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

Most inspections of The Manor Village at Desert Ridge found deficiencies, with the most recent report on October 29, 2025, showing no new deficiencies but documenting a completed enforcement action with a $250 fine. Over time, the facility faced repeated issues primarily related to caregiver training and documentation, medication administration, resident service plans, and facility safety practices. Several enforcement actions resulted in fines ranging from $250 to $1,250, mostly tied to repeat deficiencies in staff verification, training, and documentation. Complaint investigations often substantiated these issues, though some were isolated or minor. The overall pattern shows ongoing challenges with staff compliance and recordkeeping, but the latest inspection suggests some improvement.

Deficiencies per Year

8 6 4 2 0
2023
2024
2025
Unclassified
Enforcement Action Enforcement Fines: 1 Total: $250.00 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 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 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)
Description
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 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)
Description
R9-10-808.C.1.g. Service Plans
Enforcement Action Enforcement Fines: 1 Total: $1,250.00 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 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)
Description
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 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 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 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 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 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 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)
Description
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 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 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 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 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)
Description
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 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 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 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 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)
Description
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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