Inspection Reports for Majestic Rose Care Home
4723 E. Buckboard Court, Gilbert, AZ 85297, AZ, 85297
Back to Facility ProfileInspection Report Summary
Most inspections found multiple deficiencies related to documentation, resident privacy, medication management, and environmental safety, with several issues repeated from prior years. The most recent annual inspection on June 10, 2024, identified eight deficiencies including failure to maintain caregiver work records, inadequate medication storage, and unsecured oxygen containers. An enforcement action completed on June 18, 2024, resulted in a $1,500 fine due to repeated deficiencies that posed health and safety risks. While some issues were serious enough to warrant fines, others were minor or isolated. Several complaint investigations were not listed in the available reports, so their outcomes are unknown.
Deficiencies per Year
8
6
4
2
0
Unclassified
Inspection Report
Enforcement
Deficiencies: 0
Jun 18, 2024
Visit Reason
State-compiled enforcement action report for MAJESTIC ROSE LLC-PR detailing enforcement action and payment schedule.
Findings
The report documents an enforcement action completed with a penalty payment of $1,500.00 and associated dates for the enforcement process.
Report Facts
Total fines: 1500
Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 8
Jun 10, 2024
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State-compiled facility profile showing 1 inspection from 2024 with deficiency history
Findings
The annual compliance inspection conducted on June 10, 2024, found eight deficiencies related to documentation, privacy, medication administration and storage, resident safety, and environmental safety, including several repeat deficiencies from a 2022 inspection.
Deficiencies (8)
| Description |
|---|
| A. A manager shall ensure that: 7. Documentation is maintained for at least 12 months after the last date on the documentation of the caregivers and assistant caregivers working each day, including the hours worked by each; - Failed to maintain documentation of caregivers' hours worked each day. |
| C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record; and - Failed to document services provided to residents in medical records. |
| C. A resident has the following rights: 3. To receive privacy in: a. Care for personal needs; - Failed to ensure resident privacy during care as live camera feeds were visible in common areas. |
| F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 2. There is a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort that meets one of the following: a. Provides access to an outside area that: i. Allows the resident to be at least 30 feet away from the facility, and ii. Controls or alerts employees of the egress of a resident from the facility; - Failed to ensure functioning alert devices for resident egress. |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: c. Is documented in the resident's medical record. - Failed to document medication administration for a resident. |
| F. When medication is stored by an assisted living facility, a manager shall ensure that: 1. Medication is stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage; - Failed to store medications in a locked area. |
| A. A manager shall ensure that: 10. Oxygen containers are secured in an upright position; - Failed to secure oxygen containers in an upright position. |
| A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents; - Failed to store poisonous or toxic materials in a locked area inaccessible to residents. |
Report Facts
Inspections on page: 1
Total deficiencies: 8
Complaint Inspections: 0
Total capacity: 10
Inspection Report
Enforcement
Deficiencies: 3
Jun 10, 2024
Visit Reason
The inspection was conducted to address enforcement concerns related to repeated deficiencies found during prior compliance inspections, as detailed in the Civil Fines Table and Enforcement Agreement.
Findings
The facility was found to have repeated deficiencies including failure to maintain documentation of caregivers' working hours, lack of means of exiting for a resident without a key or special knowledge, and failure to document medication administration for a resident. These deficiencies posed risks to health and safety and resulted in civil fines.
Deficiencies (3)
| Description |
|---|
| Failure to ensure documentation was maintained of caregivers and assistant caregivers working each day, including hours worked. |
| Failure to ensure there was a means of exiting the facility for a resident who did not have a key, special knowledge for egress, or ability to expend increased physical effort. |
| Failure to ensure a medication administered to a resident was documented in the resident's medical record for one of two residents. |
Report Facts
Civil fines total amount: 1500
Penalty amount: 250
Penalty amount: 1000
Penalty amount: 250
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amber Dawn Scott | Manager | Licensee/Director/Provider named in enforcement agreement and findings |
| Dawn Butler | Bureau Chief | Signed enforcement agreement |
| Thomas Salow | Assistant Director | Signed enforcement agreement |
| Aaron Telles | Deputy Bureau Chief | Signed enforcement agreement |
| Laura Redpath | Compliance Officer Supervisor | Signed enforcement agreement |
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