Inspection Reports for Shadow Mountain Memory Care

10030 N 32nd St, Phoenix, AZ 85028, USA, AZ, 85028

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Deficiencies per Year

4 3 2 1 0
2022
2023
2024
Unclassified
Inspection Report Complaint Investigation Capacity: 72 Deficiencies: 0 Oct 21, 2024
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An on-site investigation of complaint AZ00217556 was conducted and no deficiencies were cited.
Findings
An on-site investigation of complaint AZ00217556 was conducted and no deficiencies were cited.
Complaint Details
Complaint AZ00217556
Inspection Report Annual Inspection Capacity: 72 Deficiencies: 0 Sep 5, 2024
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No deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00215590.
Findings
No deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00215590.
Complaint Details
Complaint AZ00215590
Inspection Report Complaint Investigation Capacity: 72 Deficiencies: 0 Sep 3, 2024
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An on-site investigation of complaint AZ00215467 was conducted and no deficiencies were cited.
Findings
An on-site investigation of complaint AZ00215467 was conducted and no deficiencies were cited.
Complaint Details
Complaint AZ00215467
Inspection Report Complaint Investigation Capacity: 72 Deficiencies: 0 Jul 9, 2024
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An on-site investigation of complaint AZ00212762 was conducted and no deficiencies were cited.
Findings
An on-site investigation of complaint AZ00212762 was conducted and no deficiencies were cited.
Complaint Details
Complaint AZ00212762
Inspection Report Complaint Investigation Capacity: 72 Deficiencies: 0 Jul 1, 2024
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An on-site investigation of complaints AZ00212145, AZ00211814, AZ00210301 was conducted and no deficiencies were cited.
Findings
An on-site investigation of complaints AZ00212145, AZ00211814, AZ00210301 was conducted and no deficiencies were cited.
Complaint Details
Complaints AZ00212145, AZ00211814, AZ00210301
Inspection Report Complaint Investigation Capacity: 72 Deficiencies: 0 Apr 23, 2024
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An on-site investigation of complaints AZ00209092 and AZ00209115 was conducted and no deficiencies were cited.
Findings
An on-site investigation of complaints AZ00209092 and AZ00209115 was conducted and no deficiencies were cited.
Complaint Details
Complaints AZ00209092, AZ00209115
Enforcement Action Enforcement Fines: 1 Total: $500.00 Mar 26, 2024
Summary
The enforcement resulted in a civil fine for the facility due to non-compliance with fingerprint clearance card requirements for one employee.
Fines & Penalties (1)
AmountReasonStatus
$500.00One employee did not have a current and valid fingerprint clearance card and did not apply for one within 20 working days of employment.
Inspection Report Enforcement Deficiencies: 1 Mar 25, 2024
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The document is an enforcement agreement related to a violation involving an employee not having a current and valid fingerprint clearance card within the required timeframe.
Findings
The facility was found to have one employee without a current and valid fingerprint clearance card who did not apply for one within 20 working days of employment, resulting in a penalty assessment.
Deficiencies (1)
Description
One employee did not have a current and valid fingerprint clearance card and did not apply for a fingerprint clearance card within 20 working days of employment.
Report Facts
Penalty Amount: 500
Employees Mentioned
NameTitleContext
Misty FarnstromExecutive DirectorLicensee/Director/Provider signing the enforcement agreement
Dawn ButlerBureau ChiefOfficial involved in enforcement agreement
Thomas SalowAssistant DirectorOfficial involved in enforcement agreement
James TiffanyCompliance Officer SupervisorOfficial involved in enforcement agreement
Enforcement Action Enforcement Fines: 1 Total: $500.00 Mar 5, 2024
Summary
The facility was fined $500.00 which has been paid in full as of 2024-04-03.
Fines & Penalties (1)
AmountReasonStatus
$500.00Fine related to enforcement action #00111625Paid
Inspection Report Enforcement Deficiencies: 0 Mar 5, 2024
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State-compiled enforcement action report for SHADOW MOUNTAIN MEMORY CARE detailing enforcement action #00111625 with payment and penalty information.
Findings
The report documents an enforcement action completed with a penalty payment of $500.00. No specific deficiencies or inspection findings are detailed on this page.
Report Facts
Total fines: 500
Inspection Report Complaint Investigation Capacity: 72 Deficiencies: 1 Feb 6, 2024
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An on-site investigation of complaints AZ00202226 and AZ00206021 was conducted and one deficiency was cited related to governing authority compliance.
Findings
An on-site investigation of complaints AZ00202226 and AZ00206021 was conducted and one deficiency was cited related to governing authority compliance.
Complaint Details
Complaints AZ00202226, AZ00206021
Deficiencies (1)
Description
A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.
Inspection Report Complaint Investigation Capacity: 72 Deficiencies: 0 Feb 3, 2023
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An on-site investigation of complaint AZ00190420 was conducted and no deficiencies were cited.
Findings
An on-site investigation of complaint AZ00190420 was conducted and no deficiencies were cited.
Complaint Details
Complaint AZ00190420
Inspection Report Annual Inspection Capacity: 72 Deficiencies: 2 Dec 28, 2022
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Two deficiencies were found related to frozen food storage temperature and soiled linen storage.
Findings
Two deficiencies were found related to frozen food storage temperature and soiled linen storage.
Deficiencies (2)
Description
C. A manager shall ensure that food is obtained, prepared, served, and stored as follows: 6. Frozen foods are stored at a temperature of 0° F or below.
A. A manager shall ensure that: 9. Soiled linen and soiled clothing stored by the assisted living facility are maintained separate from clean linen and stored in a closed container away from kitchen area.

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