Inspection Reports for Villa Hermosa

AZ, 85710

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Inspection Report Summary

The most recent inspections on July 18 and July 22, 2025, found no deficiencies during complaint investigations. Earlier reports included a January 9, 2024 complaint inspection that cited six deficiencies related to governing authority notification, caregiver documentation and training, service plans, and hot water temperature maintenance. An enforcement action in January 2024 resulted in a fine that was paid in full. Prior annual inspections in 2023 and 2024 were not conducted due to valid CARF accreditation reports, and most complaints were unsubstantiated. The recent clean complaint investigations suggest improvement following the earlier deficiencies and enforcement action.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 2 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

46% better than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2024
2025

Inspection Report

Complaint
Capacity: 135 Deficiencies: 0 Date: Jul 22, 2025

Visit Reason
No deficiencies were found during the on-site investigation of complaints 00137100 and 00137008.

Findings
No deficiencies were found during the on-site investigation of complaints 00137100 and 00137008.

Inspection Report

Complaint
Capacity: 135 Deficiencies: 0 Date: Jul 18, 2025

Visit Reason
No deficiencies were found during the on-site investigation of complaint 00136898.

Findings
No deficiencies were found during the on-site investigation of complaint 00136898.

Inspection Report

Annual Inspection
Capacity: 135 Deficiencies: 0 Date: Mar 8, 2024

Visit Reason
Compliance inspection was not conducted due to valid accreditation report from CARF covering the licensing fee period.

Findings
Compliance inspection was not conducted due to valid accreditation report from CARF covering the licensing fee period.

Enforcement Action

Enforcement
Fines: 2 Total: $750.00 Date: Feb 8, 2024

Summary
The facility was found deficient in maintaining proper documentation of caregiver training and verifying caregiver skills, posing health and safety risks to residents.

Fines & Penalties (2)
AmountReasonStatus
$500.00Failure to ensure a caregiver provided documentation of completion of a caregiver training program.
$250.00Failure to ensure a caregiver's skills and knowledge were verified and documented before providing physical health services.

Enforcement Action

Enforcement
Fines: 1 Total: $750.00 Date: Jan 23, 2024

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

Fines & Penalties (1)
AmountReasonStatus
$750.00Fine associated with enforcement action #00111851Paid

Inspection Report

Complaint
Capacity: 135 Deficiencies: 6 Date: Jan 9, 2024

Visit Reason
Six deficiencies cited related to governing authority notification, caregiver documentation and training, service plans, and hot water temperature maintenance.

Findings
Six deficiencies cited related to governing authority notification, caregiver documentation and training, service plans, and hot water temperature maintenance.

Deficiencies (6)
A.R.S. § 36-425(I) — Failure to notify Department of management changes
Caregiver documentation — Incomplete caregiver training documentation
Caregiver skills verification — Skills and knowledge not verified before providing services
Service plan documentation — Resident service plans not signed and dated
Service plan content — Skin maintenance not included in personal care service plans
Hot water temperature — Not maintained between 95º F and 120º F in resident areas

Inspection Report

Annual Inspection
Capacity: 135 Deficiencies: 0 Date: Apr 13, 2023

Visit Reason
Compliance inspection was not conducted due to valid accreditation report from CARF covering the licensing fee period.

Findings
Compliance inspection was not conducted due to valid accreditation report from CARF covering the licensing fee period.

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