Inspection Report Summary
The most recent inspection on May 14, 2025, cited two deficiencies related to administrator policies and resident-identifiable information. Earlier inspections showed a pattern of various deficiencies involving resident care plans, personnel records, resident rights, food safety, and Life Safety Code issues, with no enforcement actions or fines listed in the available reports. Complaint investigations were mostly unsubstantiated, and no notable substantiated complaints were reported. Prior reports identified issues with quality of care, skin integrity, and safety measures, but no immediate jeopardy or license actions were noted. The inspection history shows ongoing areas for improvement, particularly in administrative policies and resident care documentation, with no clear trend of worsening or improvement.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
8.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
135% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Capacity: 132
Deficiencies: 2
May 14, 2025
Visit Reason
Onsite complaint survey citing 2 deficiencies related to administrator policies and resident-identifiable information.
Findings
Onsite complaint survey citing 2 deficiencies related to administrator policies and resident-identifiable information.
Deficiencies (2)
| Description |
|---|
| R9-10-403.C — Administrator policies and procedures |
| §483.20(f)(5) — Resident-identifiable information |
Inspection Report
Complaint Investigation
Capacity: 132
Deficiencies: 0
Jan 2, 2025
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Capacity: 132
Deficiencies: 0
Sep 18, 2024
Visit Reason
Recertification survey for Medicare 2012 Life Safety Code compliance with no deficiencies found.
Findings
Recertification survey for Medicare 2012 Life Safety Code compliance with no deficiencies found.
Inspection Report
Complaint Investigation
Capacity: 132
Deficiencies: 4
Sep 9, 2024
Visit Reason
State compliance survey with 4 deficiencies related to personnel records, resident rights, care plans, and food safety.
Findings
State compliance survey with 4 deficiencies related to personnel records, resident rights, care plans, and food safety.
Deficiencies (4)
| Description |
|---|
| R9-10-406.F — Personnel records maintenance |
| R9-10-410.C — Resident rights participation |
| R9-10-414.B — Resident care plan and nursing care |
| R9-10-423.A — Food establishment contract and food safety |
Inspection Report
Complaint Investigation
Capacity: 132
Deficiencies: 3
Jun 3, 2024
Visit Reason
Investigation citing 3 deficiencies related to quality of care, skin integrity, and resident care plans.
Findings
Investigation citing 3 deficiencies related to quality of care, skin integrity, and resident care plans.
Deficiencies (3)
| Description |
|---|
| §483.25 — Quality of care |
| §483.25(b) — Skin integrity and pressure ulcers |
| R9-10-414.B — Resident care plan and nursing care |
Inspection Report
Complaint Investigation
Capacity: 132
Deficiencies: 0
Feb 9, 2023
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Capacity: 132
Deficiencies: 5
Jan 19, 2023
Visit Reason
Recertification survey for Life Safety Code 2012 with 5 deficiencies related to sprinkler system, corridor doors, smoke barriers, electrical equipment, and gas equipment storage.
Findings
Recertification survey for Life Safety Code 2012 with 5 deficiencies related to sprinkler system, corridor doors, smoke barriers, electrical equipment, and gas equipment storage.
Deficiencies (5)
| Description |
|---|
| Sprinkler System - Maintenance and Testing |
| Corridor - Doors |
| Subdivision of Building Spaces - Smoke Barrier Construction |
| Electrical Equipment - Power Cords and Extension Cords |
| Gas Equipment - Cylinder and Container Storage |
Inspection Report
Complaint Investigation
Capacity: 132
Deficiencies: 12
Jan 17, 2023
Visit Reason
State compliance survey citing 16 deficiencies including administration policies, resident rights, personnel records, wound care, respiratory and dialysis care, COVID-19 vaccination, and safety.
Findings
State compliance survey citing 16 deficiencies including administration policies, resident rights, personnel records, wound care, respiratory and dialysis care, COVID-19 vaccination, and safety.
Deficiencies (12)
| Description |
|---|
| R9-10-403.C — Administrator policies and procedures |
| §483.10(c)(6) — Resident rights regarding treatment |
| §483.15(c)(3) — Notice before transfer |
| R9-10-406.F — Personnel records maintenance |
| §483.25(d) — Accident prevention |
| §483.25(f) — Ostomy care |
| §483.25(i) — Respiratory care |
| §483.25(l) — Dialysis care |
| §483.80(i) — COVID-19 vaccination of staff |
| R9-10-414.B — Resident care plan and nursing care |
| R9-10-419 — Respiratory care orders |
| R9-10-425.A — Premises and equipment safety |
Report
File
complaint-inspection_2024-06-04.pdf
Report
File
complaint-inspection_2024-09-12.pdf
Report
File
complaint-inspection_2025-05-14.pdf
Report
File
health-inspection_2022-01-14.pdf
Report
File
health-inspection_2023-01-19.pdf
Report
File
health-inspection_2024-09-12.pdf
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