Inspection Reports for Manor Village at Desert Ridge
5560 E Deer Valley Drive, Phoenix, AZ 85054, AZ, 85054
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Inspection Report
Complaint Investigation
Capacity: 129
Deficiencies: 23
Sep 18, 2025
Visit Reason
State-compiled facility profile showing 11 inspections from 2023-05 to 2025-09 with deficiency history and complaint investigations.
Findings
Across multiple inspections, deficiencies were found related to residency documentation, service plan compliance, caregiver training and documentation, medication administration, resident rights, abuse reporting, and facility safety practices. Several repeat deficiencies and risks to resident health and safety were identified.
Complaint Details
This page includes multiple complaint investigations with deficiencies cited during on-site investigations of various complaint IDs from 2023 to 2025.
Deficiencies (23)
| Description |
|---|
| R9-10-807.B.1.a-b. Residency and Residency Agreements: Failed to ensure documentation dated within 90 days before acceptance included required medical service needs and signatures for two of seven sampled residents. |
| R9-10-807.E.1-4. Residency and Residency Agreements: Failed to obtain required signatures on residency agreement for one of seven sampled residents. |
| R9-10-808.C.1.c. Service Plans: Failed to ensure caregivers provided assistance with activities of daily living according to residents' service plans for two of seven sampled residents. |
| R9-10-810.A. Resident Rights: Failed to ensure a resident or representative received a written copy of resident rights at time of acceptance. |
| R9-10-808.C.1.g. Service Plans: Failed to ensure caregivers documented services provided in residents' medical records for two sampled residents. |
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411: Failed to ensure valid fingerprint clearance card for one personnel (E4) and failed to document good faith efforts to contact previous employers for multiple employees. |
| A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented before providing services: Failed for multiple caregivers (E3, E6). |
| A. A manager shall ensure that: 9. Caregivers receive orientation specific to duties before providing assisted living services: Failed for multiple caregivers (E1, E6, E7, E8, E9). |
| 36-420. Health care institutions; cardiopulmonary resuscitation; first aid; immunity; falls; definition: Failed to provide appropriate first aid to non-injured residents who fell and were unable to recover independently. |
| A. A manager shall ensure that: 1.b.i. Provides documentation of completion of a caregiver training program approved by the Department: Failed for one caregiver (E6) with invalid certification date. |
| A. A manager shall ensure that: 8. Evidence of freedom from infectious tuberculosis: Failed for one personnel (E4). |
| A. A manager shall ensure that: 10. Documentation of CPR training including demonstration: Failed for two employees (E3, E5). |
| A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis: Failed for one resident (R4). |
| B. A manager shall ensure that before or at acceptance, documentation includes medical service needs and signatures: Failed for one resident (R3). |
| B. A manager of an assisted living facility authorized to provide directed care services shall not accept or retain a resident confined to bed or chair without required medical examination and signed determination: Failed for two residents (R1, R2). |
| B. If an assisted living facility provides medication administration, a manager shall ensure medication administration is documented in the resident's medical record: Failed for two residents (R5, R6). |
| A. A manager shall ensure poisonous or toxic materials are stored in locked areas inaccessible to residents: Failed to secure toxic materials in unlocked laundry room accessible to residents. |
| R9-10-120.F. Opioid Prescribing and Treatment: Failed to document identification of need and monitoring of opioid effects in residents' medical records for two residents (R5, R6). |
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411: Failed to document good faith efforts to contact previous employers for four employees (E6, E7, E8, E9). |
| J. Manager shall report suspected abuse, neglect, or exploitation as required by A.R.S. § 46-454: Failed to report alleged abuse incidents and properly document reports. |
| A. Except as required, a manager shall ensure resident has a written service plan including description of medical or health problems: Failed for one resident (R3). |
| A. Except as required, a manager shall ensure resident's written service plan is signed and dated by resident/representative, manager, and medical practitioner: Failed for two residents (R1, R3). |
| D. When a resident has an accident, emergency, or injury requiring medical services, a manager shall ensure caregiver documents actions to prevent future occurrences: Failed for one resident (R3). |
Report Facts
Inspections on page: 11
Total deficiencies: 30
Complaint inspections: 9
Total capacity: 129
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| E1 | Named in multiple findings related to record reviews and interviews acknowledging deficiencies | |
| E2 | Named in interviews acknowledging deficiencies | |
| E3 | Personnel record reviewed for skills verification and orientation deficiencies | |
| E4 | Personnel record reviewed for fingerprint clearance and TB documentation deficiencies | |
| E5 | Personnel record reviewed for CPR certification deficiencies | |
| E6 | Personnel record reviewed for caregiver training, skills verification, orientation, and employer contact deficiencies | |
| E7 | Personnel record reviewed for orientation and employer contact deficiencies | |
| E8 | Personnel record reviewed for orientation and employer contact deficiencies | |
| E9 | Personnel record reviewed for orientation and employer contact deficiencies | |
| E10 | Interviewed regarding opioid documentation and incident reports | |
| E11 | Interviewed regarding CPR training program awareness | |
| E12 | Interviewed regarding TB documentation and resident medical record reviews | |
| E13 | Interviewed regarding resident rights documentation |
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