Inspection Report Summary
The most recent inspection on December 5, 2025, included enforcement action resulting in a $2,150 fine that has been paid in full. Earlier inspections showed a pattern of deficiencies primarily related to administration issues, including failure to designate a qualified manager, incomplete personnel records, and problems with medical and emergency preparedness documentation. Several complaint investigations found deficiencies in policies and procedures, quality management, medication administration, and safety training, though most complaints were unsubstantiated or resulted in citations without further enforcement. Enforcement actions included fines totaling several thousand dollars over the past year, but no license suspensions or immediate jeopardy findings were listed in the available reports. The facility’s record shows ongoing challenges with administrative compliance, with enforcement actions continuing through the most recent inspection.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
7.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
97% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Enforcement Action
Enforcement
Fines: 1
Total: $2,150.00
Date: Dec 5, 2025
Summary
The facility was fined $2,150.00 which has been paid in full as of the due date.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $2,150.00 | Fine related to enforcement action against the facility | Paid |
Enforcement Action
Enforcement
Fines: 2
Total: $2,150.00
Date: Oct 23, 2025
Summary
The facility was found non-compliant for not having a qualified manager to implement policies and procedures and for missing personnel documentation, posing risks to health and safety.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $1,400.00 | Failure to designate a qualified assisted living facility manager, posing a risk to health and safety. | — |
| $750.00 | Failure to ensure personnel record availability for one employee, posing a risk due to lack of documentation. | — |
Inspection Report
Complaint Investigation
Capacity: 16
Deficiencies: 8
Date: Aug 20, 2025
Visit Reason
Eight deficiencies found related to administration, personnel records, service plans, medical records, and emergency preparedness during complaint investigation.
Complaint Details
Complaint 00141183
Findings
Eight deficiencies found related to administration, personnel records, service plans, medical records, and emergency preparedness during complaint investigation.
Deficiencies (8)
R9-10-803.A.9. — Administration compliance with A.R.S. § 36-411 and related requirements
R9-10-803.A.3.b.i-ii. — Designation of qualified manager in writing
R9-10-803.A.7. — Notification to Department of manager appointment
R9-10-806.A.8.a-b. — Documentation of freedom from infectious tuberculosis
R9-10-806.C.1.a-c. — Personnel records completeness
R9-10-808.A.4.b.iii. — Service plan review and update
R9-10-811.C.17. — Medical record documentation of vaccination notification
R9-10-819.A.3.a-d. — Disaster plan review documentation
Inspection Report
Complaint Investigation
Capacity: 16
Deficiencies: 1
Date: Jul 16, 2025
Visit Reason
One deficiency found related to failure to designate a qualified manager in writing during complaint investigation.
Complaint Details
Complaints 00104451, 00136706, 00104908, 00104450
Findings
One deficiency found related to failure to designate a qualified manager in writing during complaint investigation.
Deficiencies (1)
R9-10-803.A.3.a. — Designation of manager who is 21 years or older
Enforcement Action
Enforcement
Fines: 2
Total: $1,500.00
Date: Oct 30, 2024
Summary
The facility was found non-compliant with health and safety regulations due to missing personnel and medical records, resulting in civil fines totaling $1500.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Failure to ensure personnel records were available for two employees. | — |
| $500.00 | Failure to ensure a medical record was maintained for each resident according to regulations. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $1,500.00
Date: Sep 24, 2024
Summary
The facility was fined $1,500.00 which has been paid in full as part of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,500.00 | Enforcement action fine | Paid |
Inspection Report
Complaint Investigation
Capacity: 16
Deficiencies: 8
Date: Sep 4, 2024
Visit Reason
Eight deficiencies found related to policies and procedures, quality management, personnel records, residency agreements, medical records, medication administration, and emergency drills during complaint investigation.
Complaint Details
Complaint AZ00215292
Findings
Eight deficiencies found related to policies and procedures, quality management, personnel records, residency agreements, medical records, medication administration, and emergency drills during complaint investigation.
Deficiencies (8)
Policies and procedures not established, documented, and implemented to protect resident health and safety
Quality management program plan not established, documented, and implemented
Personnel records missing required information
Residency agreement documentation missing
Medical records not maintained according to regulations
Medication administration not compliant with orders
Disaster drills for employees not conducted and documented as required
Evacuation drills for employees and residents not conducted as required
Inspection Report
Complaint Investigation
Capacity: 16
Deficiencies: 5
Date: Sep 21, 2023
Visit Reason
Seven deficiencies found related to fall prevention training, administration compliance, documentation of services, accident notification, and premises cleanliness during complaint investigation.
Complaint Details
Complaints AZ00189555, AZ00190550, AZ00191111, AZ00191749, AZ00191750, AZ00191751
Findings
Seven deficiencies found related to fall prevention training, administration compliance, documentation of services, accident notification, and premises cleanliness during complaint investigation.
Deficiencies (5)
36-420.01 — Fall prevention and recovery training program not developed and administered
Failure to ensure compliance with A.R.S. § 36-411 for caregivers
Documentation of services provided in resident medical records incomplete
Failure to ensure notification and documentation of resident accidents and emergencies
Premises and equipment not cleaned and disinfected to prevent infection
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