Inspection Report Summary
The most recent inspection on September 16, 2025 found no deficiencies during the complaint investigation. Earlier inspections showed a pattern of deficiencies related mainly to documentation issues, including personnel records, service plans, medication storage, emergency drills, and physical plant standards. Enforcement actions were taken several times, resulting in fines ranging from $250 to $500, with the most recent fine paid in July 2025. Complaint investigations were generally unsubstantiated, with no deficiencies found in the latest complaints reviewed. The facility’s record shows some improvement as the most recent inspection was free of deficiencies after a period of mixed findings and enforcement actions.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
62% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Capacity: 99
Deficiencies: 0
Sep 16, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00144114, 00131800, and 00133630.
Findings
No deficiencies were found during the on-site investigation of complaints 00144114, 00131800, and 00133630.
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Jul 30, 2025
Summary
The enforcement resulted in a $500 fine which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine related to enforcement action against the facility | Paid |
Inspection Report
Complaint Investigation
Capacity: 99
Deficiencies: 9
May 9, 2025
Visit Reason
Nine deficiencies found during compliance inspection and complaint investigation including modification approvals, personnel documentation, residency agreements, service plans, resident rights, medication storage, emergency drills, and physical plant standards.
Findings
Nine deficiencies found during compliance inspection and complaint investigation including modification approvals, personnel documentation, residency agreements, service plans, resident rights, medication storage, emergency drills, and physical plant standards.
Deficiencies (9)
| Description |
|---|
| R9-10-110.A.1-5. Modification of a Health Care Institution — failure to submit request for approval of modification |
| R9-10-806.A.8.a-b. Personnel — failure to ensure employee TB documentation |
| R9-10-807.A.1-2. Residency and Residency Agreements — failure to ensure resident TB evidence |
| R9-10-808.A.3.c. Service Plans — failure to ensure resident has written service plan including level of service |
| R9-10-810.B.1. Resident Rights — failure to ensure resident treated with dignity, respect, and consideration |
| R9-10-816.F.1. Medication Services — failure to ensure medication stored in locked area |
| R9-10-818.A.4. Emergency and Safety Standards — failure to conduct disaster drill on each shift quarterly |
| R9-10-818.A.5.a. Emergency and Safety Standards — failure to conduct evacuation drill at least every six months |
| R9-10-820.D.4.d. Physical Plant Standards — failure to ensure resident sleeping area has floor-to-ceiling walls |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Feb 12, 2024
Summary
The facility was found deficient in controlling or alerting employees about the egress of a resident, resulting in a $500 civil fine for health and safety violations related to elopement risk.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure controlled egress for a resident, posing a potential elopement risk. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Feb 6, 2024
Summary
A fine of $250.00 was imposed and has been paid in full as part of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Fine associated with enforcement action #00111737 | Paid |
Inspection Report
Complaint Investigation
Capacity: 99
Deficiencies: 1
Jan 30, 2024
Visit Reason
One deficiency cited for failure to ensure caregiver skills and knowledge were verified and documented before providing care.
Findings
One deficiency cited for failure to ensure caregiver skills and knowledge were verified and documented before providing care.
Deficiencies (1)
| Description |
|---|
| A. A manager shall ensure that: 4. Caregiver skills and knowledge verified and documented before providing care |
Enforcement Action
Enforcement
Fines: 1
Total: $250.00
Jan 30, 2024
Summary
The facility was found non-compliant with health and safety regulations as four of six caregivers reviewed lacked proper verification of skills and knowledge, resulting in a $250 civil fine.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | Failure to ensure a caregiver's skills and knowledge were verified and documented before providing physical health services, posing a health and safety risk. | — |
Inspection Report
Complaint Investigation
Capacity: 99
Deficiencies: 1
Jan 8, 2024
Visit Reason
One deficiency cited for failure to ensure means of exiting the facility for residents authorized to receive directed care.
Findings
One deficiency cited for failure to ensure means of exiting the facility for residents authorized to receive directed care.
Deficiencies (1)
| Description |
|---|
| F. A manager shall ensure that: 2. Means of exiting the facility for residents authorized to receive directed care |
Inspection Report
Complaint Investigation
Capacity: 99
Deficiencies: 5
Oct 11, 2023
Visit Reason
Five deficiencies found including failures in service plans, medication administration, therapeutic diets, and disaster drills.
Findings
Five deficiencies found including failures in service plans, medication administration, therapeutic diets, and disaster drills.
Deficiencies (5)
| Description |
|---|
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that includes amount, type, and frequency of assisted living services |
| A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that includes specific resident information |
| B. If an assisted living facility provides medication administration, a manager shall ensure medication is administered in compliance with orders |
| B. If the assisted living facility offers therapeutic diets, a manager shall ensure diet is provided according to written order |
| A. A manager shall ensure that: 4. Disaster drill for employees conducted on each shift quarterly and documented |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Jun 10, 2023
Summary
The facility was found non-compliant for lacking required caregiver training documentation, resulting in a civil fine.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure a caregiver provides current documentation of first aid and cardiopulmonary resuscitation training specific to adults prior to providing assisted living services. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
May 30, 2023
Summary
A fine of $500.00 was imposed and has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine imposed as part of enforcement action | Paid |
Inspection Report
Complaint Investigation
Capacity: 99
Deficiencies: 2
May 16, 2023
Visit Reason
Two deficiencies cited for failure to ensure compliance with A.R.S. § 36-411 and failure to ensure caregiver provides current first aid and CPR documentation.
Findings
Two deficiencies cited for failure to ensure compliance with A.R.S. § 36-411 and failure to ensure caregiver provides current first aid and CPR documentation.
Deficiencies (2)
| Description |
|---|
| A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411 |
| A. A manager shall ensure that: 10. Caregiver provides current documentation of first aid and CPR training |
Enforcement Action
Enforcement
Total: $0.00
Nodate Enforcement
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