Inspection Report Summary
The most recent inspection on May 5, 2025, found no deficiencies. Earlier inspections showed a mix of results, with some citations related to laboratory services, medical director responsibilities, administrator and director of nursing duties, and corridor door safety. Complaint investigations were generally unsubstantiated, with no deficiencies cited in those surveys. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports. The overall pattern suggests improvement, as the most recent inspections have been free of deficiencies after earlier issues were addressed.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
3.5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
5% better than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
4
3
2
1
0
Inspection Report
Complaint Investigation
Capacity: 222
Deficiencies: 0
Date: May 5, 2025
Visit Reason
An onsite complaint survey was conducted for intake # 00129212. No deficiencies cited.
Findings
An onsite complaint survey was conducted for intake # 00129212. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 222
Deficiencies: 0
Date: Apr 17, 2025
Visit Reason
An onsite complaint survey was conducted for intakes #AZ00223571, 00127242 and 00127172. No deficiencies cited.
Findings
An onsite complaint survey was conducted for intakes #AZ00223571, 00127242 and 00127172. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 222
Deficiencies: 0
Date: Apr 9, 2025
Visit Reason
An onsite complaint survey was conducted for intakes # 00125395, 00125320, 00124030. No deficiencies cited.
Findings
An onsite complaint survey was conducted for intakes # 00125395, 00125320, 00124030. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 222
Deficiencies: 2
Date: Mar 14, 2025
Visit Reason
Investigation conducted for multiple intakes. Two deficiencies cited related to laboratory services and medical director responsibilities.
Findings
Investigation conducted for multiple intakes. Two deficiencies cited related to laboratory services and medical director responsibilities.
Deficiencies (2)
§483.50(a) — Laboratory Services. The facility must provide or obtain laboratory services to meet the needs of its residents.
R9-10-413.B — Medical director responsibilities for services not provided by the nursing care institution.
Inspection Report
Complaint Investigation
Capacity: 222
Deficiencies: 0
Date: Feb 27, 2025
Visit Reason
An onsite complaint survey was conducted for multiple intakes. No deficiencies cited.
Findings
An onsite complaint survey was conducted for multiple intakes. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 222
Deficiencies: 4
Date: Feb 11, 2025
Visit Reason
Recertification and complaint survey conducted with multiple complaint investigations. Four deficiencies cited related to administrator and director of nursing responsibilities.
Findings
Recertification and complaint survey conducted with multiple complaint investigations. Four deficiencies cited related to administrator and director of nursing responsibilities.
Deficiencies (4)
R9-10-406.B — Administrator must ensure personnel skills and knowledge are verified and documented.
R9-10-406.B — Administrator must ensure sufficient personnel are present on premises.
R9-10-412.B — Director of nursing must ensure unnecessary drugs are not administered to residents.
R9-10-414.B — Administrator must ensure care plans provide nursing care institution services.
Inspection Report
Capacity: 222
Deficiencies: 1
Date: Feb 10, 2025
Visit Reason
Recertification survey for Medicare under Life Safety Code 2012. Facility meets standards based on acceptance of plan of correction. One deficiency cited related to corridor doors.
Findings
Recertification survey for Medicare under Life Safety Code 2012. Facility meets standards based on acceptance of plan of correction. One deficiency cited related to corridor doors.
Deficiencies (1)
Corridor - Doors — Doors protecting corridor openings must resist passage of heat and/or smoke.
Inspection Report
Complaint Investigation
Capacity: 222
Deficiencies: 0
Date: Dec 31, 2024
Visit Reason
Complaint survey conducted for intake # AZ00220674. No deficiencies cited.
Findings
Complaint survey conducted for intake # AZ00220674. No deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 222
Deficiencies: 0
Date: Dec 23, 2024
Visit Reason
Complaint survey conducted for intakes # AZ00220833, AZ00220840. No deficiencies cited.
Findings
Complaint survey conducted for intakes # AZ00220833, AZ00220840. No deficiencies cited.
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