Inspection Report Summary
The most recent inspection on June 26, 2025, was an off-site review to change the level of care and had no deficiencies cited. Earlier inspections showed a pattern of some deficiencies related to licensing violations, caregiver documentation, service plan updates, and resident record keeping. Enforcement actions included a $750 fine in January 2024 and a requirement to return to substantial compliance by June 2025, but no immediate jeopardy or license suspensions were listed in the available reports. Multiple complaint investigations were conducted, with some substantiated deficiencies found, while others were unsubstantiated. The facility’s record shows improvement over time, with the most recent inspections free of deficiencies.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
19% better than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Modification
Capacity: 135
Deficiencies: 0
Date: Jun 26, 2025
Visit Reason
An off-site desktop review to change the level of care from 135 Directed care to 34 Directed care and 101 Personal care was completed with no deficiencies cited.
Findings
An off-site desktop review to change the level of care from 135 Directed care to 34 Directed care and 101 Personal care was completed with no deficiencies cited.
Inspection Report
Complaint
Capacity: 135
Deficiencies: 0
Date: Jun 2, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaint 00132082.
Complaint Details
Complaint 00132082 investigated with no deficiencies found.
Findings
No deficiencies were found during the on-site investigation of complaint 00132082.
Enforcement Action
Enforcement
Total: $0.00
Date: May 29, 2025
Summary
The licensee agreed to maintain substantial compliance and return the original Statement of Deficiencies with a signed Plan of Correction within 10 working days. Failure to comply could result in further enforcement action.
Inspection Report
Complaint Investigation
Capacity: 135
Deficiencies: 1
Date: Apr 9, 2025
Visit Reason
Deficiency found related to licensing violation during investigation of complaints 00105529, 00106461, 00107946, and 00125974.
Complaint Details
Complaints 00105529, 00106461, 00107946, and 00125974 investigated with licensing deficiency found.
Findings
Deficiency found related to licensing violation during investigation of complaints 00105529, 00106461, 00107946, and 00125974.
Deficiencies (1)
A.R.S. § 36-407.A — Prohibited acts; required acts
Inspection Report
Capacity: 135
Deficiencies: 0
Date: Sep 19, 2024
Visit Reason
No deficiencies were found during the off-site modification for a name change.
Findings
No deficiencies were found during the off-site modification for a name change.
Enforcement Action
Enforcement
Fines: 2
Total: $750.00
Date: Feb 13, 2024
Summary
The enforcement resulted in civil fines totaling $750 for two violations: one related to CPR training and another for incomplete vaccination documentation, with an agreement to pay the fines and comply with corrective actions.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | One employee's CPR training was invalid as it was online-only and did not include a return demonstration. | — |
| $250.00 | Four residents' medical records did not contain documentation of the vaccination for pneumonia being offered or given. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $750.00
Date: Jan 30, 2024
Summary
A fine of $750.00 was imposed and has been fully paid as of the completion date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $750.00 | Fine associated with enforcement action #00111784 | Paid |
Inspection Report
Complaint Investigation
Capacity: 135
Deficiencies: 5
Date: Jan 24, 2024
Visit Reason
Five deficiencies found related to caregiver CPR documentation, service plan updates, resident medical record vaccination notification, resident acceptance criteria, and pet licensing during investigation of complaints AZ00192523, AZ00204191, and AZ00204387.
Complaint Details
Complaints AZ00192523, AZ00204191, and AZ00204387 investigated with multiple deficiencies found.
Findings
Five deficiencies found related to caregiver CPR documentation, service plan updates, resident medical record vaccination notification, resident acceptance criteria, and pet licensing during investigation of complaints AZ00192523, AZ00204191, and AZ00204387.
Deficiencies (5)
A.10 — Caregiver CPR documentation
A.4 — Written service plan review and update
C.17 — Resident medical record vaccination notification
B — Resident acceptance and retention criteria
A.14.b — Pet licensing requirements
Enforcement Action
Enforcement
Total: $0.00
Date: Nodate Enforcement
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