The most recent inspection on December 25, 2025, included enforcement action resulting in a $3,000 fine that has been fully paid. Earlier inspections showed a pattern of deficiencies primarily related to staff training, medication administration, service plan documentation, and administration oversight, with multiple fines imposed over time. Complaint investigations mostly found deficiencies involving personnel qualifications, service plans, and medication services, while many complaints were unsubstantiated. Enforcement actions were frequent and included fines ranging from $250 to $3,000, but no license suspensions or immediate jeopardy findings were listed in the available reports. The facility’s record shows ongoing challenges with regulatory compliance, with repeated citations over multiple inspections and no clear trend of sustained improvement.
Deficiencies (last 3 years)
Deficiencies (over 3 years)13 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The facility was found deficient in multiple areas including staff training on fall prevention, CPR certification, tuberculosis freedom evidence, resident service plans, medication administration, and documentation of services provided, resulting in health and safety risks to residents.
Fines & Penalties (1)
Amount
Reason
Status
$3,000.00
Civil fines for multiple violations including failure to ensure staff training, documentation, and compliance with health and safety regulations.
The facility was found to have violated regulations by not designating a qualified manager, posing a health and safety risk due to deficient practices and noncompliance with applicable rules.
Fines & Penalties (1)
Amount
Reason
Status
$1,400.00
Failure to designate a qualified assisted living facility manager as required by statute, posing health and safety risks.
Two deficiencies found during on-site compliance inspection and complaint investigation.
Findings
Two deficiencies found during on-site compliance inspection and complaint investigation.
Deficiencies (2)
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 mo...
B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is a...
The facility was found to have repeat deficiencies in health and safety related to notification requirements and service plan updates, resulting in civil fines.
Fines & Penalties (2)
Amount
Reason
Status
$500.00
Failure to notify the Department of a change in management as required by statute.
Pending
$250.00
Failure to ensure written service plan was updated at least once every three months for residents receiving directed care services.
Ten deficiencies cited during on-site investigation of multiple complaints.
Findings
Ten deficiencies cited during on-site investigation of multiple complaints.
Deficiencies (10)
Description
A. A governing authority shall: 7. Except as provided in subsection (A)(6), notify the Department according to A.R.S. § 36-425(I) when there is a cha...
A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.
J. If a manager has a reasonable basis, according to A.R.S. § 46-454 , to believe abuse, neglect or exploitation has occurred on the premises or whil...
A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented: a. Before the caregiver or...
A. A manager shall ensure that: 9. Before providing assisted living services to a resident, a caregiver or an assistant caregiver receives orientation...
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on c...
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when ...
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when ...
B. A manager shall ensure that: 3. A resident or the resident's representative: d. May: ii. Except when relocation is necessary based on a change in t...
B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is a...
Three deficiencies cited during on-site investigation of complaint.
Findings
Three deficiencies cited during on-site investigation of complaint.
Deficiencies (3)
Description
A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.
B. A manager shall ensure that: 2. A resident is not subjected to: i. Restraint;
B. A manager of an assisted living facility authorized to provide directed care services shall not accept or retain a resident who, except as provided...
Eight deficiencies found during on-site compliance inspection.
Findings
Eight deficiencies found during on-site compliance inspection.
Deficiencies (8)
Description
36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition
A. A governing authority shall: 7. Except as provided in subsection (A)(6), notify the Department according to A.R.S. § 36-425(I) when there is a cha...
E. A manager shall ensure that, unless otherwise stated: 1. Documentation required by this Article is provided to the Department within two hours afte...
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 1. Is completed no later than 14 cale...
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: b. The lev...
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on c...
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on c...
C. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving directed care services in...