Inspection Reports for The Retreat at Alameda

AZ, 85085

Back to Facility Profile

Inspection Report Summary

The most recent inspection on January 2, 2026, included enforcement action resulting in a $250 fine paid in full. Earlier inspections showed repeated deficiencies primarily related to emergency responder documentation, administration notifications, residency agreements, and premises safety, with several enforcement actions and fines issued over time. Complaint investigations found issues with medical records safeguards, caregiver skills verification, disaster plan review, and fall prevention training, though most complaints were not substantiated beyond these findings. Enforcement actions included multiple fines, but license suspensions or revocations were not listed in the available reports. The facility’s inspection history shows ongoing challenges with documentation and safety compliance, with no clear pattern of consistent improvement or worsening.

Deficiencies (last 4 years)

Deficiencies (over 4 years) 3.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

5% better than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2022
2023
2024
2025

Enforcement Action

Enforcement
Fines: 1 Total: $250.00 Date: Jan 2, 2026

Summary
The enforcement action was completed with a fine of $250.00 paid in full by the due date.

Fines & Penalties (1)
AmountReasonStatus
$250.00Fine associated with enforcement action #00146498Paid

Enforcement Action

Enforcement
Fines: 1 Total: $250.00 Date: Dec 2, 2025

Summary
The facility was found to have a repeat deficiency for not providing documentation to emergency responders, resulting in a civil fine and enforcement agreement.

Fines & Penalties (1)
AmountReasonStatus
$250.00Documentation not provided to emergency responders, a repeat deficiency from prior complaint and compliance inspections.

Inspection Report

Complaint Investigation
Capacity: 104 Deficiencies: 5 Date: Aug 22, 2025

Visit Reason
Five deficiencies found related to emergency responder documentation, administration notifications, and residency agreements during complaint investigation.

Findings
Five deficiencies found related to emergency responder documentation, administration notifications, and residency agreements during complaint investigation.

Deficiencies (5)
A.R.S. § 36-420.04.A.1-9 — Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document
A.R.S. § 36-420.04.D — Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document
R9-10-803.K.1. — Administration
R9-10-807.D.1-10 — Residency and Residency Agreements
R9-10-807.F.1.a-c — Residency and Residency Agreements

Inspection Report

Complaint Investigation
Capacity: 104 Deficiencies: 1 Date: Mar 24, 2025

Visit Reason
One deficiency found related to medical records safeguards during complaint investigation; education provided by Director of Care and Resident Care Coordinators.

Findings
One deficiency found related to medical records safeguards during complaint investigation; education provided by Director of Care and Resident Care Coordinators.

Deficiencies (1)
R9-10-811.B.1-2 — Medical Records

Inspection Report

Complaint Investigation
Capacity: 104 Deficiencies: 2 Date: Jan 30, 2025

Visit Reason
Two deficiencies found related to health care institution requirements and emergency responder documentation during complaint and compliance inspection.

Findings
Two deficiencies found related to health care institution requirements and emergency responder documentation during complaint and compliance inspection.

Deficiencies (2)
36-420. — Health care institutions; cardiopulmonary resuscitation; first aid; immunity; falls; definition
36-420.04. — Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document

Enforcement Action

Enforcement
Fines: 1 Total: $500.00 Date: Aug 19, 2024

Summary
The facility was found to have a deficient practice that posed a risk to the physical health and safety of residents, resulting in a civil fine.

Fines & Penalties (1)
AmountReasonStatus
$500.00Failure to ensure the premises were free from a condition or situation that could cause physical injury to residents, posing a risk to their health and safety.Pending

Enforcement Action

Enforcement
Fines: 1 Total: $500.00 Date: Jul 30, 2024

Summary
The enforcement action resulted in a $500 fine which has been paid in full.

Fines & Penalties (1)
AmountReasonStatus
$500.00Fine related to enforcement action against THE RETREAT AT ALAMEDAPaid

Inspection Report

Complaint Investigation
Capacity: 104 Deficiencies: 3 Date: Jul 23, 2024

Visit Reason
Three deficiencies found related to emergency responder documentation, caregiver skills verification, and premises safety during complaint investigation.

Findings
Three deficiencies found related to emergency responder documentation, caregiver skills verification, and premises safety during complaint investigation.

Deficiencies (3)
36-420.04. — Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document
A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented
A. A manager shall ensure that: 1. The premises and equipment used at the assisted living facility are free from a condition or situation that may cause injury

Inspection Report

Complaint Investigation
Capacity: 104 Deficiencies: 2 Date: Feb 1, 2024

Visit Reason
Two deficiencies found related to disaster plan review and fire inspection during complaint and compliance inspection.

Findings
Two deficiencies found related to disaster plan review and fire inspection during complaint and compliance inspection.

Deficiencies (2)
A. A manager shall ensure that: 2. The disaster plan required in subsection (A)(1) is reviewed at least once every 12 months
E. A manager of an assisted living center shall ensure that: 3. A fire inspection is conducted by a local fire department or the State Fire Marshal

Inspection Report

Complaint Investigation
Capacity: 104 Deficiencies: 1 Date: Feb 7, 2023

Visit Reason
One deficiency found related to fall prevention training program during complaint and compliance inspection.

Findings
One deficiency found related to fall prevention training program during complaint and compliance inspection.

Deficiencies (1)
36-420.01. — Health care institutions; fall prevention and fall recovery; training programs; definition

Inspection Report

Capacity: 104 Deficiencies: 0 Date: Dec 14, 2022

Visit Reason
No deficiencies found during off-site amendment inspection to modify capacity.

Findings
No deficiencies found during off-site amendment inspection to modify capacity.

Viewing

Loading inspection reports...