Inspection Report
Capacity: 130
Deficiencies: 5
Sep 17, 2025
Visit Reason
State-compiled facility profile showing 4 inspections from 2024-02 to 2025-09 with deficiency history and complaint investigations.
Findings
Across four inspections, the facility had five deficiencies primarily related to management certification, resident medical record documentation, and notification procedures following incidents. Three inspections found no deficiencies, while two complaint investigations identified multiple regulatory violations.
Complaint Details
Complaint investigations AZ00222110, AZ00214632, AZ00214723, AZ00199018, AZ00201053, and AZ00203885 were conducted, with deficiencies cited in two complaint inspections related to management certification and resident care documentation.
Deficiencies (5)
| 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 issued under A.R.S. § 36-446.04(C), or ii. A temporary certificate as an assisted living facility manager issued under A.R.S. § 36-446.06; - Failed to designate a certified manager in writing as required. |
| C. A manager shall ensure that a resident's medical record contains: 17. Documentation of notification of the resident of the availability of vaccination for influenza and pneumonia, according to A.R.S. § 36-406(1)(d); - Failed to ensure documentation of vaccination notification for four of nine residents reviewed. |
| 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 in R9-10-814(B)(2): 1. Is confined to a bed or chair because of an inability to ambulate even with assistance; or - Failed to ensure written medical practitioner determinations every six months for two residents 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 or an assistant caregiver: 1. Immediately notifies the resident's emergency contact and primary care provider; and - Failed to ensure immediate notification for two residents with incidents requiring medical services. |
| 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 or an assistant caregiver: 2. Documents the following: f. Any action taken to prevent the accident, emergency, or injury from occurring in the future. - Failed to document preventive actions for two residents with incidents requiring medical services. |
Report Facts
Inspections on page: 4
Total deficiencies: 5
Complaint inspections: 3
Total capacity: 130
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