Inspection Report Summary
The most recent inspection on April 4, 2025, cited multiple deficiencies related to administration policies, resident rights, infection control, food safety, and care planning. Earlier inspections showed a pattern of issues involving staffing, resident dignity, abuse prevention, care planning, and life safety concerns such as doors and electrical systems. Complaint investigations were generally unsubstantiated or resulted in citations for care and abuse prevention, but no fines or enforcement actions were listed in the available reports. There were no license suspensions or immediate jeopardy findings noted. The facility’s inspection history indicates ongoing challenges with administrative and care-related areas, with deficiencies appearing consistently over time.
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: 180
Deficiencies: 11
Date: Apr 4, 2025
Visit Reason
Recertification survey combined with complaint investigation citing 12 deficiencies related to administration policies, resident rights, infection control, food safety, and care planning.
Findings
Recertification survey combined with complaint investigation citing 12 deficiencies related to administration policies, resident rights, infection control, food safety, and care planning.
Deficiencies (11)
R9-10-403.C — Administrator policies and procedures
§483.10(f) — Resident self-determination
§483.10(c)(6) — Resident rights
§483.25(e) — Incontinence care
§483.60(i) — Food safety requirements
§483.65 — Specialized rehabilitative services
§483.80 — Infection Control
R9-10-410.B — Resident pharmacy selection and dignity
R9-10-413.B — Medical director responsibilities
R9-10-414.B — Care plan nursing care
R9-10-423.A — Food establishment contracts
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 1
Date: Jan 30, 2025
Visit Reason
Investigation citing one deficiency related to nursing personnel sufficiency.
Findings
Investigation citing one deficiency related to nursing personnel sufficiency.
Deficiencies (1)
R9-10-412.B — Nursing personnel sufficiency
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 4
Date: Jan 3, 2025
Visit Reason
Complaint investigation citing four deficiencies including staffing, resident dignity, abuse prevention, and care plan nursing care.
Findings
Complaint investigation citing four deficiencies including staffing, resident dignity, abuse prevention, and care plan nursing care.
Deficiencies (4)
R9-10-406.B — Staffing presence
R9-10-410.B — Resident dignity
R9-10-410.B — Abuse prevention
R9-10-414.B — Care plan nursing care
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 0
Date: Dec 23, 2024
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 4
Date: Jun 5, 2024
Visit Reason
Complaint survey citing four deficiencies related to abuse prevention, quality of care, resident abuse, and care plan nursing care.
Findings
Complaint survey citing four deficiencies related to abuse prevention, quality of care, resident abuse, and care plan nursing care.
Deficiencies (4)
§483.12 — Freedom from abuse, neglect, and exploitation
§483.25 — Quality of care
R9-10-410.B — Abuse prevention
R9-10-414.B — Care plan nursing care
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 0
Date: Aug 2, 2023
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 0
Date: Jul 12, 2023
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Life Safety
Capacity: 180
Deficiencies: 4
Date: Jun 8, 2023
Visit Reason
Life Safety Code recertification survey citing four deficiencies related to egress doors, corridor doors, electrical systems, and power cords.
Findings
Life Safety Code recertification survey citing four deficiencies related to egress doors, corridor doors, electrical systems, and power cords.
Deficiencies (4)
Egress Doors — Life Safety Code
Corridor Doors — Life Safety Code
Electrical Systems — Maintenance and testing
Electrical Equipment — Power cords and extension cords
Inspection Report
Complaint Investigation
Capacity: 180
Deficiencies: 2
Date: Jun 8, 2023
Visit Reason
State compliance survey combined with complaint investigation citing two deficiencies related to administrator policies and medication labeling.
Findings
State compliance survey combined with complaint investigation citing two deficiencies related to administrator policies and medication labeling.
Deficiencies (2)
R9-10-403.C — Administrator policies and procedures
§483.45(g) — Labeling of drugs and biologicals
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