Inspection Reports for Immanuel Campus of Care

AZ, 85345

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Inspection Report Summary

The most recent inspection on September 18, 2025, had no deficiencies cited. Earlier inspections showed a pattern of deficiencies primarily related to abuse prevention, resident rights, and some safety issues, with several complaint investigations resulting in citations in these areas. There were no fines, immediate jeopardy findings, or license actions listed in the available reports. Most complaint investigations were unsubstantiated, with only a few substantiated cases involving abuse prevention. The trend suggests improvement over time, as recent inspections have been free of deficiencies following a period of cited issues.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 8 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

116% worse than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2024
2025

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Sep 18, 2025

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Complaint survey conducted for multiple complaints with no deficiencies cited.

Complaint Details
Investigation of complaints #00142480, 00142546, 2594415, 00141270.
Findings
Complaint survey conducted for multiple complaints with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Aug 15, 2025

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Complaint survey conducted with multiple intakes investigated and no deficiencies cited.

Complaint Details
Investigation of multiple intakes including 00134008, 224368, AZ00212647, and others.
Findings
Complaint survey conducted with multiple intakes investigated and no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Aug 7, 2025

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Onsite complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of intake #00138681, AZ00216997, AZ00214982, AZ00214902.
Findings
Onsite complaint survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 1 Date: Jul 23, 2025

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Risk-Based Complaint survey conducted with one deficiency cited related to abuse prevention.

Complaint Details
Investigation of complaints #2243368, 2243339.
Findings
Risk-Based Complaint survey conducted with one deficiency cited related to abuse prevention.

Deficiencies (1)
R9-10-410.B.3.a. Abuse — failure to protect residents from abuse

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 6 Date: Jul 15, 2025

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Complaint survey conducted with census 159 and six deficiencies cited related to abuse reporting and resident rights.

Complaint Details
Investigation of complaints 00135689, 00136012, 00136014.
Findings
Complaint survey conducted with census 159 and six deficiencies cited related to abuse reporting and resident rights.

Deficiencies (6)
R9-10-403.F — Abuse, neglect or exploitation reporting
R9-10-403.F — Abuse, neglect or exploitation reporting
§483.12 Freedom from Abuse, Neglect, and Exploitation — resident rights to be free from abuse and neglect
§483.12(b) — Facility policies and procedures to prevent abuse, neglect, and exploitation
§483.12(c) — Response to allegations of abuse, neglect, exploitation, or mistreatment
R9-10-410.B.3.a. Abuse — failure to protect residents from abuse

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 2 Date: Jul 3, 2025

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Complaint survey conducted with two deficiencies cited related to abuse prevention.

Complaint Details
Investigation of complaints AZ00225062, SF00135196, AZ00209074, AZ00210557.
Findings
Complaint survey conducted with two deficiencies cited related to abuse prevention.

Deficiencies (2)
§483.12 Freedom from Abuse, Neglect, and Exploitation — resident rights to be free from abuse and neglect
R9-10-410.B.3.a. Abuse — failure to protect residents from abuse

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Jun 13, 2025

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Complaint investigation conducted with no deficiencies cited.

Complaint Details
Investigation of intake #00133413.
Findings
Complaint investigation conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 1 Date: May 27, 2025

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Onsite complaint survey conducted with one deficiency cited related to abuse prevention.

Complaint Details
Investigation of intake #00130912, 00131147, 00131585, 00131826, AZ00211290, AZ00211249, AZ00212102.
Findings
Onsite complaint survey conducted with one deficiency cited related to abuse prevention.

Deficiencies (1)
R9-10-410.B.3.a. Abuse — failure to protect residents from abuse

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Apr 25, 2025

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Complaint investigation conducted with no deficiencies cited.

Complaint Details
Investigation of intake #00127334, 00127556, 00128182, 00128109, 00128155, 00128009, 00127991.
Findings
Complaint investigation conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Apr 15, 2025

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Complaint investigation conducted with no deficiencies cited.

Complaint Details
Investigation of complaints 00126069, 00126142, 00127004.
Findings
Complaint investigation conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 1 Date: Mar 24, 2025

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Complaint investigation conducted with one deficiency cited related to facility premises and equipment safety.

Complaint Details
Investigation of complaints 00123323 and 00123532.
Findings
Complaint investigation conducted with one deficiency cited related to facility premises and equipment safety.

Deficiencies (1)
R9-10-425.A.1.b — Premises and equipment free from hazards

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 1 Date: Mar 20, 2025

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Complaint survey conducted with one deficiency cited related to abuse prevention.

Complaint Details
Investigation of intake #001211966, 00122041, 00123184.
Findings
Complaint survey conducted with one deficiency cited related to abuse prevention.

Deficiencies (1)
R9-10-410.B.3.a. Abuse — failure to protect residents from abuse

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Feb 27, 2025

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Complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of intakes #0108930, 00115727, 00120738.
Findings
Complaint survey conducted with no deficiencies cited.

Inspection Report

Capacity: 228 Deficiencies: 5 Date: Feb 10, 2025

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Recertification survey for Medicare under Life Safety Code 2012 with five deficiencies cited related to fire safety and electrical systems.

Findings
Recertification survey for Medicare under Life Safety Code 2012 with five deficiencies cited related to fire safety and electrical systems.

Deficiencies (5)
Portable Fire Extinguishers — failure to provide and maintain fire extinguishers per NFPA 10
Corridor Doors — failure to maintain doors protecting corridor openings
Smoke Barrier Construction — failure to properly fill penetrations in fire/smoke barriers
Electrical Systems — failure to provide emergency lighting for emergency generator
Electrical Systems — failure to install remote stop or kill switch for generator

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 3 Date: Jan 28, 2025

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Recertification survey conducted with three deficiencies cited related to abuse prevention, resident rights, and medication administration.

Complaint Details
Investigation of complaints # AZ00222524, AZ00222616, AZ00219154, AZ00212847, AZ00212137, AZ00212282, AZ00215819, AZ00222617, AZ00213412, AZ00222759.
Findings
Recertification survey conducted with three deficiencies cited related to abuse prevention, resident rights, and medication administration.

Deficiencies (3)
R9-10-410.B.3.a. Abuse — failure to protect residents from abuse
R9-10-410.C.5 — Resident rights to retain personal possessions
R9-10-412.B.7 — Director of nursing ensuring unnecessary drugs are not administered

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Jan 23, 2025

Visit Reason
Complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of intake # AZ00222522, AZ00221827, AZ00221789, AZ00222400.
Findings
Complaint survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Jan 3, 2025

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Complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of intake # AZ00221159.
Findings
Complaint survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 3 Date: Dec 19, 2024

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Complaint survey conducted with three deficiencies cited related to resident dignity, activity choice, and care plan supervision.

Complaint Details
Investigation of complaints AZ00220766, AZ00219884, AZ00220880, AZ00220415.
Findings
Complaint survey conducted with three deficiencies cited related to resident dignity, activity choice, and care plan supervision.

Deficiencies (3)
R9-10-410.B.2 — Resident treated with dignity, respect, and consideration
R9-10-410.C.3 — Resident rights to choose activities and schedules
R9-10-414.B.3 — Care plan ensuring nursing care supervision

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Nov 4, 2024

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Onsite complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of complaints #AZ00218429, AZ00218433, AZ00218220, AZ00218166, AZ00210494, AZ00218229, AZ00210504, AZ00217686, AZ00218314, AZ00218478, AZ00218291.
Findings
Onsite complaint survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 1 Date: Oct 29, 2024

Visit Reason
Onsite complaint survey conducted with one deficiency cited related to failure to provide timely written notification of self-injury.

Complaint Details
Investigation of intake # AZ00217784, AZ00217843, AZ00217975, AZ00210040, AZ0017636.
Findings
Onsite complaint survey conducted with one deficiency cited related to failure to provide timely written notification of self-injury.

Deficiencies (1)
R9-10-403.H.2 — Failure to provide timely written notification of self-injury

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Oct 22, 2024

Visit Reason
Complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of intake #s AZ00217755, AZ00217627, AZ00217088, AZ00212225, AZ00212216, AZ00211116, AZ00210359, AZ00217614.
Findings
Complaint survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Sep 30, 2024

Visit Reason
Onsite investigation conducted with no deficiencies cited.

Complaint Details
Investigation of intakes # AZ00216193, AZ00216204.
Findings
Onsite investigation conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Sep 5, 2024

Visit Reason
Complaint survey conducted with no deficiencies cited despite mention of deficiency.

Complaint Details
Investigation of intake #AZ00215372, AZ00215437.
Findings
Complaint survey conducted with no deficiencies cited despite mention of deficiency.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Jul 9, 2024

Visit Reason
Complaint survey conducted with no deficiencies cited despite mention of deficiency.

Complaint Details
Investigation of intake #s AZ00212775 and AZ00212454.
Findings
Complaint survey conducted with no deficiencies cited despite mention of deficiency.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: May 31, 2024

Visit Reason
Complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of intake #s AZ00211145, AZ00210669 and AZ00210731.
Findings
Complaint survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Apr 5, 2024

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Complaint survey conducted with no deficiencies cited despite mention of deficiencies.

Complaint Details
Investigation of multiple intake #s from AZ00190719 through AZ00209246.
Findings
Complaint survey conducted with no deficiencies cited despite mention of deficiencies.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Mar 20, 2024

Visit Reason
Investigation of complaints conducted with no deficiencies cited.

Complaint Details
Investigation of complaint #'s AZ00207666, AZ00207251, AZ00206452.
Findings
Investigation of complaints conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Mar 7, 2024

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Investigation of complaints conducted with no deficiencies cited.

Complaint Details
Investigation of complaints AZ00207307.
Findings
Investigation of complaints conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Feb 26, 2024

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Complaint survey conducted with no deficiencies cited despite mention of deficiencies.

Complaint Details
Investigation of intake #s AZ00207011, AZ00206787, AZ00206893, AZ00206899, AZ00206907, AZ00206840, AZ00206861, AZ00206845, AZ00206524, AZ0019031 and AZ00190017.
Findings
Complaint survey conducted with no deficiencies cited despite mention of deficiencies.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Jan 31, 2024

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Complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of intake #s AZ00205376 and AZ00205401.
Findings
Complaint survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Dec 21, 2023

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State compliance survey conducted with no deficiencies cited.

Complaint Details
Investigation of complaints AZ00204442, AZ00204166.
Findings
State compliance survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Dec 1, 2023

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Complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of intake #s AZ00203721, AZ00203421, AZ00202519, AZ00198154 and AZ00198186.
Findings
Complaint survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Nov 20, 2023

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Complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of intake #s AZ00203221, AZ00188539, AZ00189069, AZ00189166, AZ00189147, AZ00189431, AZ00189477, AZ00189467 and AZ00188335.
Findings
Complaint survey conducted with no deficiencies cited.

Inspection Report

Capacity: 228 Deficiencies: 0 Date: Oct 30, 2023

Visit Reason
Recertification survey for Medicare under Life Safety Code 2012 with no deficiencies cited.

Findings
Recertification survey for Medicare under Life Safety Code 2012 with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Oct 30, 2023

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Recertification survey conducted with no deficiencies cited.

Complaint Details
Investigation of complaints #s AZ00201316, AZ00201314, AZ00201319, AZ00202207, AZ00201114, AZ00201140, AZ00200912, AZ00200930, AZ00200935, AZ00200835, AZ00200775, AZ00200346.
Findings
Recertification survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Oct 19, 2023

Visit Reason
Investigation of complaints conducted with no deficiencies cited.

Complaint Details
Investigation of complaints # AZ00201811, AZ00201640, AZ002016487, and AZ00201642.
Findings
Investigation of complaints conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Oct 5, 2023

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Complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of intake #AZ00201418.
Findings
Complaint survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Sep 12, 2023

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Complaint survey conducted with no deficiencies cited despite mention of deficiencies.

Complaint Details
Investigation of intake #s AZ00188687, AZ00189886, AZ00189922, AZ00190806, AZ00190987, AZ00191007, AZ00190987, AZ00191005, AZ00191019, AZ00191034, AZ00191057, AZ00191153 and AZ00191148.
Findings
Complaint survey conducted with no deficiencies cited despite mention of deficiencies.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Sep 6, 2023

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Complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of intake #AZ00199674.
Findings
Complaint survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Aug 28, 2023

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Complaint survey conducted with no deficiencies cited despite mention of deficiency.

Complaint Details
Investigation of intake #s AZ00199282 and AZ00199545.
Findings
Complaint survey conducted with no deficiencies cited despite mention of deficiency.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Jul 24, 2023

Visit Reason
Onsite complaint survey conducted with no deficiencies cited despite mention of deficiencies.

Complaint Details
Investigation of intake #s AZ00196263, AZ00190620, AZ00186857, AZ00190691, AZ00186882, AZ00186049, AZ00187688, AZ00189392, AZ00199332, AZ00186559, AZ00186843, AZ00186698, AZ00186680, AZ00186651, AZ00186653, AZ00186189, AZ00186118, AZ00186029, AZ00186024, AZ00185866, AZ00185720, AZ00181016, AZ00186944, AZ00187080, AZ00187215, AZ00187420 and AZ00188345.
Findings
Onsite complaint survey conducted with no deficiencies cited despite mention of deficiencies.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Jun 26, 2023

Visit Reason
Onsite complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of intake #s AZ00196618, AZ00196791 and AZ00196801.
Findings
Onsite complaint survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Jun 14, 2023

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Complaint survey conducted with no deficiencies cited despite mention of deficiencies.

Complaint Details
Investigation of complaints #AZ00196564.
Findings
Complaint survey conducted with no deficiencies cited despite mention of deficiencies.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Jun 12, 2023

Visit Reason
Complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of #AZ00195997.
Findings
Complaint survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Apr 10, 2023

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Complaint survey conducted with no deficiencies cited despite mention of deficiencies.

Complaint Details
Investigation of intake #s AZ00193506, AZ00193628 and AZ00193630.
Findings
Complaint survey conducted with no deficiencies cited despite mention of deficiencies.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Mar 22, 2023

Visit Reason
Onsite complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of intake #s AZ00192574 and AZ00192965.
Findings
Onsite complaint survey conducted with no deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 228 Deficiencies: 0 Date: Mar 8, 2023

Visit Reason
Onsite complaint survey conducted with no deficiencies cited.

Complaint Details
Investigation of intake #s AZ00192183, AZ00191937, AZ00192327, AZ00191977 and AZ00191973.
Findings
Onsite complaint survey conducted with no deficiencies cited.

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