Inspection Report Summary
The most recent inspection on April 11, 2025, identified one deficiency related to quality management and failure to submit documented reports to the governing authority. Earlier inspections showed a pattern of deficiencies primarily involving documentation, service plan updates, evacuation drills, and fall prevention training, with some enforcement actions resulting in fines totaling over $2,000, all of which have been paid. Complaint investigations mostly found deficiencies related to documentation and resident property misappropriation, with many complaints unsubstantiated or resulting in no deficiencies. Enforcement actions were noted in multiple reports but no license suspensions or immediate jeopardy findings were listed in the available reports. The facility’s inspection history suggests ongoing challenges with administrative and procedural compliance, with no clear trend of improvement or worsening over time.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
2.8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
24% better than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Complaint Investigation
Capacity: 155
Deficiencies: 1
Date: Apr 11, 2025
Visit Reason
One deficiency found related to quality management and failure to submit documented reports to governing authority.
Findings
One deficiency found related to quality management and failure to submit documented reports to governing authority.
Deficiencies (1)
R9-10-804.2.a-b. Quality Management
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Date: Jun 18, 2024
Summary
The facility was fined $1,000.00 which has been paid in full as part of the enforcement resolution.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Fine related to enforcement action | Paid |
Inspection Report
Complaint Investigation
Capacity: 155
Deficiencies: 4
Date: May 29, 2024
Visit Reason
Four deficiencies found related to documentation before service, submission of timely documentation, service plan updates, and evacuation drills.
Complaint Details
Complaint AZ00206779 investigated
Findings
Four deficiencies found related to documentation before service, submission of timely documentation, service plan updates, and evacuation drills.
Deficiencies (4)
A. A manager shall ensure that: 10. Documentation before providing assisted living services
B. A manager shall ensure submission of documentation dated within 90 calendar days before acceptance
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan updated regularly
A. A manager shall ensure that: 5. An evacuation drill for employees and residents is conducted at least once every six months
Enforcement Action
Enforcement
Fines: 3
Total: $1,000.00
Date: May 29, 2024
Summary
The facility was found to have multiple deficiencies including lack of first aid training documentation for caregivers, failure to submit required individual documentation within 90 days, and failure to conduct evacuation drills every six months. These deficiencies posed risks to resident safety and were repeat citations from a prior inspection.
Fines & Penalties (3)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure first aid training documentation for one of six sampled caregivers before providing assisted living services. | — |
| $250.00 | Failure to ensure submission of individual documentation within 90 calendar days, including required signatures and supervisory care documentation for two of ten residents sampled. | — |
| $250.00 | Failure to ensure an evacuation drill for employees and residents was conducted at least once every six months. | — |
Inspection Report
Complaint Investigation
Capacity: 155
Deficiencies: 1
Date: Jan 22, 2024
Visit Reason
One deficiency found related to misappropriation of resident personal and private property.
Complaint Details
Complaints AZ00200496, AZ00203793, AZ00203830, AZ00203828, AZ00203124 investigated
Findings
One deficiency found related to misappropriation of resident personal and private property.
Deficiencies (1)
B. A manager shall ensure that a resident is not subjected to misappropriation of personal and private property
Enforcement Action
Enforcement
Fines: 1
Total: $1,250.00
Date: Jun 27, 2023
Summary
The enforcement resulted in a fine which has been fully paid.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,250.00 | Fine associated with enforcement action #00113117 | Paid |
Enforcement Action
Enforcement
Fines: 1
Total: $1,250.00
Date: Jun 12, 2023
Summary
The facility was found to have multiple repeat violations from a prior inspection conducted on May 26, 2022, resulting in civil fines totaling $1,250.00.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,250.00 | Civil fines for repeated violations including failure to ensure timely documentation, proper service plans, evacuation drills, and staff training on fall prevention. | — |
Inspection Report
Complaint Investigation
Capacity: 155
Deficiencies: 5
Date: Jun 12, 2023
Visit Reason
Seven deficiencies found including fall prevention training, documentation submission, service plan completeness and updates, and evacuation drills.
Complaint Details
Complaints #AZ00193976, AZ00195990 investigated
Findings
Seven deficiencies found including fall prevention training, documentation submission, service plan completeness and updates, and evacuation drills.
Deficiencies (5)
36-420.01. Health care institutions; fall prevention and fall recovery; training programs
B. A manager shall ensure submission of documentation dated within 90 calendar days before acceptance
A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan updated regularly
C. Manager shall ensure service plan for directed care services includes required elements
A. A manager shall ensure that: 5. An evacuation drill for employees and residents is conducted at least once every six months
Inspection Report
Complaint Investigation
Capacity: 155
Deficiencies: 0
Date: Mar 16, 2023
Visit Reason
No deficiencies cited during this complaint investigation.
Complaint Details
Complaint AZ00189698 investigated
Findings
No deficiencies cited during this complaint investigation.
Inspection Report
Complaint Investigation
Capacity: 155
Deficiencies: 0
Date: Dec 19, 2022
Visit Reason
No deficiencies cited; two allegations were unable to be substantiated.
Complaint Details
Complaint AZ00186517 investigated
Findings
No deficiencies cited; two allegations were unable to be substantiated.
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