Inspection Report
Annual Inspection
Capacity: 100
Deficiencies: 7
Sep 23, 2025
Visit Reason
State-compiled facility profile showing 3 inspections from 2023-04 to 2025-09 with deficiency history
Findings
Across three inspections from 2023 to 2025, multiple deficiencies were identified including failures in tuberculosis screening and infection control, medication administration compliance, posting of required documents, and availability of current drug reference guides. The facility demonstrated ongoing compliance challenges related to resident safety and regulatory requirements.
Complaint Details
An on-site investigation of complaint AZ00191891 was conducted on April 5, 2023 with off-site documentation review on April 10, 2023, resulting in two deficiencies related to manager designee designation and conspicuous posting of required documents.
Deficiencies (7)
| Description |
|---|
| R9-10-113.A.1-2. Tuberculosis Screening: Failed to establish, document, and implement tuberculosis infection control activities including annual risk assessment |
| R9-10-807.A.1-2. Residency and Residency Agreements: Failed to ensure residents provided documentation of freedom from infectious tuberculosis as required |
| R9-10-817.B.3.b. Medication Services: Medication administered not in compliance with medication order for one resident |
| D. A manager shall ensure that: 1. A current drug reference guide is available for use by personnel members |
| A. A manager shall ensure that: 9. Soiled linen and soiled clothing are stored separate from clean linen and in closed containers away from food areas |
| B. A manager: 3. Failed to designate in writing a caregiver accountable for the facility when the manager was not present |
| D. A manager shall ensure that the following are conspicuously posted: resident rights, license, agency phone numbers, and inspection reports |
Report Facts
Inspections on page: 3
Total deficiencies: 7
Complaint inspections: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Logan Watts | Executive Director | Named as person responsible in all three inspections' deficiencies |
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