Inspection Report Summary
The most recent inspection on June 26, 2025, found one deficiency related to misappropriation of resident property during a complaint investigation. Earlier inspections showed a pattern of deficiencies involving resident rights, staff training and verification, service plan completeness, and documentation, with several enforcement actions resulting in fines ranging from $250 to $1,500, all paid in full. Inspectors cited issues such as failure to verify caregiver skills, incomplete service plans, and repeated concerns about resident dignity and respect. Most complaint investigations were unsubstantiated except for the noted misappropriation case, and enforcement actions addressed risks to health and safety. The facility’s inspection history shows ongoing challenges with compliance, with deficiencies and enforcement continuing through the most recent reports.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
12.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
238% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint Investigation
Capacity: 113
Deficiencies: 1
Jun 26, 2025
Visit Reason
One deficiency found related to misappropriation of resident property during complaint investigation.
Findings
One deficiency found related to misappropriation of resident property during complaint investigation.
Deficiencies (1)
| Description |
|---|
| R9-10-810.B.2.k — Resident Rights: Misappropriation of personal and private property |
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Jun 2, 2025
Summary
The facility was found deficient in verifying and documenting caregiver skills, posing a risk to health and safety, resulting in a civil fine.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Failure to ensure an assistant caregiver's skills and knowledge were verified and documented before providing physical health services, posing a risk to health and safety. | Pending |
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
May 29, 2025
Summary
The enforcement resulted in a $250 fine which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Enforcement fine | Paid |
Inspection Report
Complaint Investigation
Capacity: 113
Deficiencies: 5
Apr 24, 2025
Visit Reason
Five deficiencies found related to incomplete service plans for residents.
Findings
Five deficiencies found related to incomplete service plans for residents.
Deficiencies (5)
| Description |
|---|
| R9-10-808.A.3.b — Service Plans: Missing level of service |
| R9-10-808.A.3.c — Service Plans: Missing medication assistance level |
| R9-10-808.A.3.f — Service Plans: Missing medication storage instructions |
| R9-10-815.C.3 — Directed Care Services: Missing cognitive stimulation and activities |
| R9-10-815.C.6.a-b — Directed Care Services: Missing resident weight documentation |
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Apr 23, 2025
Summary
The enforcement resulted in a civil fine due to health and safety concerns and the risk of physical and/or psychosocial harm to a resident, repeating a prior deficiency from November 3, 2023.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Failure to ensure a resident was treated with dignity, respect, and consideration, posing a risk of physical and/or psychosocial harm. | — |
Inspection Report
Complaint Investigation
Capacity: 113
Deficiencies: 1
Apr 1, 2025
Visit Reason
One deficiency found related to failure to verify assistant caregiver's skills and knowledge.
Findings
One deficiency found related to failure to verify assistant caregiver's skills and knowledge.
Deficiencies (1)
| Description |
|---|
| R9-10-806.A.4.a-b — Personnel: Failed to verify assistant caregiver's skills and knowledge |
Inspection Report
Complaint Investigation
Capacity: 113
Deficiencies: 3
Mar 18, 2025
Visit Reason
Three deficiencies found related to resident rights, medication services, and emergency and safety standards during combined complaint and annual compliance inspection.
Findings
Three deficiencies found related to resident rights, medication services, and emergency and safety standards during combined complaint and annual compliance inspection.
Deficiencies (3)
| Description |
|---|
| R9-10-810.B.1 — Resident Rights: Resident not treated with dignity, respect, and consideration |
| R9-10-816.B.3.b — Medication Services: Failed to ensure assistance in self-administration of medication |
| R9-10-818.B.1-2 — Emergency and Safety Standards: Failed to ensure resident orientation to evacuation plan |
Enforcement Action
Enforcement
Fines: 2
Total: $1,500.00
Dec 11, 2023
Summary
The facility was found non-compliant with training and disaster drill requirements, resulting in civil fines totaling $1,500.00.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | One employee's CPR and first aid training was expired; one employee had no documentation of CPR and first aid training. | — |
| $500.00 | No employee disaster drills were conducted during the past twelve months. | — |
Inspection Report
Complaint Investigation
Capacity: 113
Deficiencies: 0
Dec 7, 2023
Visit Reason
No deficiencies found during complaint investigation.
Findings
No deficiencies found during complaint investigation.
Enforcement Action
Enforcement
Fines: 1
Total: $1,500.00
Nov 28, 2023
Summary
The enforcement action resulted in a $1,500 fine which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,500.00 | Fine associated with enforcement action #00112141 | Paid |
Inspection Report
Complaint Investigation
Capacity: 113
Deficiencies: 15
Nov 3, 2023
Visit Reason
Fifteen deficiencies found related to training, policies, quality management, documentation, drills, and inspections during combined complaint and annual compliance inspection.
Findings
Fifteen deficiencies found related to training, policies, quality management, documentation, drills, and inspections during combined complaint and annual compliance inspection.
Deficiencies (15)
| Description |
|---|
| 36-420.01 — Health care institutions: Failed to develop and administer fall prevention training program |
| Manager failed to designate in writing a caregiver present and accountable on premises |
| Manager failed to ensure policies and procedures were reviewed at least once every three years |
| Manager failed to establish, document, and implement ongoing quality management program |
| Manager failed to provide current documentation before providing assisted living services |
| Manager failed to ensure resident provides evidence of freedom from infectious tuberculosis |
| Manager failed to ensure service plan was reviewed and updated at least once every three months |
| Manager failed to ensure resident treated with dignity, respect, and consideration |
| Manager failed to obtain required documentation for personal care resident |
| Manager failed to ensure medication administration policies and procedures were reviewed and approved |
| Manager failed to ensure disaster plan reviewed at least once every 12 months |
| Manager failed to ensure disaster drill conducted on each shift at least once every three months |
| Manager failed to ensure evacuation drill conducted at least once every six months |
| Manager failed to ensure documentation of evacuation drills maintained for 12 months |
| Manager failed to ensure fire inspection conducted by local fire department or State Fire Marshal |
Inspection Report
Complaint Investigation
Capacity: 113
Deficiencies: 0
Mar 22, 2023
Visit Reason
No deficiencies found during complaint investigation.
Findings
No deficiencies found during complaint investigation.
Enforcement Action
Enforcement
Total: $0.00
Nodate Enforcement
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