Deficiencies per Year
24
18
12
6
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Deficiencies: 24
Oct 20, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and enforcement classifications.
Findings
Across all inspections, the facility had multiple deficiencies primarily related to medication management, staffing standards, background screening, and record keeping, with severity levels ranging from Class 3 to Class 4. Several complaint investigations and standard inspections found no deficiencies.
Complaint Details
Multiple complaint investigations are present, including the most recent on 2025-10-20 with no deficiencies cited.
Severity Breakdown
Class 3: 18
Class 4: 3
1: 4
2: 1
Deficiencies (24)
| Description | Severity |
|---|---|
| A0160 — RECORDS - FACILITY: The facility must maintain required records in a manner that makes such records readily available at the licensee's physical address for review by a legally authorized entity. | Class 3 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN: Assistance with self administration of medication must be provided by trained persons 18 years or older. | Class 3 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES: Level 2 background screening must be conducted through the agency on specified employees. | Class 4 |
| A0010 — ADMISSIONS - CONTINUED RESIDENCY: The owner or administrator is responsible for determining appropriateness of admission and continued residency. | 1 |
| A0025 — RESIDENT CARE - SUPERVISION: Facility must notify a licensed physician when a resident exhibits signs of dementia or cognitive impairment. | 1 |
| A0030 — RESIDENT CARE - RIGHTS & FACILITY PROCEDURES: Facility must have a written grievance procedure and post Resident Bill of Rights. | 1 |
| A0077 — STAFFING STANDARDS - ADMINISTRATORS: Facility must notify agency of administrator changes and provide documentation of educational requirements. | 1 |
| A0052 — MEDICATION - ASSISTANCE WITH SELF-ADMIN: Assistance with self administration of medication must be provided by trained persons 18 years or older. | Class 3 |
| A0054 — MEDICATION - RECORDS: Facility must keep original labeled medication container or medication listing with required details. | Class 3 |
| A0056 — MEDICATION - LABELING AND ORDERS: Prescription drugs must be properly labeled and dispensed in accordance with regulations. | Class 3 |
| A0057 — MEDICATION - OVER THE COUNTER (OTC) PRODUCTS: OTC products must be labeled and stock supply for multiple residents is not permitted. | Class 3 |
| AZ816 — BACKGROUND SCREENING-COMPLIANCE ATTESTATION: Persons must submit to level 2 background rescreening every 5 years. | Class 4 |
| A0008 — ADMISSIONS - HEALTH ASSESSMENT: Each resident shall be examined by a licensed practitioner within 60 days before admission. | Class 3 |
| A0161 — RECORDS - STAFF: Personnel records must contain documentation of background screening, training, and licenses or certifications. | Class 3 |
| AZ815 — BACKGROUND SCREENING; PROHIBITED OFFENSES: Level 2 background screening must be conducted through the agency on specified employees. | Class 4 |
| A0056 — MEDICATION - LABELING AND ORDERS: Prescription drugs must be properly labeled and dispensed in accordance with regulations. | Class 3 |
| A0078 — STAFFING STANDARDS - STAFF: Newly hired staff must submit a health care provider statement within 30 days of employment. | Class 3 |
| A0085 — TRAINING - NUTRITION & FOOD SERVICE: Food service supervisor must obtain annual continuing education in nutrition and food service. | Class 3 |
| A0026 — RESIDENT CARE - SOCIAL & LEISURE ACTIVITIES: Facility shall provide ongoing activities program and encourage resident participation. | Class 3 |
| A0055 — MEDICATION - STORAGE AND DISPOSAL: Residents may keep medications in possession or in locked rooms; facility must accommodate preferences. | 2 |
| A0078 — STAFFING STANDARDS - STAFF: Newly hired staff must submit a health care provider statement within 30 days of employment. | Class 3 |
| A0081 — TRAINING - STAFF IN-SERVICE: Facility must provide in-service training including infection control and sanitation procedures. | Class 3 |
| A0083 — TRAINING - FIRST AID AND CPR: Staff must have current certification in First Aid and CPR and be present at all times. | Class 3 |
| A0093 — FOOD SERVICE - DIETARY STANDARDS: Meals must meet nutritional standards and therapeutic diets must be provided as appropriate. | Class 3 |
Report Facts
Inspections on page: 29
Inspection Report
Complaint Investigation
Deficiencies: 0
Oct 20, 2025
Visit Reason
State-compiled facility profile showing multiple inspections from 2012 to 2025 with deficiency history and inspection statuses.
Findings
Across the inspections, the facility had a mix of deficiencies cited, corrected, and no deficiencies found. The most recent inspections reported no deficiencies.
Report Facts
Inspections on page: 28
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