Inspection Report Summary
The most recent inspection on May 29-30, 2025, was a complaint investigation in which no deficiencies were cited. Earlier inspections showed a mix of findings, including deficiencies related to fire safety equipment, gas equipment storage, egress door locking mechanisms, and issues involving safe environment, accident prevention, and care plan compliance. No fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Most complaint investigations were unsubstantiated, with no deficiencies found. The facility’s record shows improvement in recent months, with the latest inspections free of cited issues.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
46% better than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 0
May 30, 2025
Visit Reason
Risk-Based complaint survey conducted May 29-30, 2025 for intake #s AZ00155680 and AZ00157412. No deficiencies cited.
Findings
Risk-Based complaint survey conducted May 29-30, 2025 for intake #s AZ00155680 and AZ00157412. No deficiencies cited.
Inspection Report
Annual Inspection
Capacity: 96
Deficiencies: 2
May 6, 2025
Visit Reason
Recertification survey for Medicare under LSC 2012 cited deficiencies related to portable fire extinguishers and gas equipment storage.
Findings
Recertification survey for Medicare under LSC 2012 cited deficiencies related to portable fire extinguishers and gas equipment storage.
Deficiencies (2)
| Description |
|---|
| Portable Fire Extinguishers — Portable fire extinguishers are selected, installed, inspected, and maintained in accordance with NFPA 10 |
| Gas Equipment - Cylinder and Container Storage — Storage locations are designed, constructed, and ventilated in accordance with regulations |
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 0
Mar 31, 2025
Visit Reason
Investigation of complaint intake #00123343 conducted with no deficiencies cited.
Findings
Investigation of complaint intake #00123343 conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 0
Mar 18, 2025
Visit Reason
Investigation of complaint intakes #00121829 and AZ00220567 conducted with no deficiencies cited.
Findings
Investigation of complaint intakes #00121829 and AZ00220567 conducted with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 0
Dec 18, 2024
Visit Reason
Complaint survey conducted December 18, 2024 for complaint #AZ00220418 with no deficiencies cited.
Findings
Complaint survey conducted December 18, 2024 for complaint #AZ00220418 with no deficiencies cited.
Inspection Report
Capacity: 96
Deficiencies: 1
Dec 29, 2023
Visit Reason
Recertification survey for Medicare under LSC 2012 found deficiency related to egress door locking mechanisms; facility meets standards based on plan of correction.
Findings
Recertification survey for Medicare under LSC 2012 found deficiency related to egress door locking mechanisms; facility meets standards based on plan of correction.
Deficiencies (1)
| Description |
|---|
| Egress Doors — Doors in a required means of egress shall not be equipped with a latch or a lock that requires the use of a tool or key from the egress side |
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 3
Dec 29, 2023
Visit Reason
Recertification survey conducted with investigation of complaints #s AZ00189516 and AZ00186749 citing deficiencies related to safe environment, accident prevention, and care plan compliance.
Findings
Recertification survey conducted with investigation of complaints #s AZ00189516 and AZ00186749 citing deficiencies related to safe environment, accident prevention, and care plan compliance.
Deficiencies (3)
| Description |
|---|
| §483.10(i) Safe Environment — The resident has a right to a safe, clean, comfortable and homelike environment |
| §483.25(d) Accidents — The facility must ensure the resident environment remains as free of accident hazards as possible |
| R9-10-414.B — An administrator shall ensure that a care plan for a resident ensures nursing care institution compliance |
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 0
Sep 22, 2023
Visit Reason
Complaint AZ00200845 investigated with no deficiencies cited.
Findings
Complaint AZ00200845 investigated with no deficiencies cited.
Report
File
complaint-inspection_2025-05-02.pdf
Report
File
health-inspection_2021-06-23.pdf
Report
File
health-inspection_2022-10-06.pdf
Report
File
health-inspection_2023-12-29.pdf
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