Inspection Report
Annual Inspection
Capacity: 124
Deficiencies: 8
Sep 24, 2025
Visit Reason
State-compiled facility profile showing 6 inspections from 2023-04-17 to 2025-09-24 with deficiency history and complaint investigations.
Findings
Across all inspections, the facility had 8 deficiencies primarily related to management failures in resident rights documentation, medication and toxic material storage security, food safety, and incident reporting. Several complaint investigations were conducted with some resulting in deficiencies.
Complaint Details
Complaint investigations AZ00215155, AZ00211988, AZ00207765, and AZ00193289 were conducted; deficiencies were found related to complaints AZ00215155, AZ00211988, and AZ00193289, while no deficiencies were cited for complaint AZ00207765.
Deficiencies (8)
| Description |
|---|
| A. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have more than eight hours per week of direct interaction with residents, provides evidence of freedom from infectious tuberculosis: a. On or before the date the individual begins providing services at or on behalf of the assisted living facility, and b. As specified in R9-10-113; - Failed to ensure an employee provided documentation of freedom from infectious tuberculosis (TB) as specified in R9-10-113, for four of nine caregivers sampled. |
| F. A manager shall: 1. Before or at the time of an individual's acceptance by an assisted living facility, provide to the resident or resident's representative a copy of: b. Resident's rights, and - Failed to ensure, before or at the time of acceptance, the resident or representative was provided a copy of resident rights. |
| F. A manager shall: 1. Before or at the time of an individual's acceptance by an assisted living facility, provide to the resident or resident's representative a copy of: c. The policy and procedure on health care directives; and - Failed to ensure residents or representatives were provided a copy of the policy and procedure on health care directives at the time of acceptance. |
| F. When medication is stored by an assisted living facility, a manager shall ensure that: 1. Medication is stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage; - Failed to ensure medications stored by the facility were stored in a locked area, posing a health and safety risk. |
| C. A manager shall ensure that food is obtained, prepared, served, and stored as follows: 2. Food is protected from potential contamination; - Failed to ensure food was protected from potential contamination and was safe for human consumption. |
| 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 the resident's primary care provider was immediately notified after an incident. |
| 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: c. The names of individuals who observed the accident, emergency, or injury; - Failed to ensure documentation of names of individuals who observed the accident. |
| A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents; - Failed to ensure toxic materials were stored in a locked area and inaccessible to residents. |
Report Facts
Inspections on page: 6
Total deficiencies: 8
Complaint inspections: 3
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