Inspection Report Summary
The most recent inspection on August 16, 2025, included deficiencies that resulted in a $1,000 fine currently in process with partial payment made. Earlier inspections showed repeated issues with resident safety, documentation, staff supervision, and medical recordkeeping, leading to multiple enforcement actions and fines totaling at least $3,500. Prior reports cited deficiencies related to emergency preparedness, tuberculosis screening, administration, quality management, service plans, and medication services. Complaint investigations were limited, with one substantiated complaint during the May 9, 2025 inspection that identified multiple deficiencies across several areas. The inspection history indicates ongoing challenges with compliance, as recent inspections continue to note similar issues without clear improvement.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
116% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Date: Aug 16, 2025
Summary
A fine of $1,000.00 was imposed and is currently in process with partial payment made.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Fine imposed as part of enforcement action | In process |
Enforcement Action
Enforcement
Fines: 2
Total: $1,000.00
Date: Jun 27, 2025
Summary
The facility was found to have repeat deficiencies related to resident safety and documentation, resulting in civil fines totaling $1000.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $750.00 | Failure to ensure a safe means of exiting the facility, posing a risk to resident safety; repeat deficiency from complaint inspection. | Pending |
| $250.00 | Failure to ensure submission of medical documentation for residents requiring continuous medical or nursing services. | Pending |
Inspection Report
Complaint Investigation
Capacity: 5
Deficiencies: 16
Date: May 9, 2025
Visit Reason
Sixteen deficiencies found related to emergency responders, tuberculosis screening, administration, quality management, residency agreements, service plans, medical records, directed care services, medication services, and emergency and safety standards.
Complaint Details
Complaint 00129767 investigated during this inspection
Findings
Sixteen deficiencies found related to emergency responders, tuberculosis screening, administration, quality management, residency agreements, service plans, medical records, directed care services, medication services, and emergency and safety standards.
Deficiencies (16)
A.R.S. § 36-420.04.C. Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document
R9-10-113.A.1-2. Tuberculosis Screening
R9-10-803.D.1-4. Administration
R9-10-804.3. Quality Management
R9-10-807.A.1-2. Residency and Residency Agreements
R9-10-807.B.1.a-b. Residency and Residency Agreements
R9-10-807.D.1-10. Residency and Residency Agreements
R9-10-808.A.3.a. Service Plans
R9-10-808.A.5.a. Service Plans
R9-10-811.C.12. Medical Records
R9-10-811.C.18. Medical Records
R9-10-811.C.9. Medical Records
R9-10-815.C.6.a-b. Directed Care Services
R9-10-815.F.2.a-c. Directed Care Services
R9-10-816.F.1. Medication Services
R9-10-818.A.2. Emergency and Safety Standards
Enforcement Action
Enforcement
Fines: 1
Total: $2,500.00
Date: Jan 7, 2025
Summary
The facility was fined $2,500.00 with partial payment made and the remainder due by 2025-02-27.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $2,500.00 | Financial penalty related to enforcement action | Pending |
Enforcement Action
Enforcement
Fines: 4
Total: $2,500.00
Date: Nov 19, 2024
Summary
The facility was found deficient in several areas posing health and safety risks, including unqualified staff providing unsupervised care, incomplete personnel records, missing medical records, and inadequate exit alert systems.
Fines & Penalties (4)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to ensure an assistant caregiver interacted with residents under supervision. | Pending |
| $1,000.00 | Failure to maintain personnel records for employees as required. | Pending |
| $500.00 | Failure to establish and maintain medical records for residents. | Pending |
| $500.00 | Failure to ensure a means of exiting the facility controlled or alerted employees of resident egress. | Pending |
Inspection Report
Monitoring
Capacity: 5
Deficiencies: 0
Date: May 22, 2024
Visit Reason
No deficiencies were found during the on-site abbreviated initial follow-up inspection.
Findings
No deficiencies were found during the on-site abbreviated initial follow-up inspection.
Inspection Report
Original Licensing
Capacity: 5
Deficiencies: 0
Date: Feb 15, 2024
Visit Reason
No deficiencies were found during the on-site initial inspection.
Findings
No deficiencies were found during the on-site initial inspection.
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