Inspection Report Summary
Most inspections of this facility were clean, with the most recent report from September 17, 2025, showing no deficiencies. Earlier reports identified five deficiencies mainly involving management certification, incomplete resident medical record documentation, and delays in notifying emergency contacts after incidents. Two complaint investigations found violations related to these same areas, while several other complaints were unsubstantiated. There were no fines, enforcement actions, or severe harm-level findings listed in the available reports. The facility appears to have addressed earlier issues, as recent inspections have been free of deficiencies.
Deficiencies per Year
4
3
2
1
0
Unclassified
Inspection Report
Modification
Capacity: 130
Deficiencies: 0
Sep 17, 2025
Visit Reason
Off-site desktop review completed to change licensed capacity from 130 directed care to 20 directed care and 110 personal care. No deficiencies cited.
Findings
Off-site desktop review completed to change licensed capacity from 130 directed care to 20 directed care and 110 personal care. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 130
Deficiencies: 0
Jan 17, 2025
Visit Reason
On-site compliance inspection and complaint investigation found no deficiencies.
Findings
On-site compliance inspection and complaint investigation found no deficiencies.
Complaint Details
Complaint AZ00222110 investigated.
Inspection Report
Complaint Investigation
Capacity: 130
Deficiencies: 1
Aug 28, 2024
Visit Reason
On-site investigation of complaints AZ00214632 and AZ00214723 found deficiency for failure to designate a certified manager in writing.
Findings
On-site investigation of complaints AZ00214632 and AZ00214723 found deficiency for failure to designate a certified manager in writing.
Complaint Details
Complaints AZ00214632 and AZ00214723 investigated.
Deficiencies (1)
| Description |
|---|
| A. A governing authority shall: 3. Designate, in writing, a manager who: b. Except for the manager of an adult foster care home, has either a: i. Certificate as an assisted living facility manager — failure to designate a certified manager |
Inspection Report
Complaint Investigation
Capacity: 130
Deficiencies: 4
Feb 14, 2024
Visit Reason
On-site compliance inspection and complaint investigation found four deficiencies related to resident medical records, acceptance of residents, and caregiver notifications/documentation after incidents.
Findings
On-site compliance inspection and complaint investigation found four deficiencies related to resident medical records, acceptance of residents, and caregiver notifications/documentation after incidents.
Complaint Details
Complaints AZ00199018, AZ00201053, and AZ00203885 investigated.
Deficiencies (4)
| Description |
|---|
| C. A manager shall ensure that a resident's medical record contains: 17. Documentation of notification of the resident of the availability of vaccination — failure to ensure documentation |
| 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 — failure to ensure facility did not accept or retain a resident confined to bed or chair |
| 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 resident's representative — failure to ensure caregiver notification |
| 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 documents any action taken to protect the resident — failure to ensure caregiver documentation |
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