Inspection Reports for Manor Village at Desert Ridge

5560 E Deer Valley Drive, Phoenix, AZ 85054, AZ, 85054

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Inspection Report Summary

The most recent inspection on October 29, 2025, included enforcement action resulting in a $250 fine that has been paid in full. Earlier inspections showed repeated deficiencies primarily related to caregiver documentation, service plans, residency agreements, and caregiver training or orientation. Several enforcement actions were issued over time, including fines ranging from $250 to $1,250, but no license suspensions or immediate jeopardy findings were noted in the available reports. Complaint investigations mostly found deficiencies related to documentation and compliance but did not report substantiated abuse or neglect. The facility’s inspection history shows ongoing challenges with documentation and caregiver compliance, with repeated citations indicating these issues have not fully resolved.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 8.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

124% worse than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2024
2025

Enforcement Action

Enforcement
Fines: 1 Total: $250.00 Date: Oct 29, 2025

Summary
The enforcement resulted in a fine of $250.00 which has been paid in full.

Fines & Penalties (1)
AmountReasonStatus
$250.00Enforcement action finePaid

Enforcement Action

Enforcement
Fines: 1 Total: $250.00 Date: Sep 26, 2025

Summary
The enforcement outcome confirmed a repeat deficiency from a prior complaint investigation, resulting in a civil fine for failure to document services provided to residents.

Fines & Penalties (1)
AmountReasonStatus
$250.00Failure to ensure caregiver documented assistance with activities of daily living for two residents (repeat deficiency).

Inspection Report

Complaint Investigation
Capacity: 129 Deficiencies: 4 Date: Sep 18, 2025

Visit Reason
Deficiencies found related to residency agreements, service plans, and resident rights during complaint and annual compliance inspection.

Findings
Deficiencies found related to residency agreements, service plans, and resident rights during complaint and annual compliance inspection.

Deficiencies (4)
R9-10-807.B.1.a-b. Residency and Residency Agreements
R9-10-807.E.1-4. Residency and Residency Agreements
R9-10-808.C.1.c. Service Plans
R9-10-810.A. Resident Rights

Inspection Report

Complaint Investigation
Capacity: 129 Deficiencies: 1 Date: Jun 11, 2025

Visit Reason
One deficiency found related to caregiver documentation during complaint investigation.

Findings
One deficiency found related to caregiver documentation during complaint investigation.

Deficiencies (1)
R9-10-808.C.1.g. Service Plans

Enforcement Action

Enforcement
Fines: 1 Total: $1,250.00 Date: Dec 3, 2024

Summary
The enforcement resulted in a fine of $1,250.00 which has been paid in full.

Fines & Penalties (1)
AmountReasonStatus
$1,250.00Fine associated with enforcement action #00110135Paid

Inspection Report

Complaint Investigation
Capacity: 129 Deficiencies: 6 Date: Sep 30, 2024

Visit Reason
Six deficiencies found related to governing authority compliance, caregiver skills verification, orientation, documentation, service plans, and incident reporting.

Findings
Six deficiencies found related to governing authority compliance, caregiver skills verification, orientation, documentation, service plans, and incident reporting.

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
A. A manager shall ensure that: 9. Before providing assisted living services to a resident, a caregiver or an assistant caregiver receives orientation
C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record
C. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving directed care services includes skin maintenance
D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver immediately notifies

Enforcement Action

Enforcement
Fines: 3 Total: $1,250.00 Date: Sep 30, 2024

Summary
The facility was found to have one employee without a valid fingerprint clearance card and two repeat deficiencies related to caregiver skills verification and orientation, resulting in civil fines.

Fines & Penalties (3)
AmountReasonStatus
$500.00One employee did not have a current and valid fingerprint clearance card and did not apply for one within 20 working days of employment.
$500.00One caregiver's skills and knowledge were not verified and documented before providing physical health services to residents (repeat deficiency).
$250.00One caregiver did not have orientation before providing physical health services to residents (repeat deficiency).

Inspection Report

Capacity: 129 Deficiencies: 0 Date: Aug 22, 2024

Visit Reason
No deficiencies found during change of service inspection to increase occupancy.

Findings
No deficiencies found during change of service inspection to increase occupancy.

Inspection Report

Complaint Investigation
Capacity: 129 Deficiencies: 0 Date: Jul 19, 2024

Visit Reason
No deficiencies cited during complaint investigation.

Findings
No deficiencies cited during complaint investigation.

Enforcement Action

Enforcement
Fines: 1 Total: $500.00 Date: Jul 16, 2024

Summary
The enforcement resulted in a civil fine for the facility due to the violation of employing a caregiver without a valid training certificate.

Fines & Penalties (1)
AmountReasonStatus
$500.00One employee, working as a caregiver, had an invalid caregiver training certificate.

Enforcement Action

Enforcement
Fines: 1 Total: $500.00 Date: Jun 25, 2024

Summary
A fine was imposed and subsequently paid, indicating resolution of the enforcement action.

Fines & Penalties (1)
AmountReasonStatus
$500.00Fine imposed as part of enforcement actionPaid

Inspection Report

Complaint Investigation
Capacity: 129 Deficiencies: 2 Date: May 15, 2024

Visit Reason
Two deficiencies found related to first aid and caregiver training documentation during complaint investigation.

Findings
Two deficiencies found related to first aid and caregiver training documentation during complaint investigation.

Deficiencies (2)
36-420. Health care institutions; cardiopulmonary resuscitation; first aid; immunity; falls; definition
A. A manager shall ensure that: 1. A caregiver: b. Provides documentation of: i. Completion of a caregiver training program approved by the Department

Inspection Report

Complaint Investigation
Capacity: 129 Deficiencies: 0 Date: Apr 2, 2024

Visit Reason
No deficiencies cited during complaint investigation.

Findings
No deficiencies cited during complaint investigation.

Inspection Report

Complaint Investigation
Capacity: 129 Deficiencies: 0 Date: Mar 21, 2024

Visit Reason
No deficiencies cited during complaint investigation.

Findings
No deficiencies cited during complaint investigation.

Enforcement Action

Enforcement
Fines: 1 Total: $250.00 Date: Feb 20, 2024

Summary
A fine of $250.00 was imposed and has been paid in full, indicating resolution of the enforcement action.

Fines & Penalties (1)
AmountReasonStatus
$250.00Fine imposed as part of enforcement actionPaid

Inspection Report

Complaint Investigation
Capacity: 129 Deficiencies: 4 Date: Feb 1, 2024

Visit Reason
Four deficiencies found related to governing authority compliance, abuse reporting, caregiver skills verification, and orientation.

Findings
Four deficiencies found related to governing authority compliance, abuse reporting, caregiver skills verification, and orientation.

Deficiencies (4)
A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.
J. If a manager has a reasonable basis, according to A.R.S. § 46-454, to believe abuse, neglect or exploitation has occurred on the premises or while providing care, the manager shall report
A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented
A. A manager shall ensure that: 9. Before providing assisted living services to a resident, a caregiver or an assistant caregiver receives orientation

Enforcement Action

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

Summary
The facility was found not in substantial compliance due to the lack of verification of caregiver skills and knowledge, resulting in a civil fine.

Fines & Penalties (1)
AmountReasonStatus
$250.00One caregiver's skills and knowledge were not verified and documented before providing physical health services to residents.

Enforcement Action

Enforcement
Fines: 2 Total: $750.00 Date: Jun 15, 2023

Summary
The facility was found to have invalid CPR training that was online-only without a return demonstration and repeated deficiencies in medical record documentation related to opioid medication assessments.

Fines & Penalties (2)
AmountReasonStatus
$250.00Two residents' medical records lacked documentation of assessments before and after opioid administration (repeat deficiency).
$500.00Two employees' CPR training was invalid as it was online-only and did not include a return demonstration.

Enforcement Action

Enforcement
Fines: 1 Total: $750.00 Date: May 23, 2023

Summary
The facility was fined $750.00 which has been paid in full, indicating resolution of the enforcement action.

Fines & Penalties (1)
AmountReasonStatus
$750.00Fine related to enforcement action #00113305Paid

Inspection Report

Annual Inspection
Capacity: 129 Deficiencies: 8 Date: May 4, 2023

Visit Reason
Eight deficiencies found related to personnel records, tuberculosis documentation, medication documentation, poisonous materials storage, and opioid prescribing.

Findings
Eight deficiencies found related to personnel records, tuberculosis documentation, medication documentation, poisonous materials storage, and opioid prescribing.

Deficiencies (8)
A. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have more than incidental contact with residents shall provide documentation of freedom from infectious tuberculosis
A. A manager shall ensure that: 10. Before providing assisted living services to a resident, a manager or caregiver provides current documentation of cardiopulmonary resuscitation
A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis: 1. Before admission
B. A manager shall ensure that before or at the time of acceptance of an individual, the individual submits documentation that is dated within 90 calendar days
B. A manager of an assisted living facility authorized to provide directed care services shall not accept or retain a resident who, except as provided
B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: c. Is documented
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
R9-10-120. Opioid Prescribing and Treatment

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