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.
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)
Amount
Reason
Status
$250.00
Failure to ensure caregiver documented assistance with activities of daily living for two residents (repeat deficiency).
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
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)
Amount
Reason
Status
$500.00
One employee did not have a current and valid fingerprint clearance card and did not apply for one within 20 working days of employment.
—
$500.00
One caregiver's skills and knowledge were not verified and documented before providing physical health services to residents (repeat deficiency).
—
$250.00
One caregiver did not have orientation before providing physical health services to residents (repeat deficiency).
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
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)
Amount
Reason
Status
$250.00
Two residents' medical records lacked documentation of assessments before and after opioid administration (repeat deficiency).
—
$500.00
Two employees' CPR training was invalid as it was online-only and did not include a return demonstration.
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
Loading inspection reports...
Need Help?
Let us help you or a loved one find the perfect senior home.