Inspection Reports for Springdale Village
7255 E Broadway Rd, Mesa, AZ 85208, United States, AZ, 85208
Back to Facility ProfileDeficiencies per Year
24
18
12
6
0
Unclassified
Inspection Report
Complaint Investigation
Capacity: 82
Deficiencies: 24
Oct 22, 2025
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State-compiled facility profile showing 5 inspections from 2023-07 to 2025-10 with deficiency history and complaint investigations.
Findings
Across all inspections, multiple deficiencies were identified including environmental hazards, medication storage issues, incomplete documentation, failure to conduct required drills, and safety concerns such as elevator maintenance and fire system problems. Several deficiencies were repeated from prior inspections.
Complaint Details
The page includes multiple complaint investigations with deficiencies found during onsite inspections related to complaints numbered 00146216, 00134835, 00138313, AZ00203831, AZ00204156, AZ00204374, AZ00211815, AZ00216558, AZ00218846, AZ00190428, and AZ00198165.
Deficiencies (24)
| Description |
|---|
| R9-10-820.A.1.b. Environmental Standards: Failed to ensure premises and equipment were free from conditions causing physical injury, including missing flooring posing trip hazard. |
| R9-10-817.F.1. Medication Services: Failed to ensure medications were stored in a locked room or cabinet; medication cart was unlocked and accessible. |
| R9-10-819.E.1.a-b. Emergency and Safety Standards: Fire alarm system not installed per NFPA 72 and sprinkler system not functioning properly. |
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411: Failed to ensure good faith efforts to contact previous employers for personnel. |
| C. A manager shall ensure that policies and procedures are: 1.g. Cover how a caregiver will respond to sudden, intense, or out-of-control behavior: Policies not established or documented. |
| C. A manager shall ensure that policies and procedures are: 3. Reviewed at least once every three years and updated as needed: Not reviewed or updated. |
| A manager shall ensure that: 2.a-b. Documented report submitted to governing authority including concerns and actions: Report not provided for review. |
| A. A manager shall ensure that: 8.a-b. Evidence of freedom from infectious tuberculosis provided by employees: Missing for some personnel. |
| A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis before or within seven days of occupancy: Missing for some residents. |
| B. A manager shall ensure that before or at acceptance, documentation dated within 90 days signed by medical practitioner indicating resident's needs: Missing for some residents. |
| D. Before or at acceptance, documented residency agreement including terms and policies: Missing for some residents. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan reviewed and updated at least every six months: Not updated for some residents. |
| A. Except as required in subsection (B), a manager shall ensure that a resident's written service plan is signed and dated by resident, manager, and nurse or medical practitioner: Missing signatures for some residents. |
| C. A manager shall ensure that a resident's medical record contains a medication order from a medical practitioner for each medication administered: Missing for one resident. |
| C. A manager shall ensure that a resident's medical record contains documentation of orientation to exits within 24 hours of acceptance: Missing for some residents. |
| B. If medication administration provided, policies and procedures reviewed and approved by medical practitioner, nurse, or pharmacist: Not reviewed or approved. |
| C. A manager shall ensure that food is obtained, prepared, served, and stored to protect from contamination: Food not protected from contamination; unclean refrigerators and freezers observed. |
| C. A manager shall ensure that tableware, utensils, equipment, and food-contact surfaces are clean and in good repair: Equipment and surfaces not clean; rusty and dirty conditions observed. |
| A. A manager shall ensure that disaster drills for employees are conducted on each shift at least once every three months and documented: Not conducted or documented on all shifts. |
| A. A manager shall ensure that evacuation drills for employees and residents are conducted at least once every six months: Not conducted as required. |
| A. A manager shall ensure that premises and equipment are cleaned and disinfected to prevent infection: Facility not kept clean; soiled carpets, dirty bathrooms, and trash without lids observed. |
| F. If swimming pool on premises, gate must be locked when pool not in use: Gate was unlocked and lock taken apart by resident. |
| E. A manager shall ensure that a bell, intercom, or other mechanical means to alert employees to resident needs or emergencies is accessible in resident units: Not accessible to residents receiving personal care services. |
| A. A manager shall ensure premises and equipment are free from conditions causing physical injury: Elevator had multiple violations, overdue maintenance, and was unsafe; broken walls with exposed metal posing injury risk. |
Report Facts
Inspections on page: 5
Total deficiencies: 33
Complaint inspections: 4
Total capacity: 82
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacqueline Harris | Named as person responsible for floor repair deficiency | |
| Inge Duran | Assisted Living Manager | Named as person responsible for medication storage and fire safety deficiencies |
| E1 | Interviewed multiple times acknowledging various deficiencies | |
| E2 | Interviewed acknowledging deficiencies related to resident care and safety | |
| E3 | Reported elevator maintenance issues and provided email documentation | |
| E4 | Reported lack of evacuation drills and was newly hired |
Inspection Report
Enforcement
Deficiencies: 0
Jan 14, 2025
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State-compiled enforcement action report for Springdale Village Assisted Living detailing enforcement action #00109966 with associated invoice and payment schedule.
Findings
The report documents an enforcement action completed with a fine payment of $1,000.00. No inspection deficiencies or findings are detailed on this page.
Report Facts
Total fines: 1000
Inspection Report
Enforcement
Deficiencies: 3
Nov 19, 2024
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The document relates to enforcement actions following an inspection conducted on November 19, 2024, at Springdale Village Assisted Living. It includes notification of rights, civil fines, and an enforcement agreement regarding violations found during the inspection.
Findings
The facility was found to have multiple violations including failure to ensure freedom from infectious tuberculosis, failure to maintain and update resident service plans, and failure to ensure the premises were cleaned. These violations posed risks to resident health and safety.
Deficiencies (3)
| Description |
|---|
| The manager failed to ensure that a caregiver provided evidence of freedom from infectious tuberculosis (TB) as specified. |
| The manager failed to ensure that a resident had a written service plan reviewed and updated at least once every six months for residents receiving personal care services. |
| The manager failed to ensure the premises were cleaned. |
Report Facts
Civil fines total: 1000
Penalty amount: 250
Penalty amount: 500
Penalty amount: 250
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Inge Duran | Administrator | Licensee/Director/Provider signing enforcement agreement and notification of rights |
Inspection Report
Enforcement
Deficiencies: 0
Mar 8, 2024
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State-compiled enforcement action report for Springdale Village Assisted Living detailing enforcement action #00111604 with payment and completion status.
Findings
The document reports an enforcement action completed on 2024-03-08 with a fine of $250.00 fully paid by 2024-04-08. No specific deficiencies or inspection findings are detailed.
Report Facts
Total fines: 250
Inspection Report
Enforcement
Deficiencies: 0
Oct 10, 2023
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State-compiled enforcement action report for Springdale Village Assisted Living detailing enforcement action and payment schedule.
Findings
The document details an enforcement action completed on 10/10/2023 with a payment schedule showing full payment of the penalty amount.
Report Facts
Total fines: 1750
Inspection Report
Enforcement
Deficiencies: 5
Sep 19, 2023
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The inspection was conducted due to enforcement concerns involving repeat deficiencies related to fingerprint clearance, service plan accuracy and updates, medical practitioner determinations, and facility hazards.
Findings
The facility had five repeat deficiencies including failure to obtain a fingerprint clearance card for one employee, incorrect and outdated service plans for residents, incomplete medical practitioner determinations for two bedbound residents, and failure to maintain a hazard-free environment.
Deficiencies (5)
| Description |
|---|
| One employee did not have a fingerprint clearance card and did not apply for one within 20 working days of employment. |
| One resident's service plan did not include the correct level of care. |
| One resident's service plan was not updated. |
| Two non-ambulatory residents' medical practitioner's determinations were not completed every six months. |
| The facility was not free from hazards. |
Report Facts
Civil fines total amount: 1750
Repeat deficiencies count: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Celeste Miller | Licensee/Director/Provider | Signed enforcement agreement form |
| Tiffany Slater | Bureau Chief | Attendee on enforcement agreement form |
| Thomas Salow | Assistant Director | Attendee on enforcement agreement form |
| Cindy Graham | Deputy Bureau Chief (Compliance Officer) | Attendee on enforcement agreement form |
| James Tiffany | Supervisor (COS) | Attendee on enforcement agreement form |
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