Deficiencies per Year
12
9
6
3
0
Unclassified
Inspection Report
Complaint Investigation
Capacity: 179
Deficiencies: 11
Jul 28, 2025
Visit Reason
State-compiled facility profile showing 18 inspections from 2023-04 to 2025-07 with deficiency history and complaint investigations.
Findings
Across all inspections, the facility had multiple complaint investigations mostly with no deficiencies cited. One complaint/annual compliance inspection in January 2025 cited 8 deficiencies related to medical records, infection control, food storage, and premises safety. Another inspection in October 2024 cited 2 deficiencies related to failure to intervene and report resident verbal abuse. A life safety recertification inspection in January 2025 found no deficiencies but accepted a plan of correction. Most other complaint inspections found no deficiencies.
Complaint Details
Multiple complaint investigations were conducted between 2023 and 2025. Most complaint inspections found no deficiencies. One complaint inspection in October 2024 found failures in staff intervention and reporting of resident verbal abuse involving residents #30 and #54.
Deficiencies (11)
| Description |
|---|
| R9-10-411.A.1. A medical record is established and maintained for each resident according to A.R.S. Title 12, Chapter 13, Article 7.1; |
| R9-10-411.A.1. A medical record is established and maintained for each resident according to A.R.S. Title 12, Chapter 13, Article 7.1; |
| R9-10-422.1.a. An infection control program is established, under the direction of an individual qualified according to policies and procedures, to prevent the development and transmission of infections and communicable diseases including a method to identify and document infections occurring at the nursing care institution; |
| R9-10-422.1.a. An infection control program is established, under the direction of an individual qualified according to policies and procedures, to prevent the development and transmission of infections and communicable diseases including a method to identify and document infections occurring at the nursing care institution; |
| R9-10-423.A.3.b. If a nursing care institution contracts with a food establishment, the nursing care institution is able to store, refrigerate, and reheat food to meet the dietary needs of a resident; |
| R9-10-423.A.3.b. If a nursing care institution contracts with a food establishment, the nursing care institution is able to store, refrigerate, and reheat food to meet the dietary needs of a resident; |
| R9-10-425.A.1.b. A nursing care institution's premises and equipment are free from a condition or situation that may cause a resident or an individual to suffer physical injury; |
| R9-10-425.A.1.b. A nursing care institution's premises and equipment are free from a condition or situation that may cause a resident or an individual to suffer physical injury; |
| Corridor - Doors: Facility failed to maintain several doors in the building allowing heat and/or smoke to transfer which could cause harm to patients and/or staff. |
| R9-10-403.F.1. If an administrator has a reasonable basis to believe abuse, neglect or exploitation has occurred, an administrator shall take immediate action to stop the suspected abuse, neglect, or exploitation; Facility failed to ensure staff intervened and reported resident to resident verbal abuse. |
| R9-10-410.B.3.a. A resident is not subjected to abuse; Facility failed to ensure that resident (#30) was not abused by another resident (#54). |
Report Facts
Inspections on page: 18
Total deficiencies: 11
Complaint inspections: 15
Total capacity: 179
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Staff #48 | Receptionist | Named in verbal abuse incident for failure to intervene and report |
| Staff #77 | Activities Assistant | Reported verbal abuse incident to supervisor |
| Staff #62 | Social Services Director | Supervises receptionist and provided education after failure to report verbal abuse |
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