Deficiencies (last 3 years)
Deficiencies (over 3 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 0
Date: Sep 26, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaint 00142023.
Findings
No deficiencies were found during the on-site investigation of complaint 00142023.
Inspection Report
Capacity: 84
Deficiencies: 0
Date: Jun 23, 2025
Visit Reason
Off-site desktop review to change licensed capacity from 84 directed care to 28 directed care and 56 personal care.
Findings
Off-site desktop review to change licensed capacity from 84 directed care to 28 directed care and 56 personal care.
Inspection Report
Complaint Investigation
Capacity: 84
Deficiencies: 0
Date: Apr 11, 2024
Visit Reason
On-site investigation of complaint AZ00208842 with no deficiencies cited.
Findings
On-site investigation of complaint AZ00208842 with no deficiencies cited.
Enforcement Action
Enforcement
Fines: 1
Total: $3,500.00
Date: Dec 12, 2023
Summary
A fine of $3,500.00 was imposed and has been paid in full as of 2024-01-18.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $3,500.00 | Enforcement action fine | Paid |
Enforcement Action
Enforcement
Fines: 5
Total: $3,500.00
Date: Oct 27, 2023
Summary
The enforcement resulted in civil fines totaling $3500 for multiple violations including failure to report suspected abuse, inadequate employee training documentation, expired CPR/first aid training, failure to conduct evacuation drills, and repeat citation for medication administration.
Fines & Penalties (5)
| 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. | — |
Inspection Report
Annual Inspection
Capacity: 84
Deficiencies: 16
Date: Oct 25, 2023
Visit Reason
On-site compliance inspection and complaint investigation found 16 deficiencies related to staff training, policies, resident care, medication administration, evacuation drills, and incident reporting.
Findings
On-site compliance inspection and complaint investigation found 16 deficiencies related to staff training, policies, resident care, medication administration, evacuation drills, and incident reporting.
Deficiencies (16)
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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