Inspection Reports for Joshua Springs Senior Living
2995 Desert Sky Blvd, Bullhead City, AZ 86442, United States, AZ, 86442
Back to Facility ProfileInspection Report Summary
The most recent inspection on December 26, 2025, included enforcement action with a fine of $1,750 that has been paid in full. Earlier inspections showed a pattern of deficiencies related to tuberculosis screening, personnel records, service plans, medication administration, environmental standards, and quality management reporting. Prior complaint investigations were mostly unsubstantiated, and enforcement actions involved fines but no license suspensions or immediate jeopardy findings are listed in the available reports. The facility has faced repeated issues with documentation, service plan compliance, and staff training over time. While deficiencies have persisted, the payment of fines and continued inspections suggest ongoing regulatory oversight without escalation to more severe enforcement.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
10.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
189% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
16
12
8
4
0
Enforcement Action
Enforcement
Fines: 1
Total: $1,750.00
Date: Dec 26, 2025
Summary
A fine of $1,750.00 was imposed and has been paid in full, indicating resolution of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,750.00 | Fine imposed as part of enforcement action | Paid |
Inspection Report
Enforcement
Capacity: 120
Deficiencies: 10
Date: Oct 14, 2025
Visit Reason
Ten deficiencies found during complaint and compliance (annual) inspection including tuberculosis screening, personnel records, service plans, medication administration, and environmental standards.
Findings
Ten deficiencies found during complaint and compliance (annual) inspection including tuberculosis screening, personnel records, service plans, medication administration, and environmental standards.
Deficiencies (10)
R9-10-113.A.2.a-f. Tuberculosis Screening
R9-10-803.A.9. Administration
R9-10-806. Personnel
R9-10-806.A.10. Personnel
R9-10-807.B.1.a-b. Residency and Residency Agreements
R9-10-808.A.3.b. Service Plans
R9-10-815.C.6.a-b. Directed Care Services
R9-10-817.B.3.b. Medication Services
R9-10-820.A.10. Environmental Standards
R9-10-820.A.11. Environmental Standards
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 0
Date: Dec 26, 2024
Visit Reason
No deficiencies found during investigation of complaints AZ00218715 and AZ00220333.
Findings
No deficiencies found during investigation of complaints AZ00218715 and AZ00220333.
Enforcement Action
Enforcement
Fines: 1
Total: $1,000.00
Date: Dec 24, 2024
Summary
A fine of $1,000.00 was imposed and has been fully paid as of 2025-01-28.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,000.00 | Fine related to enforcement action against the facility | Paid |
Enforcement Action
Enforcement
Fines: 2
Total: $1,000.00
Date: Oct 30, 2024
Summary
The facility was found to have repeated deficiencies in quality management reporting and issues with employee first aid training documentation, resulting in civil fines.
Fines & Penalties (2)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Failure to submit quality management reports as required (repeat deficiency). | — |
| $500.00 | One employee had no documentation of first aid training and one employee's first aid training was expired. | — |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 5
Date: Oct 30, 2024
Visit Reason
Five deficiencies found during compliance inspection and investigation of complaints AZ00206793, AZ00210730, and AZ00217489 including failure to submit documented reports, personnel record compliance, tuberculosis evidence, and food menu posting.
Findings
Five deficiencies found during compliance inspection and investigation of complaints AZ00206793, AZ00210730, and AZ00217489 including failure to submit documented reports, personnel record compliance, tuberculosis evidence, and food menu posting.
Deficiencies (5)
Failure to submit documented report to governing authority
Personnel record compliance failures
Failure to provide current documentation before services
Failure to provide evidence of freedom from infectious tuberculosis
Failure to conspicuously post food menu
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 0
Date: Feb 15, 2024
Visit Reason
No deficiencies found during investigation of complaints AZ00205991 and AZ00206458.
Findings
No deficiencies found during investigation of complaints AZ00205991 and AZ00206458.
Enforcement Action
Enforcement
Fines: 1
Total: $2,250.00
Date: Jan 23, 2024
Summary
A fine of $2,250.00 was imposed and has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $2,250.00 | Fine imposed as part of enforcement action | Paid |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 3
Date: Jan 9, 2024
Visit Reason
Three deficiencies found during investigation of multiple complaints including failures in service plan content, review and update, and equipment repair.
Findings
Three deficiencies found during investigation of multiple complaints including failures in service plan content, review and update, and equipment repair.
Deficiencies (3)
Failure to include level of service in written service plan
Failure to review and update service plans based on condition changes
Failure to maintain equipment in good repair
Enforcement Action
Enforcement
Fines: 1
Total: $2,250.00
Date: Jan 9, 2024
Summary
The enforcement resulted in a civil fine for repeated deficiencies related to residents' service plans, confirming ongoing non-compliance with care plan requirements.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $2,250.00 | Civil fines for two repeat deficiencies: two residents' service plans did not include the correct level of care and four residents' service plans were not updated at least once every three months. | — |
Enforcement Action
Enforcement
Fines: 1
Total: $1,750.00
Date: Jul 18, 2023
Summary
A fine of $1,750.00 was imposed and has been fully paid as of 8/1/2023.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,750.00 | Enforcement action fine | Paid |
Inspection Report
Complaint Investigation
Capacity: 120
Deficiencies: 14
Date: Jun 14, 2023
Visit Reason
Fourteen deficiencies found during compliance inspection and investigation of multiple complaints including failures in staff training, documented reports, service plans, food service, disaster preparedness, evacuation drills, accident reporting, and pet licensing.
Findings
Fourteen deficiencies found during compliance inspection and investigation of multiple complaints including failures in staff training, documented reports, service plans, food service, disaster preparedness, evacuation drills, accident reporting, and pet licensing.
Deficiencies (14)
36-420.01. Fall prevention and recovery training program failure
Failure to submit documented report to governing authority
Failure to complete written service plan timely
Failure to include description in service plan
Failure to include level of service in service plan
Failure to review and update service plans
Failure to provide assisted living services as expected
Failure to document vaccination notification
Failure to serve meals and snacks according to posted menus
Failure to document disaster plan review
Failure to conduct disaster drills on each shift quarterly
Failure to conduct evacuation drills semiannually
Failure to ensure accident and injury reporting
Failure to license pets consistent with local ordinances
Enforcement Action
Enforcement
Fines: 5
Total: $1,750.00
Date: Jun 14, 2023
Summary
The facility was found to have several deficiencies including lack of a service plan for one resident, failure to conduct evacuation drills, and repeat deficiencies from a prior inspection related to quality management reports, service plans, and vaccination documentation. The licensee agreed to pay civil fines totaling $1750 and comply with corrective actions.
Fines & Penalties (5)
| Amount | Reason | Status |
|---|---|---|
| $250.00 | No quality management reports for the past 12 months. | — |
| $500.00 | One resident did not have a service plan. | — |
| $250.00 | Three directed care residents' service plans were not updated at least once every three months. | — |
| $250.00 | Two residents' medical records lacked documentation of vaccination notifications for influenza and pneumonia. | — |
| $500.00 | No evacuation drills for employees and residents were conducted during the past twelve months. | — |
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