Inspection Report Summary
The most recent inspection on September 26, 2025, found no deficiencies during the complaint investigation. Prior inspections showed a pattern of deficiencies primarily related to staff training, medication administration, evacuation drills, and documentation, with a notable enforcement action in late 2023 that included fines totaling $3,500 for multiple violations such as failure to report suspected abuse and inadequate employee training records. Complaint investigations in the available reports were unsubstantiated, with no deficiencies cited. Enforcement actions were limited to the fines imposed in 2023, and no license suspensions or revocations were listed in the available reports. The inspection history suggests improvement, as the most recent on-site review found no issues after earlier citations and enforcement.
Deficiencies (last 3 years)
Deficiencies are regulatory violations found during state inspections.
Deficiencies per year
| Amount | Reason | Status |
|---|---|---|
| $3,500.00 | Enforcement action fine | Paid |
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to immediately report suspected abuse, neglect, or exploitation of a resident. | — |
| $250.00 | Failure to ensure skills and knowledge of four employees were verified and documented before providing physical health services. | — |
| $2,000.00 | Failure to ensure four employees had current, valid documentation of first aid and CPR training; three employees had expired training and one had online-only CPR training. | — |
| $250.00 | Failure to ensure medication administered to a resident was in compliance with a medication order; repeat citation from prior inspection. | — |
| $500.00 | Failure to ensure evacuation drills were conducted at least once every six months and documented. | — |
| Description |
|---|
| 36-420.01 — Fall prevention and recovery training |
| A.R.S. § 36-411 — Compliance |
| Policies and procedures — Resident health and safety |
| A.R.S. § 46-454 — Abuse reporting documentation |
| Caregiver skills and knowledge verification |
| Documentation of freedom from infectious tuberculosis |
| Caregiver orientation |
| First aid and CPR training documentation |
| Resident written service plans |
| Assisted living services delivery and documentation |
| Resident dignity and respect |
| Medication orders in medical records |
| Medication administration policies and procedures |
| Medication administration compliance |
| Evacuation drills |
| Incident reporting for accidents and injuries |
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