Inspection Reports for Mary Grace Care Home II

11234 E Ramblewood Cir, Mesa, AZ 85212, AZ, 85212

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Inspection Report Summary

The most recent inspection on February 24, 2025, identified deficiencies related to health and safety practices and medical record maintenance, resulting in enforcement actions and civil fines. Earlier inspections showed similar issues with documentation, medical records, caregiver compliance, and service plans, including a complaint investigation in January 2025 that cited five deficiencies. Enforcement actions included a $1,000 fine paid in full as of February 18, 2025, with no license suspensions or immediate jeopardy findings listed in the available reports. Complaint investigations were not substantiated beyond the cited deficiencies in January. The inspection history indicates ongoing challenges with regulatory compliance, particularly in recordkeeping and health and safety, without a clear pattern of improvement.

Deficiencies (last 2 years)

Deficiencies (over 2 years) 2.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

32% better than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2024
2025
Enforcement Action Enforcement Fines: 2 Total: $1,000.00 Feb 24, 2025
Summary
The facility was found deficient in health and safety practices posing risks to vulnerable populations and failed to maintain required medical records, resulting in civil fines.
Fines & Penalties (2)
AmountReasonStatus
$500.00The governing authority failed to ensure compliance with health and safety regulations for one of three personnel sampled, posing a risk to a vulnerable population.
$500.00The manager failed to ensure that a medical record was maintained for each resident according to state regulations, and the department was unable to verify services were provided to the resident.
Enforcement Action Enforcement Fines: 1 Total: $1,000.00 Feb 18, 2025
Summary
The enforcement resulted in a $1,000 fine which has been paid in full.
Fines & Penalties (1)
AmountReasonStatus
$1,000.00Fine imposed as part of enforcement actionPaid
Inspection Report Complaint Investigation Capacity: 4 Deficiencies: 5 Jan 14, 2025
Visit Reason
Five deficiencies cited related to governing authority compliance, caregiver TB evidence, documentation, medical records, and service plans.
Findings
Five deficiencies cited related to governing authority compliance, caregiver TB evidence, documentation, medical records, and service plans.
Deficiencies (5)
Description
A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.
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 mo...
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
A. A manager shall ensure that: 1. A medical record is established and maintained for each resident according to A.R.S. Title 12, Chapter 13, Article ...
F. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving personal care services in...
Inspection Report Capacity: 4 Deficiencies: 0 Oct 15, 2024
Visit Reason
No deficiencies were found during the off-site documentation review for a change of ownership.
Findings
No deficiencies were found during the off-site documentation review for a change of ownership.

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