Deficiencies per Year
16
12
8
4
0
Severe
High
Moderate
Low
Unclassified
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 16
Sep 26, 2025
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State-compiled facility profile showing 4 inspections from 2023-10 to 2025-09 with deficiency history and complaint investigations.
Findings
Across four inspections, including complaint and modification types, no deficiencies were found in three inspections, while one complaint and annual compliance inspection in October 2023 identified 16 deficiencies related to staff training, policy implementation, resident care, and documentation.
Complaint Details
Complaint investigations were conducted on 2023-10-25 to 2023-10-27 and on 2024-04-11 and 2025-09-26; the 2023 complaint inspection found multiple deficiencies, while the 2024 and 2025 complaint inspections found no deficiencies.
Deficiencies (16)
| Description |
|---|
| 36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition: Failed to administer a training program for all staff regarding fall prevention and fall recovery. |
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.: Failed to ensure documented good faith efforts to contact previous employers and verify fingerprint clearance cards for personnel. |
| C. A manager shall ensure that policies and procedures are: 1. Established, documented, and implemented to protect the health and safety of a resident covering job descriptions, duties, and qualifications: Failed to establish and document policies covering job descriptions, duties, and qualifications for employees and volunteers. |
| J. If a manager has a reasonable basis, according to A.R.S. § 46-454, to believe abuse, neglect or exploitation has occurred: Failed to comply with all requirements including documentation, reporting, and investigation of suspected abuse or neglect. |
| A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented before providing services: Failed to verify and document skills and knowledge for caregivers and assistant caregivers. |
| A. A manager shall ensure that: 8. Provides evidence of freedom from infectious tuberculosis on or before service start date: Failed to provide evidence of freedom from infectious TB for applicable personnel. |
| A. A manager shall ensure that: 9. Caregiver or assistant caregiver receives orientation specific to duties before providing services: Failed to ensure orientation specific to duties was completed and documented. |
| A. A manager shall ensure that: 10. Manager or caregiver provides current documentation of first aid and CPR training specific to adults: Failed to provide current documentation of first aid and CPR training. |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan signed and dated by required parties: Failed to ensure service plan was signed and dated by manager and medical practitioner. |
| C. A manager shall ensure that a caregiver or assistant caregiver: Provides services in the resident's service plan and documents services provided: Failed to provide and document required assisted living services for residents. |
| B. A manager shall ensure that: 1. A resident is treated with dignity, respect, and consideration: Failed to ensure residents were treated with dignity, respect, and consideration. |
| C. A manager shall ensure that a resident's medical record contains: 12. A medication order from a medical practitioner for each medication administered: Failed to ensure medication orders were present for administered medications. |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 2. Policies and procedures include a process for documenting authorized medication administration: Failed to include a process for documenting authorized medication administration. |
| B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. Medication is administered in compliance with medication orders: Failed to administer medications in compliance with orders. |
| A. A manager shall ensure that: 5. An evacuation drill for employees and residents is conducted at least once every six months: Failed to conduct evacuation drills at required frequency. |
| D. When a resident has an accident, emergency, or injury requiring medical services, a caregiver shall document any action taken to prevent recurrence: Failed to document actions taken to prevent future incidents after resident accidents or injuries. |
Report Facts
Inspections on page: 4
Total deficiencies: 16
Complaint inspections: 3
Total capacity: 84
Inspection Report
Enforcement
Deficiencies: 0
Dec 12, 2023
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State-compiled enforcement action report for Thunderbird Senior Living detailing enforcement action #00112069 with associated payment schedule and penalty information.
Findings
The document reports a completed enforcement action with a penalty amount of $3,500.00, including payment status and dates related to the enforcement.
Report Facts
Total fines: 3500
Inspection Report
Enforcement
Deficiencies: 5
Oct 25, 2023
Visit Reason
The inspection was conducted due to compliance and complaint concerns regarding suspected abuse reporting, employee training verification, medication administration, and evacuation drills.
Findings
The facility was found to have multiple violations including failure to immediately report suspected abuse, failure to verify employee skills and training, expired or invalid CPR and first aid training for employees, failure to conduct evacuation drills, and medication administration issues. Civil fines totaling $3500 were assessed.
Complaint Details
The inspection was complaint-related, addressing substantiated issues including failure to report suspected abuse and medication administration errors.
Deficiencies (5)
| Description |
|---|
| The manager failed to immediately report suspected abuse, neglect, or exploitation of a resident. |
| The manager failed to ensure the skills and knowledge of four employees were verified and documented before providing physical health services. |
| The manager failed to ensure four employees provided current, valid documentation of first aid and CPR training; three employees had expired training and one had online-only CPR training. |
| The manager failed to ensure medication administered to a resident was in compliance with a medication order. |
| The manager failed to ensure evacuation drills were conducted at least once every six months and documented. |
Report Facts
Civil fines total: 3500
Number of employees with training issues: 4
Inspection dates: Inspection conducted October 25-27, 2023.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Keith Boal | Licensee/Director/Provider | Named in enforcement agreement and signed the document. |
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