Inspection Report Summary
The most recent inspection on April 24, 2025, found no deficiencies during the on-site compliance review. Earlier inspections, including one on May 11, 2023, identified several deficiencies related to fall prevention training, documentation timeliness, personnel records, vaccination notification, and ensuring safe means of exit for residents. There were no complaint investigations or enforcement actions listed in the available reports. Prior issues focused mainly on staff training and recordkeeping. The absence of deficiencies in the latest inspection suggests improvement in these areas over time.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
2.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
32% better than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 0
Date: Apr 24, 2025
Visit Reason
No deficiencies were found during the on-site compliance inspection.
Findings
No deficiencies were found during the on-site compliance inspection.
Inspection Report
Annual Inspection
Capacity: 10
Deficiencies: 5
Date: May 11, 2023
Visit Reason
Five deficiencies were found related to fall prevention training, documentation timeliness, personnel records, vaccination notification, and means of exiting the facility.
Findings
Five deficiencies were found related to fall prevention training, documentation timeliness, personnel records, vaccination notification, and means of exiting the facility.
Deficiencies (5)
36-420.01 — Fall prevention and fall recovery training program
E — Documentation provided to Department within required timeframe
C — Personnel records include evidence of freedom from infectious tuberculosis
C — Resident medical record includes vaccination notification documentation
F — Means of exiting the facility ensured for residents without keys or special knowledge
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