Inspection Reports for Rose Court Senior Living
2935 N 18th Pl, Phoenix, AZ 85016, United States, AZ, 85016
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Inspection Report
Complaint Investigation
Capacity: 92
Deficiencies: 24
Sep 3, 2025
Visit Reason
State-compiled facility profile showing 16 complaint inspections from 2023-2025 with deficiency history and compliance findings.
Findings
Across multiple complaint investigations from 2023 to 2025, deficiencies were found related to documentation of services provided, medication policies, emergency responder information, staff training, environmental safety, and resident care plans. Several inspections cited repeated failures in staff training, documentation, and facility maintenance.
Complaint Details
Multiple complaint investigations conducted from August 29, 2023 through September 3, 2025 with findings of deficiencies related to resident care, documentation, staff training, and facility safety.
Deficiencies (24)
| Description |
|---|
| R9-10-808.C.1.g. Service Plans; manager failed to ensure caregivers documented services provided in residents' medical records for multiple residents. |
| R9-10-817.F.3.d. Medication Services; manager failed to ensure policies and procedures were established and documented for storing, inventorying, and dispensing controlled substances. |
| A.R.S. § 36-420.04.A.1-9; manager failed to maintain a standardized form for emergency responders including required resident information. |
| D. When a resident has an accident, emergency, or injury; manager failed to notify resident's primary care provider and emergency contact immediately. |
| D. When a resident has an accident, emergency, or injury; manager failed to document date/time, description, observers, notifications, and preventive actions. |
| A. Manager failed to implement and document a pest control program compliant with A.A.C. R3-8-201(C)(4). |
| 36-420.01. Health care institutions; fall prevention and fall recovery; failed to administer training program for all staff regarding fall prevention and recovery. |
| A. Manager failed to ensure caregiver provided valid documentation of completion of approved caregiver training program. |
| C. Manager failed to ensure personnel records included documentation of completed orientation and in-service education for employees. |
| C. Manager failed to ensure caregivers provided residents with assisted living services as specified in service plans. |
| C. Manager failed to ensure caregivers were only assigned services they had documented skills and knowledge to perform. |
| A. Manager failed to ensure immediate notification of resident's primary care provider after accident or emergency requiring medical services. |
| A. Manager failed to ensure documentation of emergency incident details including date/time, observers, notifications, and preventive actions. |
| A. Manager failed to ensure premises and equipment were cleaned and disinfected according to policies to prevent illness or infection. |
| A. Manager failed to ensure premises and equipment were free from conditions causing physical injury risk (e.g., holes in vinyl flooring). |
| C. Manager failed to ensure resident medical record contained accurate documentation of assisted living services provided. |
| A. Manager failed to ensure caregivers provided current documentation of CPR training including demonstration of ability. |
| A. Manager failed to ensure resident's written service plan included required psychosocial and behavioral care components. |
| A. Manager failed to ensure resident or representative received written copy of requirements and resident rights at admission. |
| C. Manager failed to ensure resident medical record contained documentation of notification of availability of influenza and pneumonia vaccinations. |
| C. Manager failed to ensure resident medical record contained documentation of orientation to facility exits. |
| F. Manager failed to ensure means of exiting facility for residents without keys or special knowledge that alerts employees of egress. |
| A. Manager failed to ensure disaster drills were conducted on each shift at least once every three months and documented. |
| A. Manager failed to ensure evacuation path was conspicuously posted in each hallway of the assisted living facility. |
Report Facts
Inspections on page: 16
Total deficiencies: 24
Complaint inspections: 16
Total capacity: 92
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cheyenne Hull | Administrator | Named as person responsible in deficiencies related to documentation of services and medication policies |
| Dorin Dixon | Executive Director | Named as person responsible in deficiency related to emergency responder documentation |
| E1 | Interviewed multiple times acknowledging deficiencies and lack of documentation | |
| E2 | Caregiver | Personnel record reviewed in deficiencies related to caregiver training and skills |
| E3 | Maintenance Staff | Reported pest control services without certification |
| E4 | Personnel record reviewed for fall prevention training deficiency | |
| E6 | Caregiver | Personnel record reviewed for CPR training deficiency |
| E10 | Caregiver | Personnel record reviewed for CPR training deficiency |
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