Inspection Reports for Silver Creek Inn – Mesa
6345 E Baseline Rd, Mesa, AZ 85206, United States, AZ, 85206
Back to Facility ProfileInspection Report Summary
The most recent inspection on June 6, 2025, included deficiencies that resulted in a $500 fine, which has been paid in full. Earlier inspections showed a pattern of citations mainly related to caregiver training documentation, employee certification such as CPR and first aid, and documentation issues including disaster drills and medication storage. Enforcement actions were frequent, with fines ranging from $500 to $1,750, but no license suspensions or immediate jeopardy findings were listed in the available reports. Complaint investigations were mostly unsubstantiated except for one substantiated deficiency related to resident restraint. The facility’s inspection history shows ongoing challenges with staff training and documentation, with no clear improvement trend over time.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
4.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
27% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Jun 6, 2025
Summary
The facility was fined $500.00 which has been paid in full as part of the enforcement resolution.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine associated with enforcement action #00127932 | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Apr 11, 2025
Summary
The facility was found to have violated health and safety regulations by subjecting a resident to restraint, resulting in a civil fine.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | The manager failed to ensure a resident was not subjected to restraint, posing a risk to the physical health and safety of a resident. | Pending |
Inspection Report
Complaint Investigation
Capacity: 67
Deficiencies: 1
Date: Apr 11, 2025
Visit Reason
One deficiency found related to resident restraint during complaint investigation.
Findings
One deficiency found related to resident restraint during complaint investigation.
Deficiencies (1)
R9-10-810.B.2.i. Resident Rights — restraint
Inspection Report
Complaint Investigation
Capacity: 67
Deficiencies: 0
Date: Feb 6, 2025
Visit Reason
No deficiencies cited during complaint investigation.
Findings
No deficiencies cited during complaint investigation.
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Dec 24, 2024
Summary
The facility was fined $500.00 which has been paid in full as part of the enforcement resolution.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine related to enforcement action against the facility | Paid |
Inspection Report
Complaint Investigation
Capacity: 67
Deficiencies: 0
Date: Nov 21, 2024
Visit Reason
No deficiencies cited during complaint investigation.
Findings
No deficiencies cited during complaint investigation.
Inspection Report
Complaint Investigation
Capacity: 67
Deficiencies: 0
Date: Nov 18, 2024
Visit Reason
No deficiencies cited during complaint investigation.
Findings
No deficiencies cited during complaint investigation.
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Oct 18, 2024
Summary
The enforcement resulted in a civil fine of $500.00 for the violation related to employee training documentation.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | One employee had no documentation of CPR and first aid training. | — |
Inspection Report
Complaint Investigation
Capacity: 67
Deficiencies: 1
Date: Oct 18, 2024
Visit Reason
One deficiency cited for failure to document CPR training for employees.
Findings
One deficiency cited for failure to document CPR training for employees.
Deficiencies (1)
A. A manager shall ensure that: 10. Documentation of CPR training
Inspection Report
Complaint Investigation
Capacity: 67
Deficiencies: 0
Date: Sep 17, 2024
Visit Reason
No deficiencies cited during complaint investigation.
Findings
No deficiencies cited during complaint investigation.
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Sep 5, 2024
Summary
A fine of $500.00 was imposed and has been paid in full as part of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine imposed as part of enforcement action | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Aug 9, 2024
Summary
The facility was found to have violated A.A.C. R9-10-818.A.4 by failing to accurately document an employee disaster drill, resulting in a civil fine.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure an employee disaster drill was accurately documented, posing a health and safety risk with false or misleading documentation. | — |
Inspection Report
Annual Inspection
Capacity: 67
Deficiencies: 4
Date: Aug 9, 2024
Visit Reason
Four deficiencies cited related to documentation submission, TB documentation, medication storage, and disaster drills.
Findings
Four deficiencies cited related to documentation submission, TB documentation, medication storage, and disaster drills.
Deficiencies (4)
E. A manager shall ensure timely documentation submission to Department
A. A manager shall ensure documentation of freedom from infectious tuberculosis
B. Medication storage by the assisted living facility
A. A manager shall ensure disaster drills for employees are conducted and documented
Inspection Report
Complaint Investigation
Capacity: 67
Deficiencies: 0
Date: Jul 8, 2024
Visit Reason
No deficiencies cited during complaint investigation.
Findings
No deficiencies cited during complaint investigation.
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Date: Jun 20, 2024
Summary
The facility was found to have a repeat deficiency related to caregiver training documentation, posing a threat to health and safety due to unqualified individuals providing required services.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Failure to ensure a caregiver provided documentation of completion of a caregiver training program, posing a threat to health and safety. | Pending |
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Date: Jun 4, 2024
Summary
The facility was fined $1,000.00 which has been paid in full as of 7/16/2024.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Enforcement action fine | Paid |
Inspection Report
Complaint Investigation
Capacity: 67
Deficiencies: 2
Date: May 23, 2024
Visit Reason
Two deficiencies cited related to caregiver training documentation and resident dignity.
Findings
Two deficiencies cited related to caregiver training documentation and resident dignity.
Deficiencies (2)
A. A manager shall ensure caregiver training program documentation
B. A manager shall ensure resident dignity, respect, and consideration
Enforcement Action
Enforcement
Fines: 1
Total: $1,750.00
Date: Aug 1, 2023
Summary
The facility was fined $1,750.00 which has been paid in full as of 10/6/2023.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,750.00 | Fine related to enforcement action against the facility | Paid |
Enforcement Action
Enforcement
Fines: 3
Total: $1,750.00
Date: Jul 13, 2023
Summary
The facility was found non-compliant for failing to ensure caregiver training documentation, CPR and first aid certification, and fall prevention training, resulting in civil fines totaling $1750.00.
Fines & Penalties (3)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Failure to ensure two employees working as caregivers provided documentation of completion of an approved caregiver training program. | — |
| $500.00 | Failure to ensure two caregivers provided documentation of current CPR and first aid training certification before providing assisted living services to a resident (repeat citation). | — |
| $250.00 | Failure to ensure a fall prevention and recovery training program was developed and administered to all staff (repeat citation). | — |
Inspection Report
Annual Inspection
Capacity: 67
Deficiencies: 6
Date: Jul 13, 2023
Visit Reason
Six deficiencies cited related to fall prevention training, statutory compliance, caregiver training and orientation, CPR documentation, and assistance with activities of daily living.
Findings
Six deficiencies cited related to fall prevention training, statutory compliance, caregiver training and orientation, CPR documentation, and assistance with activities of daily living.
Deficiencies (6)
36-420.01. Health care institutions; fall prevention and training programs
A. A governing authority shall ensure compliance with A.R.S. § 36-411
A. A manager shall ensure caregiver training program documentation
A. A manager shall ensure caregiver orientation before providing services
A. A manager shall ensure that: 10. Documentation of CPR training
C. A manager shall ensure caregiver assistance with activities of daily living per service plan
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