Inspection Report Summary
The most recent inspection on August 30, 2025, resulted in an enforcement action with a $500 fine that has been paid in full. Prior inspections showed multiple deficiencies related to staff training, documentation, resident rights, medication services, food safety, and environmental standards. Earlier reports also noted issues with disaster preparedness, vaccination notifications, and storage of toxic materials. No complaint investigations were listed in the available reports. The facility’s record shows recurring issues primarily around training and documentation, with enforcement actions occurring in the most recent inspections.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
116% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Aug 30, 2025
Summary
The facility was fined $500.00 which has been paid in full as part of the enforcement resolution.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine related to enforcement action #00134351 | Paid |
Inspection Report
Enforcement
Deficiencies: 1
May 12, 2025
Visit Reason
The inspection was conducted due to enforcement concerns regarding a caregiver not having a first aid training certificate, leading to civil penalties.
Findings
The facility was found to have one caregiver without a first aid training certificate, resulting in a penalty assessment and a civil fine of $500.00.
Deficiencies (1)
| Description |
|---|
| One caregiver did not have a first aid training certificate. |
Report Facts
Civil fine amount: 500
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brent Daly | Licensee/Director/Provider | Named in enforcement agreement and signed agreement form |
| Dawn Butler | Bureau Chief | Signed enforcement agreement form |
| Thomas Salow | Assistant Director | Signed enforcement agreement form |
| Aaron Telles | Deputy Bureau Chief | Signed enforcement agreement form |
| James Tiffany | Compliance Officer Supervisor | Signed enforcement agreement form |
Inspection Report
Annual Inspection
Capacity: 5
Deficiencies: 8
May 12, 2025
Visit Reason
Eight deficiencies found related to training programs, tuberculosis screening, personnel documentation, resident rights, medical records, medication services, food services, and environmental standards.
Findings
Eight deficiencies found related to training programs, tuberculosis screening, personnel documentation, resident rights, medical records, medication services, food services, and environmental standards.
Deficiencies (8)
| Description |
|---|
| A.R.S. § 36-420.01.A. Health care institutions; fall prevention and fall recovery; training programs |
| R9-10-113.A.2.a-f. Tuberculosis Screening |
| R9-10-806.A.10. Personnel |
| R9-10-810.B.3.b. Resident Rights |
| R9-10-811.A.5. Medical Records |
| R9-10-816.B.3.a-c. Medication Services |
| R9-10-817.C.1. Food Services |
| R9-10-819.A.1.b. Environmental Standards |
Inspection Report
Annual Inspection
Capacity: 5
Deficiencies: 7
Jul 19, 2023
Visit Reason
Seven deficiencies found related to documentation timing, written service plans, vaccination notification, food refrigeration, disaster plan review, disaster drills, and storage of toxic materials.
Findings
Seven deficiencies found related to documentation timing, written service plans, vaccination notification, food refrigeration, disaster plan review, disaster drills, and storage of toxic materials.
Deficiencies (7)
| Description |
|---|
| B. Documentation within 90 calendar days before or on acceptance of individual |
| A. Written service plan requirements |
| C. Documentation of notification of vaccination availability |
| C. Food refrigeration and maintenance |
| A. Disaster plan review at least once every 12 months |
| A. Disaster drill for employees conducted each shift quarterly |
| A. Poisonous or toxic materials stored in labeled containers in locked area |
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