Inspection Reports for
The Oasis at Fellowship Square Surprise

16640 N Sarival Ave, Surprise, AZ 85388, AZ, 85388

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4 Reports

2024–2026

Inspection Report — Mar 31, 2026

Complaint Investigation
Date: Mar 31, 2026

Visit Reason
On-site complaint investigation of complaint 00163680 at an Assisted Living Center, conducted 31 March 2026.

Complaint Details
An on-site investigation of complaint 00163680 was conducted on March 31, 2026, and the following deficiency was cited:
Findings
The inspection found one deficiency related to failure to provide required written documentation to emergency responders when contacting them on behalf of a resident.

Deficiencies (1)
A.R.S. § 36-420.04.A.1-9 — The assisted living center failed to provide a written document including all required information to emergency responders when contacting them on behalf of a resident sent to the hospital on January 13, 2026.
Report Facts
Deficiencies cited: 1

Inspection Report — Oct 24, 2025

Complaint Investigation
Date: Oct 24, 2025

Visit Reason
On-site complaint investigation of complaints 00148616 and 00148807 at an Assisted Living Center, conducted 24 October 2025.

Complaint Details
No deficiencies were found during the on-site investigation of complaint 00148616 and 00148807 conducted on October 23, 2025.
Findings
No deficiencies were found during this complaint investigation.

Report Facts
Complaints investigated: 2

Inspection Report — May 22, 2025

Annual Inspection
Date: May 22, 2025

Visit Reason
On-site complaint investigation and annual compliance survey of complaints 00107117, 00108059, 00115570, and 00130693 at an Assisted Living Center, conducted 22 May 2025.

Complaint Details
An on-site compliance survey and complaints 00107117, 00108059, 00115570, and 00130693 was conducted on May 22, 2025 and the following deficiencies were found:
Findings
The inspection found three deficiencies related to employee tuberculosis documentation, incomplete caregiver service documentation, and inadequate evacuation drill records.

Deficiencies (3)
R9-10-806 — The manager failed to ensure an employee provided documentation of freedom from infectious tuberculosis on or before the date the individual began providing services, posing a potential TB exposure risk to residents.
R9-10-808 — The manager failed to ensure that a caregiver documented services provided in one resident's medical record, specifically missing documentation of required two-hour visual safety checks.
R9-10-818 — The manager failed to ensure evacuation drill documentation was maintained for at least 12 months and included identification of residents needing assistance and those not evacuated.
Report Facts
Deficiencies cited: 3

Inspection Report — May 6, 2024

Annual Inspection
Date: May 6, 2024

Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00197604 and AZ00199825 at an Assisted Living Center, conducted 6 May 2024.

Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00197604 and AZ00199825 conducted on May 06, 2024.
Findings
The inspection found three deficiencies related to service plan reviews, signatures on service plans, and medication administration policies. Plans of correction were provided for all deficiencies.

Deficiencies (3)
The manager failed to ensure a written service plan was reviewed and updated at least once every three months for one resident receiving directed care services. The current service plan was not available for review at the time of inspection.
The manager failed to ensure written service plans included the signature and date from a nurse or medical practitioner for three residents reviewed. Service plans indicating medication administration lacked required signatures and dates.
The manager failed to ensure medication administration policies and procedures were reviewed and approved by a medical practitioner, registered nurse, or pharmacist. The medication services policy was not signed and dated as reviewed.
Report Facts
Deficiencies cited: 3

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