Inspection Report
Complaint Investigation
Capacity: 113
Deficiencies: 25
Jun 26, 2025
Visit Reason
State-compiled facility profile showing 7 inspections from 2023-03 to 2025-06 with deficiency history and complaint investigations.
Findings
Across all inspections, multiple deficiencies were found including failures in resident rights protections, service plan completeness, staff training, medication administration, emergency preparedness, and documentation. Several complaint investigations revealed issues with misappropriation, dignity and respect, and compliance with care standards.
Complaint Details
The page includes multiple complaint investigations with deficiencies found during on-site investigations of complaints numbered 00128895, 00133507, 00126188, 00124498, 00121648, 00104929, 00107173, 00106183, AZ00203149, AZ00197753, and AZ00189957.
Deficiencies (25)
| Description |
|---|
| R9-10-810.B.2.k. Resident Rights; Misappropriation of personal and private property by the assisted living facility's manager, caregivers, assistant caregivers, employees, or volunteers. |
| R9-10-808.A.3.b. Service Plans; Failed to ensure a written service plan included the level of service the resident is expected to receive. |
| R9-10-808.A.3.c. Service Plans; Failed to ensure a written service plan included the amount, type, and frequency of assisted living services being provided to the resident, including medication administration or assistance in the self-administration of medication. |
| R9-10-808.A.3.f. Service Plans; Failed to ensure the service plans included how medication stored in the resident's bedroom or residential unit would be stored and controlled. |
| R9-10-815.C.3. Directed Care Services; Failed to ensure a service plan included cognitive stimulation and activities to maximize functioning for a resident receiving directed care services. |
| R9-10-815.C.6.a-b. Directed Care Services; Failed to ensure a service plan included documentation of the resident's weight or documentation from a medical practitioner stating weighing the resident was contraindicated. |
| R9-10-806.A.4.a-b. Personnel; Failed to ensure an assistant caregiver's skills and knowledge were verified and documented before providing physical health services. |
| R9-10-810.B.1. Resident Rights; Failed to ensure a resident was treated with dignity, respect, and consideration. |
| R9-10-816.B.3.b. Medication Services; Failed to ensure medication administered to a resident was in compliance with a medication order. |
| R9-10-818.B.1-2. Emergency and Safety Standards; Failed to ensure a resident's orientation to the assisted living facility's evacuation plan and route was documented. |
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs; Failed to develop and administer a training program for all staff regarding fall prevention and fall recovery. |
| Failed to designate in writing a caregiver present on premises and accountable when the manager was not present. |
| Failed to ensure policies and procedures were reviewed at least once every three years and updated as needed. |
| Failed to establish, document, and implement a quality management plan including identification, documentation, evaluation of incidents, data collection, and reporting. |
| Failed to provide documentation of first aid and CPR training certification specific to adults before providing personal or directed care services. |
| Failed to ensure two of three resident records contained evidence of freedom from infectious tuberculosis as required. |
| Failed to ensure a resident's service plan was reviewed and updated at least once every three months for a resident receiving directed care services. |
| Failed to ensure a resident was treated with dignity, respect, and consideration; incident of striking a resident documented. |
| Failed to obtain documentation reflecting resident or representative request to remain in facility and medical practitioner statement that resident's needs were met per scope of services. |
| Failed to ensure medication administration policies and procedures were reviewed and approved by a medical practitioner, registered nurse, or pharmacist. |
| Failed to ensure disaster plan was reviewed at least once every 12 months. |
| Failed to ensure disaster drills for employees were conducted on each shift at least once every three months and documented. |
| Failed to ensure evacuation drills for residents were conducted at least once every six months. |
| Failed to ensure documentation of evacuation drills included amount of time taken for employees to evacuate the facility. |
| Failed to ensure fire inspection was conducted by local fire department or State Fire Marshal according to required time-frame. |
Report Facts
Inspections on page: 7
Total deficiencies: 25
Complaint inspections: 7
Total capacity: 113
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Andrew Auteri | Executive Director | Named as person responsible for multiple deficiencies and involved in management decisions |
| Andy Auteri | Named as person responsible for deficiency related to misappropriation |
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