Inspection Report Summary
Most inspections found deficiencies primarily related to incomplete or outdated service plans, missing or invalid staff training documentation—especially CPR and first aid—and some medication administration errors. Several complaint investigations were unsubstantiated, while others confirmed these issues. The facility faced multiple enforcement actions between 2023 and 2025, resulting in fines totaling at least $2,250 for training and documentation lapses, but no license suspensions or immediate jeopardy findings were reported. The most recent inspection on October 8, 2025, identified deficiencies consistent with past issues but did not report new enforcement actions. Overall, the facility’s record shows ongoing challenges with staff training and documentation, with no clear improvement trend over time.
Deficiencies per Year
8
6
4
2
0
Unclassified
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Oct 8, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00147046 and 00147030.
Findings
No deficiencies were found during the on-site investigation of complaints 00147046 and 00147030.
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Jun 9, 2025
Summary
The enforcement resulted in a $500 fine which has been paid in full.
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
May 9, 2025
Summary
The enforcement resulted in a civil fine of $500 for the invalid CPR training violation.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | One employee's CPR training was invalid, as it was online-only and did not include a return demonstration. | — |
Inspection Report
Complaint
Capacity: 86
Deficiencies: 2
Apr 24, 2025
Visit Reason
On-site compliance inspection and complaints investigation found two deficiencies related to service plans.
Findings
On-site compliance inspection and complaints investigation found two deficiencies related to service plans.
Deficiencies (2)
| Description |
|---|
| R9-10-808.A.1-5. Service Plans |
| R9-10-808.B.1.a-b. Service Plans |
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Mar 20, 2025
Visit Reason
No deficiencies were cited during the on-site investigation of complaints 00123077 and 00123111.
Findings
No deficiencies were cited during the on-site investigation of complaints 00123077 and 00123111.
Inspection Report
Complaint
Capacity: 86
Deficiencies: 1
Mar 14, 2025
Visit Reason
One deficiency cited for failure to ensure caregiver had current CPR documentation before providing services.
Findings
One deficiency cited for failure to ensure caregiver had current CPR documentation before providing services.
Deficiencies (1)
| Description |
|---|
| R9-10-806.A.10. Personnel |
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Feb 7, 2025
Visit Reason
No deficiencies were cited during the on-site investigation of complaint AZ0000223214.
Findings
No deficiencies were cited during the on-site investigation of complaint AZ0000223214.
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Jan 30, 2025
Visit Reason
No deficiencies were cited during the on-site investigation of complaint AZ00222666.
Findings
No deficiencies were cited during the on-site investigation of complaint AZ00222666.
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Jan 8, 2025
Visit Reason
No deficiencies were cited during the on-site investigation of complaints AZ00221254 and AZ00221335.
Findings
No deficiencies were cited during the on-site investigation of complaints AZ00221254 and AZ00221335.
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Jan 7, 2025
Summary
A fine of $250.00 was imposed and has been paid in full as part of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Fine imposed as part of enforcement action | Paid |
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Dec 23, 2024
Visit Reason
No deficiencies were cited during the on-site investigation of complaint AZ00220830.
Findings
No deficiencies were cited during the on-site investigation of complaint AZ00220830.
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Dec 16, 2024
Visit Reason
No deficiencies were cited during the on-site investigation and documentation review of complaints AZ00220470 and AZ00220529.
Findings
No deficiencies were cited during the on-site investigation and documentation review of complaints AZ00220470 and AZ00220529.
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
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 | Paid |
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Nov 27, 2024
Visit Reason
No deficiencies were cited during the on-site investigation of complaints AZ00218773 and AZ00218980.
Findings
No deficiencies were cited during the on-site investigation of complaints AZ00218773 and AZ00218980.
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Nov 22, 2024
Summary
The enforcement resulted in a civil fine for the facility due to the caregiver's skills and knowledge not being verified and documented as required.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | One caregiver's skills and knowledge were not verified and documented before providing physical health services to residents. | — |
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Nov 6, 2024
Visit Reason
No deficiencies were cited during the on-site investigation of complaint AZ00218286.
Findings
No deficiencies were cited during the on-site investigation of complaint AZ00218286.
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Nov 4, 2024
Visit Reason
No deficiencies were cited during the on-site investigation of complaint AZ00218210.
Findings
No deficiencies were cited during the on-site investigation of complaint AZ00218210.
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Oct 29, 2024
Visit Reason
No deficiencies were cited during the on-site investigation of complaints AZ00217763 and AZ00217978.
Findings
No deficiencies were cited during the on-site investigation of complaints AZ00217763 and AZ00217978.
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Sep 3, 2024
Visit Reason
No deficiencies were cited during the on-site investigation and documentation review of complaints AZ00215052, AZ00215326, and AZ00215384.
Findings
No deficiencies were cited during the on-site investigation and documentation review of complaints AZ00215052, AZ00215326, and AZ00215384.
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Jul 24, 2024
Visit Reason
No deficiencies were cited during the on-site investigation and documentation review of complaint AZ00213178.
Findings
No deficiencies were cited during the on-site investigation and documentation review of complaint AZ00213178.
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Jan 30, 2024
Visit Reason
No deficiencies were cited during the on-site investigation of complaints AZ00203890 and AZ00205699.
Findings
No deficiencies were cited during the on-site investigation of complaints AZ00203890 and AZ00205699.
Inspection Report
Complaint
Capacity: 86
Deficiencies: 0
Sep 15, 2023
Visit Reason
No deficiencies were cited during the on-site investigation of complaint AZ00200128.
Findings
No deficiencies were cited during the on-site investigation of complaint AZ00200128.
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Jul 28, 2023
Summary
The facility was found to have an expired CPR and first aid training for one employee, resulting in a civil fine and an enforcement agreement.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | One employee's CPR and first aid training was expired. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Jul 18, 2023
Summary
A fine of $500.00 was imposed and has been paid in full as part of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine imposed as part of enforcement action | Paid |
Inspection Report
Complaint
Capacity: 86
Deficiencies: 7
Jun 26, 2023
Visit Reason
Compliance inspection and complaint investigation found 11 deficiencies related to fall prevention training, policies, service plans, documentation, admission criteria, and medication administration.
Findings
Compliance inspection and complaint investigation found 11 deficiencies related to fall prevention training, policies, service plans, documentation, admission criteria, and medication administration.
Deficiencies (7)
| Description |
|---|
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs |
| C. A manager shall ensure that policies and procedures are established, documented, and implemented to protect resident health and safety |
| A. A manager shall ensure that caregivers have current CPR and first aid documentation |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan including medical summaries, level of service, updates, cognitive stimulation, and safety strategies |
| C. A manager shall ensure that a caregiver documents the services provided in the resident's medical record |
| B. A manager shall not accept or retain residents confined to bed or chair unable to ambulate |
| B. If medication administration is provided, a manager shall ensure medication is administered per order |
Inspection Report
Capacity: 86
Deficiencies: 0
Jan 20, 2023
Visit Reason
No deficiencies were found during the off-site amendment inspection to amend the facility name.
Findings
No deficiencies were found during the off-site amendment inspection to amend the facility name.
Inspection Report
Capacity: 86
Deficiencies: 0
Dec 22, 2022
Visit Reason
No deficiencies were found during the off-site initial inspection for a change of ownership.
Findings
No deficiencies were found during the off-site initial inspection for a change of ownership.
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