Inspection Report Summary Most inspections found deficiencies related to staff training, documentation, resident care plans, and facility safety, with repeated issues in caregiver training and emergency preparedness. The facility received several fines between 2023 and 2024, including a total of $2,250 in civil penalties for these enforcement actions. The most recent report from September 3, 2025, showed multiple deficiencies primarily involving documentation, medication policies, and environmental safety. While these issues have persisted over time, some enforcement actions have been resolved with fines paid in full. Several complaint investigations were substantiated, indicating ongoing challenges in maintaining consistent compliance with training and safety requirements.
Deficiencies per Year
Unclassified
Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Sep 3, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00142878 and 00142889.
Findings
No deficiencies were found during the on-site investigation of complaints 00142878 and 00142889.
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 2
Aug 21, 2025
Visit Reason
Two deficiencies were found related to service plan documentation and medication services.
Findings
Two deficiencies were found related to service plan documentation and medication services.
Deficiencies (2)
Description R9-10-808.C.1.g. — Service Plans documentation R9-10-817.F.3.d. — Medication Services storage and handling
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Jul 25, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 0000137369 and 0000137370.
Findings
No deficiencies were found during the on-site investigation of complaints 0000137369 and 0000137370.
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Jun 17, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaint 00133174.
Findings
No deficiencies were found during the on-site investigation of complaint 00133174.
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 1
May 12, 2025
Visit Reason
One deficiency was cited related to emergency responders and discharge planning.
Findings
One deficiency was cited related to emergency responders and discharge planning.
Deficiencies (1)
Description A.R.S. § 36-420.04.A.1-9. — Emergency responders and discharge planning
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Mar 26, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaint AZ00123889.
Findings
No deficiencies were found during the on-site investigation of complaint AZ00123889.
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Feb 21, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaint 00115545.
Findings
No deficiencies were found during the on-site investigation of complaint 00115545.
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Jan 27, 2025
Visit Reason
No deficiencies were cited during the on-site investigation of complaint AZ00222461.
Findings
No deficiencies were cited during the on-site investigation of complaint AZ00222461.
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Enforcement Action
Enforcement
Fines: 2
Total: $750.00
Jan 13, 2025
Summary
The enforcement resulted in civil fines totaling $750.00 for violations related to caregiver training and fall prevention training deficiencies.
Fines & Penalties (2)
Amount Reason Status $500.00 One employee working as a caregiver had an invalid caregiver training certificate. — $250.00 One employee did not have documentation of fall prevention and fall recovery training; repeat deficiency from prior inspection. —
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Enforcement Action
Enforcement
Fines: 1
Total: $750.00
Dec 24, 2024
Summary
A fine was imposed and subsequently paid in full as part of the enforcement resolution.
Fines & Penalties (1)
Amount Reason Status $750.00 Fine associated with enforcement action #00110041 Paid
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 3
Dec 12, 2024
Visit Reason
Three deficiencies were cited related to resident accident/emergency medical services and pest control program compliance.
Findings
Three deficiencies were cited related to resident accident/emergency medical services and pest control program compliance.
Deficiencies (3)
Description D. — Resident accident, emergency, or injury medical services notification and documentation D. — Resident accident, emergency, or injury medical services notification and documentation A. — Pest control program compliance with A.A.C. R3-8-201(C)(4)
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 5
Nov 6, 2024
Visit Reason
Five deficiencies were cited related to fall prevention training, caregiver documentation, personnel records, and assisted living services.
Findings
Five deficiencies were cited related to fall prevention training, caregiver documentation, personnel records, and assisted living services.
Deficiencies (5)
Description 36-420.01. — Fall prevention and recovery training programs A. — Caregiver training program documentation C. — Personnel record documentation for employees C. — Assisted living services provided per resident service plan C. — Caregiver assignment to appropriate assisted living services
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Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Oct 3, 2024
Summary
The facility was cited for a repeat violation of cleanliness standards, resulting in a civil fine.
Fines & Penalties (1)
Amount Reason Status $250.00 Repeat deficiency for areas of the facility not being clean. —
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Aug 29, 2024
Visit Reason
No deficiencies were cited during the on-site investigation of complaint AZ00214059.
Findings
No deficiencies were cited during the on-site investigation of complaint AZ00214059.
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 2
Jul 31, 2024
Visit Reason
Two deficiencies were cited related to facility cleanliness and safety hazards.
Findings
Two deficiencies were cited related to facility cleanliness and safety hazards.
Deficiencies (2)
Description A. — Facility premises and equipment cleanliness and disinfection A. — Facility premises and equipment free from physical injury hazards
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 1
May 13, 2024
Visit Reason
One deficiency was cited related to documentation of assisted living services in medical records.
Findings
One deficiency was cited related to documentation of assisted living services in medical records.
Deficiencies (1)
Description C. — Documentation of assisted living services in resident medical record
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 0
Apr 26, 2024
Visit Reason
No deficiencies were cited during the on-site investigation of complaints AZ00208277 and AZ00209037.
Findings
No deficiencies were cited during the on-site investigation of complaints AZ00208277 and AZ00209037.
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Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Dec 19, 2023
Summary
A fine of $1,000.00 was imposed and has been paid in full as part of the enforcement action.
Fines & Penalties (1)
Amount Reason Status $1,000.00 Fine imposed as part of enforcement action Paid
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 2
Nov 28, 2023
Visit Reason
Two deficiencies were cited related to CPR training documentation and resident service plan completeness.
Findings
Two deficiencies were cited related to CPR training documentation and resident service plan completeness.
Deficiencies (2)
Description A. — Caregiver CPR training documentation A. — Resident written service plan completeness including psychosocial interactions
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Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Oct 6, 2023
Summary
The facility received a repeat citation for failure to conduct and document disaster drills, resulting in a civil fine.
Fines & Penalties (1)
Amount Reason Status $250.00 Failure to ensure disaster drills for employees were conducted and documented as required. —
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 8
Aug 29, 2023
Visit Reason
Eight deficiencies were cited related to fall prevention training, resident notifications, facility exit orientation, disaster drills, evacuation path posting, and facility cleanliness.
Findings
Eight deficiencies were cited related to fall prevention training, resident notifications, facility exit orientation, disaster drills, evacuation path posting, and facility cleanliness.
Deficiencies (8)
Description 36-420.01. — Fall prevention and recovery training programs A. — Resident receipt of written requirements at admission C. — Resident medical record vaccination notification documentation C. — Resident medical record orientation to exits documentation F. — Means of exiting facility for residents A. — Disaster drill frequency and documentation for employees A. — Evacuation path posting in hallways A. — Facility premises and equipment cleanliness and disinfection
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