Inspection Report Summary
The most recent inspection on August 29, 2025, found no deficiencies. Earlier inspections showed a pattern of deficiencies primarily related to abuse prevention, resident protection, and premises safety, with some issues involving physician orders and pharmacy services. Complaint investigations were mostly unsubstantiated, though a June 17, 2025, investigation did identify deficiencies involving abuse and related care processes. No fines, immediate jeopardy findings, or license actions were listed in the available reports. The facility’s record suggests some improvement over time, with recent inspections showing fewer or no deficiencies compared to earlier reports.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
8.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
135% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 0
Date: Aug 29, 2025
Visit Reason
Investigation of complaints 2602755 and 00142454 with no deficiencies cited.
Findings
Investigation of complaints 2602755 and 00142454 with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 0
Date: Aug 22, 2025
Visit Reason
Complaint survey investigating multiple intake numbers with no deficiencies cited.
Findings
Complaint survey investigating multiple intake numbers with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 4
Date: Jun 17, 2025
Visit Reason
Investigation of numerous complaints resulting in four deficiencies related to physician orders, abuse prevention, pharmacy services, and resident abuse.
Findings
Investigation of numerous complaints resulting in four deficiencies related to physician orders, abuse prevention, pharmacy services, and resident abuse.
Deficiencies (4)
R9-10-403.C — Failure to ensure physician orders were followed as written
§483.12 — Failure to protect residents from abuse, neglect, and exploitation
§483.45 — Failure to provide pharmacy services as ordered
R9-10-410.B — Failure to ensure residents were not subjected to abuse
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 0
Date: May 6, 2025
Visit Reason
Complaint survey investigating multiple intakes with no deficiencies cited.
Findings
Complaint survey investigating multiple intakes with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 0
Date: Feb 27, 2025
Visit Reason
Onsite complaint survey for multiple intakes with no deficiencies cited.
Findings
Onsite complaint survey for multiple intakes with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 0
Date: Feb 10, 2025
Visit Reason
Onsite complaint survey for intake # AZ00222699 with no deficiencies cited.
Findings
Onsite complaint survey for intake # AZ00222699 with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 0
Date: Jan 22, 2025
Visit Reason
Onsite complaint survey for intake # AZ00222206 with no deficiencies cited.
Findings
Onsite complaint survey for intake # AZ00222206 with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 0
Date: Dec 10, 2024
Visit Reason
Onsite complaint survey for multiple intakes with no deficiencies cited.
Findings
Onsite complaint survey for multiple intakes with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 0
Date: Sep 30, 2024
Visit Reason
Onsite complaint survey for intake AZ00216435 with no deficiencies cited.
Findings
Onsite complaint survey for intake AZ00216435 with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 0
Date: Sep 3, 2024
Visit Reason
Onsite complaint survey for intakes AZ00215241 and AZ00215096 with no deficiencies cited.
Findings
Onsite complaint survey for intakes AZ00215241 and AZ00215096 with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 2
Date: Aug 5, 2024
Visit Reason
Complaint survey citing two deficiencies related to abuse prevention and premises safety.
Findings
Complaint survey citing two deficiencies related to abuse prevention and premises safety.
Deficiencies (2)
R9-10-410.B — Failure to ensure residents were not subjected to abuse
R9-10-425.A — Failure to maintain premises and equipment free from hazards
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 0
Date: Jul 11, 2024
Visit Reason
Onsite complaint survey for multiple intakes with no deficiencies cited.
Findings
Onsite complaint survey for multiple intakes with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 2
Date: Apr 11, 2024
Visit Reason
Complaint survey citing two deficiencies related to abuse prevention.
Findings
Complaint survey citing two deficiencies related to abuse prevention.
Deficiencies (2)
§483.12 — Failure to protect residents from abuse, neglect, and exploitation
R9-10-410.B — Failure to ensure residents were not subjected to abuse
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 10
Date: Mar 25, 2024
Visit Reason
State compliance survey with ten deficiencies including abuse prevention, assessments, care plans, accident hazards, dialysis monitoring, and premises safety.
Findings
State compliance survey with ten deficiencies including abuse prevention, assessments, care plans, accident hazards, dialysis monitoring, and premises safety.
Deficiencies (10)
§483.12 — Failure to protect residents from abuse, neglect, and exploitation
§483.20(c) — Failure to complete quarterly resident assessments
§483.21(b)(3) — Failure to develop and implement comprehensive care plans
§483.25(d) — Failure to maintain resident environment free of accident hazards
§483.25(l) — Failure to ensure safe dialysis monitoring
R9-10-410.B — Failure to ensure residents were not subjected to abuse
R9-R9-10-414.A — Failure to ensure registered nurse review of assessments
R9-10-414.B — Failure to ensure nursing care plans are provided
R9-10-417 — Failure to ensure dialysis services are properly authorized and monitored
R9-10-425.A — Failure to maintain premises and equipment free from hazards
Inspection Report
Life Safety
Capacity: 230
Deficiencies: 4
Date: Mar 25, 2024
Visit Reason
Recertification survey for Medicare under Life Safety Code 2012 with four deficiencies related to emergency preparedness, egress doors, corridor doors, and HVAC maintenance.
Findings
Recertification survey for Medicare under Life Safety Code 2012 with four deficiencies related to emergency preparedness, egress doors, corridor doors, and HVAC maintenance.
Deficiencies (4)
[(a) Emergency Plan — Failure to maintain and update emergency preparedness plan
Egress Doors — Failure to maintain proper locking mechanisms on exit doors
Corridor - Doors — Failure to maintain corridor doors to prevent smoke and heat transfer
HVAC — Failure to inspect and maintain fire/smoke dampers and fusible links
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 2
Date: Feb 13, 2024
Visit Reason
Complaint survey citing two deficiencies related to abuse prevention.
Findings
Complaint survey citing two deficiencies related to abuse prevention.
Deficiencies (2)
§483.12 — Failure to protect residents from abuse, neglect, and exploitation
R9-10-410.B — Failure to ensure residents were not subjected to abuse
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 0
Date: Jan 30, 2024
Visit Reason
Complaint survey for intake #AZ00205704 with no deficiencies cited.
Findings
Complaint survey for intake #AZ00205704 with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 2
Date: Nov 21, 2023
Visit Reason
Complaint survey citing two deficiencies related to abuse prevention.
Findings
Complaint survey citing two deficiencies related to abuse prevention.
Deficiencies (2)
§483.12 — Failure to protect residents from abuse, neglect, and exploitation
R9-10-410.B — Failure to ensure residents were not subjected to abuse
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 0
Date: Jul 6, 2023
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 230
Deficiencies: 0
Date: Mar 20, 2023
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
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