Inspection Reports for Silver Birch of Avondale
295 E Van Buren St, Avondale, AZ 85323, AZ, 85323
Back to Facility ProfileInspection Report Summary
The most recent inspection on August 14, 2025, found no deficiencies during the complaint investigations. Earlier inspections showed a mixed pattern, with some complaints resulting in deficiencies related mainly to administration, service plans, directed care services, abuse reporting, and medication storage. Prior reports also noted issues with caregiver verification and orientation, residency termination policies, medical records, hot water temperature, pet licensing and vaccination, and tuberculosis screening. Complaint investigations were mostly unsubstantiated except for a few substantiated cases involving administrative and care service issues. The facility’s record shows some improvement in recent months, with the latest inspections reporting no deficiencies after previous citations.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Complaint
Capacity: 164
Deficiencies: 0
Date: Aug 14, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00141038 and 00138860.
Complaint Details
Complaints 00141038 and 00138860
Findings
No deficiencies were found during the on-site investigation of complaints 00141038 and 00138860.
Inspection Report
Complaint
Capacity: 164
Deficiencies: 0
Date: Aug 13, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00140834, 00140949, and 00140946.
Complaint Details
Complaints 00140834, 00140949, and 00140946
Findings
No deficiencies were found during the on-site investigation of complaints 00140834, 00140949, and 00140946.
Inspection Report
Complaint
Capacity: 164
Deficiencies: 0
Date: Jul 29, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaint 00137802.
Complaint Details
Complaint 00137802
Findings
No deficiencies were found during the on-site investigation of complaint 00137802.
Inspection Report
Complaint
Capacity: 164
Deficiencies: 4
Date: Jul 24, 2025
Visit Reason
Four deficiencies were found during the on-site investigation of complaints 00137358, 00137871, and 00105126.
Complaint Details
Complaints 00137358, 00137871, and 00105126
Findings
Four deficiencies were found during the on-site investigation of complaints 00137358, 00137871, and 00105126.
Deficiencies (4)
R9-10-803.A.10. Administration — Failure to ensure health, safety, or welfare of a resident
R9-10-803.C.1.a-w. Administration — Failure to establish, document, and implement policies and procedures
R9-10-808.A.3.c. Service Plans — Failure to ensure service plans include amount, type, and frequency of services
R9-10-815.F.2.a-c. Directed Care Services — Failure to ensure directed care services requirements
Inspection Report
Complaint
Capacity: 164
Deficiencies: 0
Date: May 28, 2025
Visit Reason
No deficiencies were found during the on-site investigation of complaints 00120880, 00121150, and 00131163.
Complaint Details
Complaints 00120880, 00121150, and 00131163
Findings
No deficiencies were found during the on-site investigation of complaints 00120880, 00121150, and 00131163.
Inspection Report
Complaint
Capacity: 164
Deficiencies: 0
Date: Dec 3, 2024
Visit Reason
No deficiencies were cited during the on-site investigation of complaints AZ00219656 and AZ00214886.
Complaint Details
Complaints AZ00219656 and AZ00214886
Findings
No deficiencies were cited during the on-site investigation of complaints AZ00219656 and AZ00214886.
Inspection Report
Complaint
Capacity: 164
Deficiencies: 1
Date: Aug 12, 2024
Visit Reason
One deficiency was cited during the on-site investigation of complaint AZ00214010 related to abuse reporting.
Complaint Details
Complaint AZ00214010
Findings
One deficiency was cited during the on-site investigation of complaint AZ00214010 related to abuse reporting.
Deficiencies (1)
J. Abuse Reporting — Failure to ensure abuse reporting as required by A.R.S. § 46-454
Inspection Report
Complaint
Capacity: 164
Deficiencies: 1
Date: Jun 25, 2024
Visit Reason
One deficiency was cited during the on-site investigation of complaints AZ00212138, AZ00211180, AZ00207220 and AZ00205788 related to medication storage.
Complaint Details
Complaints AZ00212138, AZ00211180, AZ00207220, AZ00205788
Findings
One deficiency was cited during the on-site investigation of complaints AZ00212138, AZ00211180, AZ00207220 and AZ00205788 related to medication storage.
Deficiencies (1)
F. Medication Storage — Failure to store medication in a separate locked room, closet, cabinet, or self-contained unit
Inspection Report
Annual Inspection
Capacity: 164
Deficiencies: 10
Date: Dec 7, 2023
Visit Reason
Eleven deficiencies were found during the compliance inspection and investigation of multiple complaints related to caregiver verification, orientation, residency termination, service plan updates, medical records, resident acceptance, hot water temperature, pet licensing and vaccination, and tuberculosis screening.
Complaint Details
Complaints AZ00195010, AZ00197064, AZ00198711, AZ00199024, AZ00199997, AZ00201149, AZ00202254, AZ00203988
Findings
Eleven deficiencies were found during the compliance inspection and investigation of multiple complaints related to caregiver verification, orientation, residency termination, service plan updates, medical records, resident acceptance, hot water temperature, pet licensing and vaccination, and tuberculosis screening.
Deficiencies (10)
A. Caregiver Verification — Failure to verify and document caregiver skills and knowledge before providing services
A. Caregiver Orientation — Failure to provide orientation specific to duties before providing assisted living services
G. Residency Termination — Failure to include provisions allowing termination of residency for immediate threat behavior
A. Service Plan Review — Failure to review and update written service plans based on changes or at least every three months
C. Medical Records — Failure to document notification of resident about vaccination availability
B. Resident Acceptance — Failure to not accept or retain residents confined to bed or chair unable to ambulate
A. Hot Water Temperature — Failure to maintain hot water temperatures between 95º F and 120º F
A. Pet Licensing — Failure to ensure dog was licensed with Maricopa County
A. Pet Vaccination — Failure to ensure dog or cat was vaccinated against rabies
R9-10-113. Tuberculosis Screening — Failure to implement tuberculosis infection control activities
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