Inspection Report Summary
The most recent inspection on December 26, 2025, included enforcement action resulting in a $250 fine that was paid in full. Earlier inspections showed a pattern of deficiencies related mainly to caregiver qualifications, documentation (including residency agreements and medication records), and compliance with policies and procedures. Several enforcement actions were issued over time, including fines ranging from $250 to $1,750, but no license suspensions or immediate jeopardy findings were listed in the available reports. Complaint investigations were mostly substantiated, with issues such as failure to report suspected abuse and inadequate emergency responder documentation noted, while some complaints were found unsubstantiated. The facility’s record shows ongoing challenges with regulatory compliance, though enforcement actions have been resolved and fines paid, indicating some response to corrective measures.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
9.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
162% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Date: Dec 26, 2025
Summary
A fine of $250.00 was imposed and has been paid in full as of the report date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Fine related to enforcement action #00147853 | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Date: Nov 25, 2025
Summary
The enforcement resulted in a civil fine of $250 for the repeat deficiency related to incomplete TB testing of an employee.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | One employee did not have a two-step TB test completed, a repeat deficiency from a prior complaint investigation. | — |
Inspection Report
Complaint Investigation
Capacity: 86
Deficiencies: 1
Date: May 21, 2025
Visit Reason
One deficiency found related to failure to ensure documented residency agreements including terms of occupancy.
Complaint Details
Complaint 00128176
Findings
One deficiency found related to failure to ensure documented residency agreements including terms of occupancy.
Deficiencies (1)
R9-10-807.D.2.a-c. — Residency and Residency Agreements
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Jan 13, 2025
Summary
The facility was found to have documented services not provided to a resident and provided false and misleading information, resulting in a civil fine.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Services for one resident were documented though not provided and false and misleading information was given to the Department. | — |
Inspection Report
Complaint Investigation
Capacity: 86
Deficiencies: 3
Date: Jan 7, 2025
Visit Reason
Three deficiencies found related to emergency responder documentation, service plan requirements, and notification of primary care provider after incidents.
Complaint Details
Complaints AZ00220882 and AZ00221056
Findings
Three deficiencies found related to emergency responder documentation, service plan requirements, and notification of primary care provider after incidents.
Deficiencies (3)
36-420.04 — Emergency responders; patient information; discharge planning; patient screenings; discharge document
Service plan requirements
Notification of primary care provider after incidents
Enforcement Action
Enforcement
Fines: 1
Total: $1,750.00
Date: Dec 30, 2024
Summary
The enforcement resulted in civil fines for multiple repeated violations identified during initial and complaint inspections, with the licensee agreeing to pay fines and comply with corrective actions.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,750.00 | Civil fines for violations including failure to contact caregivers' former employers, unverified caregiver skills, invalid CPR training, and false medication documentation. | Pending |
Inspection Report
Complaint Investigation
Capacity: 86
Deficiencies: 0
Date: Dec 19, 2024
Visit Reason
No deficiencies cited during this complaint investigation.
Complaint Details
Complaint AZ00220720
Findings
No deficiencies cited during this complaint investigation.
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Dec 3, 2024
Summary
The facility was fined $500.00, which has been paid in full as of 2025-01-13.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine related to enforcement action against the facility | Paid |
Inspection Report
Complaint Investigation
Capacity: 86
Deficiencies: 1
Date: Nov 21, 2024
Visit Reason
One deficiency found related to failure to report suspected abuse after having reasonable basis to believe abuse occurred.
Complaint Details
Complaint AZ00218574
Findings
One deficiency found related to failure to report suspected abuse after having reasonable basis to believe abuse occurred.
Deficiencies (1)
J. If a manager has a reasonable basis, according to A.R.S. § 46-454, to believe abuse, neglect or exploitation has occurred
Enforcement Action
Enforcement
Fines: 1
Total: $1,750.00
Date: Oct 29, 2024
Summary
The enforcement resulted in a fine of $1,750.00 which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,750.00 | Fine associated with enforcement action #00110323 | Paid |
Inspection Report
Complaint Investigation
Capacity: 86
Deficiencies: 4
Date: Sep 30, 2024
Visit Reason
Four deficiencies found related to policies and procedures, caregiver qualifications, service provision, and documentation of services.
Complaint Details
Complaint AZ00216270
Findings
Four deficiencies found related to policies and procedures, caregiver qualifications, service provision, and documentation of services.
Deficiencies (4)
C. Policies and procedures to protect health and safety of residents
A. Manager, caregivers, and assistant caregivers qualifications and documentation
C. Caregiver or assistant caregiver provides assisted living services
C. Documentation of services provided in medical records
Inspection Report
Annual Inspection
Capacity: 86
Deficiencies: 7
Date: Sep 10, 2024
Visit Reason
Seven deficiencies found during compliance inspection and complaint investigation related to governing authority compliance, abuse reporting, caregiver skills verification, first aid and CPR documentation, service plan coordination, medication documentation, and tuberculosis screening.
Complaint Details
Complaint AZ00215147
Findings
Seven deficiencies found during compliance inspection and complaint investigation related to governing authority compliance, abuse reporting, caregiver skills verification, first aid and CPR documentation, service plan coordination, medication documentation, and tuberculosis screening.
Deficiencies (7)
A. Governing authority 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
A. Caregiver skills and knowledge verification and documentation
A. Documentation of first aid and CPR training
C. Service plan coordination and communication
B. Medication administration documentation
R9-10-113 — Tuberculosis Screening
Enforcement Action
Enforcement
Fines: 3
Total: $1,000.00
Date: May 9, 2024
Summary
The enforcement resulted in civil fines totaling $1,000 for repeated and new violations including failure to contact former employers, unverified caregiver skills, and invalid CPR training without proper demonstration or documentation.
Fines & Penalties (3)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Failure to contact five caregivers' former employers, a repeat deficiency from prior complaint investigation. | Pending |
| $250.00 | Failure to verify and document five caregivers' skills and knowledge before providing physical health services. | Pending |
| $500.00 | Invalid CPR training for one employee, which was online-only without a return demonstration, and lack of first aid training documentation for one employee; a repeat deficiency. | Pending |
Inspection Report
Complaint Investigation
Capacity: 86
Deficiencies: 7
Date: Apr 2, 2024
Visit Reason
Seven deficiencies found related to governing authority compliance, policies and procedures, caregiver skills verification, tuberculosis screening, caregiver orientation, first aid and CPR documentation, and medication services procedures.
Complaint Details
Complaint AZ00208424
Findings
Seven deficiencies found related to governing authority compliance, policies and procedures, caregiver skills verification, tuberculosis screening, caregiver orientation, first aid and CPR documentation, and medication services procedures.
Deficiencies (7)
A. Governing authority compliance with A.R.S. § 36-411
C. Policies and procedures to protect health and safety of residents
A. Caregiver skills and knowledge verification and documentation
A. Tuberculosis screening and evidence of freedom from infectious tuberculosis
A. Caregiver orientation specific to duties
A. Documentation of first aid and CPR training
A. Policies and procedures for medication services
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Aug 1, 2023
Summary
The facility was fined $500.00 which has been paid in full, indicating resolution of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine related to enforcement action against the facility | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Jul 11, 2023
Summary
The facility was found to have non-compliant CPR training for two employees, resulting in a civil fine.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Two employees' CPR training was invalid, as it was online-only and did not include a return demonstration. | — |
Inspection Report
Complaint Investigation
Capacity: 86
Deficiencies: 6
Date: Jul 11, 2023
Visit Reason
Six deficiencies found related to governing authority compliance, policies and procedures, CPR documentation, service plan content, resident admission documentation, and primary care provider notification.
Complaint Details
Complaint #AZ00196931
Findings
Six deficiencies found related to governing authority compliance, policies and procedures, CPR documentation, service plan content, resident admission documentation, and primary care provider notification.
Deficiencies (6)
A. Governing authority compliance with A.R.S. § 36-411
C. Policies and procedures to protect health and safety of residents
A. Documentation of CPR training
A. Resident's written service plan content
A. Resident or representative receipt of written requirements at admission
B. Primary care provider notification for residents receiving directed care
Inspection Report
Original Licensing
Capacity: 86
Deficiencies: 0
Date: May 5, 2023
Visit Reason
No deficiencies found during off-site initial inspection for change of ownership.
Findings
No deficiencies found during off-site initial inspection for change of ownership.
Enforcement Action
Enforcement
Total: $0.00
Date: Nodate Enforcement
Viewing
Loading inspection reports...
