February 12-14, 2024 investigating multiple complaints. Nine deficiencies cited related to notification of changes, abuse prevention, care plans, accident prevention, infection control, and abuse.
Findings
Onsite complaint survey conducted February 12-14, 2024 investigating multiple complaints. Nine deficiencies cited related to notification of changes, abuse prevention, care plans, accident prevention, infection control, and abuse.
Deficiencies (6)
§483.10(g)(14) Notification of Changes. (i) A facility must immediately inform the resident; consult with the resident's physician; and notify, consi...
§483.12 Freedom from Abuse, Neglect, and Exploitation The resident has the right to be free from abuse, neglect, misappropriation of resident propert...
§483.21(b) Comprehensive Care Plans §483.21(b)(2) A comprehensive care plan must be- (i) Developed within 7 days after completion of the comprehensi...
§483.25(d) Accidents. The facility must ensure that - §483.25(d)(1) The resident environment remains as free of accident hazards as is possible; and...
§483.80 Infection Control The facility must establish and maintain an infection prevention and control program designed to provide a safe, sanitary a...
R9-10-410.B. An administrator shall ensure that: R9-10-410.B.3. A resident is not subjected to: R9-10-410.B.3.a. Abuse;
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Dec 29, 2023
Visit Reason
Complaint survey conducted December 29, 2023 for multiple intakes. No deficiencies cited.
Findings
Complaint survey conducted December 29, 2023 for multiple intakes. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Nov 28, 2023
Visit Reason
Complaint survey conducted November 28-29, 2023 for multiple intakes. No deficiencies cited.
Findings
Complaint survey conducted November 28-29, 2023 for multiple intakes. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Nov 6, 2023
Visit Reason
Complaint survey conducted November 6-8, 2023 for multiple intakes. Deficiencies were cited but details not explicitly provided.
Findings
Complaint survey conducted November 6-8, 2023 for multiple intakes. Deficiencies were cited but details not explicitly provided.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Aug 1, 2023
Visit Reason
Onsite survey conducted August 1, 2023 for intake #AZ00197971. No deficiencies cited.
Findings
Onsite survey conducted August 1, 2023 for intake #AZ00197971. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Apr 17, 2023
Visit Reason
Onsite survey conducted April 17, 2023 for intake #AZ00193856. No deficiencies cited.
Findings
Onsite survey conducted April 17, 2023 for intake #AZ00193856. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 210
Deficiencies: 0
Date: Mar 27, 2023
Visit Reason
Onsite survey conducted March 27, 2023 for intake #s AZ00192734 and AZ00192807. No deficiencies cited.
Findings
Onsite survey conducted March 27, 2023 for intake #s AZ00192734 and AZ00192807. No deficiencies cited.
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