The most recent inspection on September 29, 2025, found no deficiencies during the complaint investigations. Earlier inspections showed repeated deficiencies primarily related to resident written service plans, documentation, medication storage, disaster preparedness, and personnel practices. Enforcement actions in 2023 and 2024 resulted in civil fines totaling $4,500, all of which have been paid, with no license suspensions or immediate jeopardy findings listed in the available reports. Complaint investigations were mostly unsubstantiated, with no deficiencies found in the most recent cases. The facility’s record shows improvement over time, with the latest inspections free of cited issues after prior enforcement and corrective actions.
Deficiencies (last 3 years)
Deficiencies (over 3 years)6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
The facility was found to have repeat deficiencies from prior inspections related to service plan documentation and resident care, resulting in civil fines totaling $1500.
Fines & Penalties (2)
Amount
Reason
Status
$750.00
Failure to ensure a resident had a written service plan signed and dated by the resident or representative, manager, and nurse.
—
$750.00
Failure to ensure the service plan for a resident receiving directed care services included documentation of the resident's weight or medical contraindications.
Investigation of complaint AZ00210972 found two deficiencies related to resident written service plans and documentation.
Findings
Investigation of complaint AZ00210972 found two deficiencies related to resident written service plans and documentation.
Complaint Details
Complaint AZ00210972
Deficiencies (2)
Description
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when ...
C. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving directed care services in...
The facility was found to have multiple repeat deficiencies related to health and safety, resulting in civil fines totaling $1,500. The enforcement agreement was signed by the licensee agreeing to pay the fines and comply with corrective actions.
Fines & Penalties (1)
Amount
Reason
Status
$1,500.00
Civil fines for multiple repeat health and safety deficiencies including personnel compliance, service plan documentation, medication storage, and disaster drills.
Compliance inspection and complaint AZ00200287 investigation found 16 deficiencies related to governance, documentation, abuse reporting, service plans, medication storage, food safety, disaster preparedness, and animal licensing.
Findings
Compliance inspection and complaint AZ00200287 investigation found 16 deficiencies related to governance, documentation, abuse reporting, service plans, medication storage, food safety, disaster preparedness, and animal licensing.
Complaint Details
Complaint AZ00200287
Deficiencies (16)
Description
A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.
E. A manager shall ensure that, unless otherwise stated: 1. Documentation required by this Article is provided to the Department within two hours afte...
J. If a manager has a reasonable basis, according to A.R.S. § 46-454 , to believe abuse, neglect or exploitation has occurred on the premises or whil...
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: c. The amo...
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on c...
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 5. When initially developed and when ...
C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record; and
C. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving directed care services in...
F. When medication is stored by an assisted living facility, a manager shall ensure that: 1. Medication is stored in a separate locked room, closet, c...
C. A manager shall ensure that food is obtained, prepared, served, and stored as follows: 4. Potentially hazardous food is maintained as follows: a. F...
C. A manager shall ensure that food is obtained, prepared, served, and stored as follows: 5. A refrigerator used by an assisted living facility to sto...
A. A manager shall ensure that: 3. Documentation of the disaster plan review required in subsection (A)(2) includes: a. The date and time of the disas...
A. A manager shall ensure that: 4. A disaster drill for employees is conducted on each shift at least once every three months and documented;
A. A manager shall ensure that: 5. An evacuation drill for employees and residents: a. Is conducted at least once every six months; and
A. A manager shall ensure that: 6. Hot water temperatures are maintained between 95º F and 120º F in areas of an assisted living facility used by re...
A. A manager shall ensure that: 14. If pets or animals are allowed in the assisted living facility, pets or animals are: b. Licensed consistent with l...
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