Paradise Valley Senior Living is an assisted living center in Phoenix, Arizona, at 16621 North 38th Street. Ask about current room availability, the daily routine, and support for your individual care needs.
Assisted living center
Phoenix
EXPERIENCES THAT HELP YOU CHOOSE
Community reviews
3.7/ 5
57 ratings · Google Maps
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Selected Google reviews
These are the reviews returned by Google, not the complete review history. Reviewer opinions are not independently verified by GlenOak.
xygni · 1 / 5 ·
My mom fell and broke her hip here, developed bedsores, and ended up in the ICU due to neglect. She did not return to the facility after that. At the start of her stay, we were told by the previous director that a portion of her stay would be covered by ALTCS once she was approved, which ended up not being the case. Instead, the remaining balance due was sent to collections within a month of the final bill coming due, while I was still communicating with the director about the ALTCS process. A collections agent contacted me and immediately threatened to sue me personally, despite the fact that I am not liable for debts as a guardian. I expressed that I was happy to pay the balance, but was unclear who I was even speaking with. I spent two days without a clear answer from PV Senior Living on what was going on, while being threatened by a random person I had never spoken to before. Dealing with all of this while my mom was actively in the end stages of life was one of the most traumatic experiences of my life. There is an appalling lack of clear communication and quality care at this facility.
Overly i love this place, i especially love this particular med tech she helps me a lot and she never fails to make my day. She helps out alot and is always ready to help. She works in 6&7 and sometimes works in the Assisted living building.
My mother and my father reside at Paradise Valley Senior Living. WOW! What a Super Extraordinary home for my parents and many residents. Incredible director and staff. Such great energy moving through the whole place. I am so glad my parents live there. A very special place. Thank you so much Carlos, Maica, Rose, Jasmine and all the caregivers for all you do! Your hard work and caring hearts are seen and are greatly appreciated!!!
Rarely do i submit reviews (good or bad) Unfortunately I must report this Facility as absolutely terrible.
The front office is lovely. Even
when first touring it looks great.
But please please do not send your loved ones here!
My husband was here for help. I do admit it's a tough case, but the Director here is just a wolf in sheep's clothing.
Please do not be deceived, my husband was here for 5 months and now he cannot walk, can barely speak, cannot feed himself.
They also give false quotes on the price when you arrive, stating "we are working on updating our brochure"
I'm sad to say, they illegally had me pick him up myself & get a POA which is not legal. Then I had to drive him to a Hospital myself!!
AMAZING, the things you learn while in panic mode.
So in closing, I am extending an extreme warning to Anyone looking for help.
I will not post pictures just because I want to allow my Husband to have some self dignity left.
😑☹️
This facility & its staff is a gift from God. It’s a sad day when you have to move someone you love into a senior facility & entrust their wellbeing into the hands of strangers. I worked with Brett from start to finish & he was amazing. Attentive, caring, really listened to what my mom needed & made her feel at home from the beginning. Didn’t try to upsell me or pressure us into anything. We moved my mom here & she has been doing great. Thank you Brett & everyone here for making this life transition an easy one.
The agency cited 1 deficiency concerning Administration. Read the official report for the inspector’s evidence and scope.
Findings and correction information
AdministrationR9-10-803.A.3.b.i-ii
Cited requirement:R9-10-803.A.3.b.i-ii. Administration A. A governing authority shall: 3. Designate, in writing, a manager who: b. Except for the manager of an adult foster care home, has either a: i. Certificate as an assisted living facility manager issued under A.R.S. § 36-446.04(C), or ii. A temporary certificate as an assisted living facility manager issued under A.R.S. § 36-446.06;
Correction information is not available in the records reviewed.
The agency cited 4 deficiencies concerning Administration, Directed Care Services, Emergency and Safety Standards, Environmental Standards. Read the official report for the inspector’s evidence and scope.
Findings and correction information
AdministrationR9-10-803.A.3.b.i-ii
Cited requirement:R9-10-803.A.3.b.i-ii. Administration A. A governing authority shall: 3. Designate, in writing, a manager who: b. Except for the manager of an adult foster care home, has either a: i. Certificate as an assisted living facility manager issued under A.R.S. § 36-446.04(C), or ii. A temporary certificate as an assisted living facility manager issued under A.R.S. § 36-446.06;
Correction information is not available in the records reviewed.
Directed Care ServicesR9-10-815.E.1-2
Cited requirement:R9-10-815.E.1-2. Directed Care Services E. A manager shall ensure that: 1. A bell, intercom, or other mechanical means to alert employees to a resident’s needs or emergencies is available in a bedroom being used by a resident receiving directed care services; or 2. An assisted living facility has implemented another means to alert a caregiver or assistant caregiver to a resident’s needs or emergencies.
Correction information is not available in the records reviewed.
Emergency and Safety StandardsR9-10-819.D.2.a-f
Cited requirement:R9-10-819.D.2.a-f. Emergency and Safety Standards D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver or an assistant caregiver: 2. Documents the following: a. The date and time of the accident, emergency, or injury; b. A description of the accident, emergency, or injury; c. The names of individuals who observed the accident, emergency, or injury; d. The actions taken by the caregiver or assistant caregiver; e. The individuals notified by the caregiver or assistant caregiver; and f. Any action taken to prevent the accident, emergency, or injury from occurring in the future.
Correction information is not available in the records reviewed.
Environmental StandardsR9-10-820.A.13.a-c
Cited requirement:R9-10-820.A.13.a-c. Environmental Standards A. A manager shall ensure that: 13. Equipment used at the assisted living facility is: a. Maintained in working order; b. Tested and calibrated according to the manufacturer’s recommendations or, if there are no manufacturer’s recommendations, as specified in policies and procedures; and c. Used according to the manufacturer’s recommendations;
Correction information is not available in the records reviewed.
The agency cited 4 deficiencies concerning Administration, Directed Care Services, Hazardous-material storage. Read the official report for the inspector’s evidence and scope.
Findings and correction information
AdministrationR9-10-803.A.3.b.i-ii
Cited requirement:R9-10-803.A.3.b.i-ii. Administration A. A governing authority shall: 3. Designate, in writing, a manager who: b. Except for the manager of an adult foster care home, has either a: i. Certificate as an assisted living facility manager issued under A.R.S. § 36-446.04(C), or ii. A temporary certificate as an assisted living facility manager issued under A.R.S. § 36-446.06;
Correction information is not available in the records reviewed.
AdministrationR9-10-803.A.9
Cited requirement:R9-10-803.A.9. Administration A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411 and
Correction information is not available in the records reviewed.
Directed Care ServicesR9-10-815.F.2.a-c
Cited requirement:R9-10-815.F.2.a-c. Directed Care Services F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 1. Policies and procedures are established, documented, and implemented that ensure the safety of a resident who may wander; 2. There is a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort that meets one of the following: a. Provides access to an outside area that: i. Allows the resident to be at least 30 feet away from the facility that is secure, and ii. Monitors or alerts employees of the egress of a resident from the facility; b. Provides access to an outside area: i. From which a resident may exit to a location at least 30 feet away from the facility that is secure, and ii. Monitors or alerts employees of the egress of a resident from the facility; or c. Uses a mechanism that meets the Special Egress-Control Devices provisions in the International Building Code incorporated by reference in R9-10-104.01; and
Correction information is not available in the records reviewed.
Hazardous-material storageR9-10-820.A.11
Cited requirement:R9-10-820.A.11. Environmental Standards A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents;
Correction information is not available in the records reviewed.
The agency cited 8 deficiencies concerning Fall-prevention training, Tuberculosis clearance, Administration, Personnel, Service Plans, Directed Care Services and other requirements. Read the official report for the inspector’s evidence and scope.
Findings and correction information
Fall-prevention trainingA.R.S. § 36-420.01.A
Cited requirement:A.R.S. § 36-420.01.A. Health care institutions; fall prevention and fall recovery; training programs; definition A. Each health care institution shall develop and administer a training program for all staff regarding fall prevention and fall recovery. The training program shall include initial training and continued competency training in fall prevention and fall recovery. A health care institution may use information and training materials from the department's Arizona falls prevention coalition in developing the training program.
Correction information is not available in the records reviewed.
Tuberculosis clearanceR9-10-113.A.2.a-f
Cited requirement:R9-10-113.A.2.a-f. Tuberculosis Screening A. If a health care institution is subject to the requirements of this Section, as specified in an Article in this Chapter, the health care institution's chief administrative officer shall ensure that the health care institution establishes, documents, and implements tuberculosis infection control activities that: 2. Include: a. For each individual who is employed by the health care institution, provides volunteer services for the health care institution, or is admitted to the health care institution and who is subject to the requirements of this Section, baseline screening, on or before the date specified in the applicable Article of this Chapter, that consists of: i. Assessing risks of prior exposure to infectious tuberculosis, ii. Determining if the individual has signs or symptoms of tuberculosis, and iii. Obtaining documentation of the individual's freedom from infectious tuberculosis according to subsection (B)(1); b. If an individual may have a latent tuberculosis infection, as defined in A.A.C. R9-6-1201: i. Referring the individual for assessment or treatment; and ii. Annually obtaining documentation of the individual's freedom fr…
Correction information is not available in the records reviewed.
AdministrationR9-10-803.A.3.b.i-ii
Cited requirement:R9-10-803.A.3.b.i-ii. Administration A. A governing authority shall: 3. Designate, in writing, a manager who: b. Except for the manager of an adult foster care home, has either a: i. Certificate as an assisted living facility manager issued under A.R.S. § 36-446.04(C), or ii. A temporary certificate as an assisted living facility manager issued under A.R.S. § 36-446.06;
Correction information is not available in the records reviewed.
PersonnelR9-10-806.A.4.a-b
Cited requirement:R9-10-806.A.4.a-b. Personnel A. A manager shall ensure that: A caregiver’s or assistant caregiver’s skills and knowledge are verified and documented: a. Before the caregiver or assistant caregiver provides physical health services or behavioral health services, and b. According to policies and procedures;
Correction information is not available in the records reviewed.
Service PlansR9-10-808.A.5.a-d
Cited requirement:R9-10-808.A.5.a-d. Service Plans A. Except as required in subsection (B), a manager shall ensure that a resident has a service plan that is established, documented, and implemented that: 5. When initially developed and when updated, is signed and dated by: a. The resident or resident’s representative; b. The manager; c. If a review is required in subsection (A)(3)(d), the nurse or medical practitioner who reviewed the service plan; and d. If a review is required in subsection (A)(3)(e)(ii), the medical practitioner or behavioral health professional who reviewed the service plan.
Correction information is not available in the records reviewed.
Directed Care ServicesR9-10-815.E.1-2
Cited requirement:R9-10-815.E.1-2. Directed Care Services E. A manager shall ensure that: 1. A bell, intercom, or other mechanical means to alert employees to a resident’s needs or emergencies is available in a bedroom being used by a resident receiving directed care services; or 2. An assisted living facility has implemented another means to alert a caregiver or assistant caregiver to a resident’s needs or emergencies.
Correction information is not available in the records reviewed.
Memory Care ServicesR9-10-816.B
Cited requirement:R9-10-816.B. Memory Care Services B. A manager shall ensure that staff obtain a certificate of completion, as specified in R9-10-126, including the minimum eight hours of initial memory care services training within the first 30 days of hire or provide a copy of a certificate of completion, as specified in R9-10-126, obtained within the preceding 12 months from the date of hire. If a staff member or contractor has not worked at an assisted living facility that is licensed to provide directed care services for a period of 12 months, the staff member or contractor must complete the minimum eight hours of initial memory care services training within 30 days after the date of hire, rehire, or returning to work.
Correction information is not available in the records reviewed.
Emergency and Safety StandardsR9-10-819.D.2.a-f
Cited requirement:R9-10-819.D.2.a-f. Emergency and Safety Standards D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver or an assistant caregiver: 2. Documents the following: a. The date and time of the accident, emergency, or injury; b. A description of the accident, emergency, or injury; c. The names of individuals who observed the accident, emergency, or injury; d. The actions taken by the caregiver or assistant caregiver; e. The individuals notified by the caregiver or assistant caregiver; and f. Any action taken to prevent the accident, emergency, or injury from occurring in the future.
Correction information is not available in the records reviewed.
The agency cited 1 deficiency concerning Administration. Read the official report for the inspector’s evidence and scope.
Findings and correction information
AdministrationR9-10-803.A.3.b.i-ii
Cited requirement:R9-10-803.A.3.b.i-ii. Administration A. A governing authority shall: 3. Designate, in writing, a manager who: b. Except for the manager of an adult foster care home, has either a: i. Certificate as an assisted living facility manager issued under A.R.S. § 36-446.04(C), or ii. A temporary certificate as an assisted living facility manager issued under A.R.S. § 36-446.06;
The agency cited 3 deficiencies concerning Administration, Personnel, Tuberculosis clearance. Read the official report for the inspector’s evidence and scope.
Findings and correction information
AdministrationR9-10-803.A.9
Cited requirement:R9-10-803.A.9. Administration A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411 and
Provider-listed correction date: Jun 19, 2026. A provider’s plan does not establish agency-confirmed correction.
PersonnelR9-10-806.A.1.a-b
Cited requirement:R9-10-806.A.1.a-b. Personnel A. A manager shall ensure that: 1. A caregiver: a. Is 18 years of age or older; and b. Provides documentation of: i. Completion of a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers; ii. For supervisory care services, employment as a manager or caregiver of a supervisory care home before November 1, 1998; iii. For supervisory care services or personal care services, employment as a manager or caregiver of a supportive residential living center before November 1, 1998; or iv. For supervisory care services, personal care services, or directed services, one of the following: (1) A nursing care institution administrator’s license issued by the Board of Examiners; (2) A nurse’s license issued to the individual under A.R.S. Title 32, Chapter 15; (3) Documentation of employment as a manager or caregiver of an unclassified residential care institution before November 1, 1998; or (4) Documentation of sponsorship of or employment as a caregiver in an adult foster care home before November 1, 1998;
Provider-listed correction date: Jun 19, 2026. A provider’s plan does not establish agency-confirmed correction.
Tuberculosis clearanceR9-10-806.A.8.a-b
Cited requirement:R9-10-806.A.8.a-b. Personnel A. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have more than eight hours per week of direct interaction with residents, provides evidence of freedom from infectious tuberculosis: a. On or before the date the individual begins providing services at or on behalf of the assisted living facility, and b. As specified in R9-10-113;
The agency cited 4 deficiencies concerning Tuberculosis clearance, Directed Care Services, Emergency and Safety Standards, Environmental Standards. Read the official report for the inspector’s evidence and scope.
Findings and correction information
Tuberculosis clearanceR9-10-806.A.8.a-b
Cited requirement:R9-10-806.A.8.a-b. Personnel A. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have more than eight hours per week of direct interaction with residents, provides evidence of freedom from infectious tuberculosis: a. On or before the date the individual begins providing services at or on behalf of the assisted living facility, and b. As specified in R9-10-113;
Provider-listed correction date: Jun 10, 2026. A provider’s plan does not establish agency-confirmed correction.
Directed Care ServicesR9-10-815.E.1-2
Cited requirement:R9-10-815.E.1-2. Directed Care Services E. A manager shall ensure that: 1. A bell, intercom, or other mechanical means to alert employees to a resident’s needs or emergencies is available in a bedroom being used by a resident receiving directed care services; or 2. An assisted living facility has implemented another means to alert a caregiver or assistant caregiver to a resident’s needs or emergencies.
Provider-listed correction date: Jun 10, 2026. A provider’s plan does not establish agency-confirmed correction.
Emergency and Safety StandardsR9-10-819.D.1
Cited requirement:R9-10-819.D.1. Emergency and Safety Standards D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver or an assistant caregiver: 1. Immediately notifies the resident’s emergency contact and primary care provider; and
Provider-listed correction date: Jun 10, 2026. A provider’s plan does not establish agency-confirmed correction.
Environmental StandardsR9-10-820.A.1.b
Cited requirement:R9-10-820.A.1.b. Environmental Standards A. A manager shall ensure that: 1. The premises and equipment used at the assisted living facility are: b. Free from a condition or situation that may cause a resident or other individual to suffer physical injury;
The agency cited 2 deficiencies concerning Administration. Read the official report for the inspector’s evidence and scope.
Findings and correction information
AdministrationR9-10-803.A.10
Cited requirement:R9-10-803.A.10. Administration A. A governing authority shall: 10. Ensure the health, safety, or welfare of a resident is not placed at risk of harm.
Provider-listed correction date: Jan 1, 2026. A provider’s plan does not establish agency-confirmed correction.
AdministrationR9-10-803.K.3
Cited requirement:R9-10-803.K.3. Administration K. A manager shall provide written notification to the Department of a resident’s: Elopement, within 24 hours of the elopement being discovered.
The agency cited 2 deficiencies concerning Medication Services, Environmental Standards. Read the official report for the inspector’s evidence and scope.
Findings and correction information
Medication ServicesR9-10-816.B.3.b
Cited requirement:R9-10-816.B.3.b. Medication Services B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: b. Is administered in compliance with a medication order, and
Provider-listed correction date: Jul 16, 2025. A provider’s plan does not establish agency-confirmed correction.
Environmental StandardsR9-10-819.A.13.a-c
Cited requirement:R9-10-819.A.13.a-c. Environmental Standards A. A manager shall ensure that: 13. Equipment used at the assisted living facility is: a. Maintained in working order; b. Tested and calibrated according to the manufacturer's recommendations or, if there are no manufacturer's recommendations, as specified in policies and procedures; and c. Used according to the manufacturer's recommendations;
The agency cited 15 deficiencies concerning Tuberculosis clearance, Opioid Prescribing and Treatment, Administration, Personnel, Service Plans, Medication Services and other requirements. Read the official report for the inspector’s evidence and scope.
Findings and correction information
Tuberculosis clearanceR9-10-113.A.2.a-f
Cited requirement:R9-10-113.A.2.a-f. Tuberculosis Screening A. If a health care institution is subject to the requirements of this Section, as specified in an Article in this Chapter, the health care institution's chief administrative officer shall ensure that the health care institution establishes, documents, and implements tuberculosis infection control activities that: 2. Include: a. For each individual who is employed by the health care institution, provides volunteer services for the health care institution, or is admitted to the health care institution and who is subject to the requirements of this Section, baseline screening, on or before the date specified in the applicable Article of this Chapter, that consists of: i. Assessing risks of prior exposure to infectious tuberculosis, ii. Determining if the individual has signs or symptoms of tuberculosis, and iii. Obtaining documentation of the individual's freedom from infectious tuberculosis according to subsection (B)(1); b. If an individual may have a latent tuberculosis infection, as defined in A.A.C. R9-6-1201: i. Referring the individual for assessment or treatment; and ii. Annually obtaining documentation of the individual's freedom fr…
Provider-listed correction date: Aug 21, 2025. A provider’s plan does not establish agency-confirmed correction.
Opioid Prescribing and TreatmentR9-10-120.F.4.a-c
Cited requirement:R9-10-120.F.4.a-c. Opioid Prescribing and Treatment F. For a health care institution where opioids are administered as part of treatment or where a patient is provided assistance in the self-administration of medication for a prescribed opioid, including a health care institution in which an opioid may be prescribed or ordered as part of treatment, a medical director, a manager as defined in R9-10-801, or a provider, as applicable to the health care institution, shall: 4. Except as provided in subsection (H), ensure that an individual authorized by policies and procedures to administer an opioid in treating a patient or to provide assistance in the self-administration of medication for a prescribed opioid: a. Before administering an opioid or providing assistance in the self-administration of medication for a prescribed opioid in compliance with an order as part of the treatment for a patient, identifies the patient's need for the opioid; b. Monitors the patient's response to the opioid; and c. Documents in the patient's medical record: i. An identification of the patient ' s need for the opioid before the opioid was administered or assistance in the self-administration of medicat…
Provider-listed correction date: Aug 21, 2025. A provider’s plan does not establish agency-confirmed correction.
AdministrationR9-10-803.C.3
Cited requirement:R9-10-803.C.3. Administration C. A manager shall ensure that policies and procedures are: 3. Reviewed at least once every three years and updated as needed.
Provider-listed correction date: Aug 21, 2025. A provider’s plan does not establish agency-confirmed correction.
AdministrationR9-10-803.D.1-4
Cited requirement:R9-10-803.D.1-4. Administration D. A manager shall ensure that the following are conspicuously posted: 1. A list of resident rights; 2. The assisted living facility ' s license; 3. Current phone numbers of: a. The unit in the Department responsible for licensing and monitoring the assisted living facility, b. Adult Protective Services in the Department of Economic Security, c. The State Long-Term Care Ombudsman, and d. The Arizona Center for Disability Law; and 4. The location at which a copy of the most recent Department inspection report and any plan of correction resulting from the Department inspection may be viewed.
Provider-listed correction date: Aug 21, 2025. A provider’s plan does not establish agency-confirmed correction.
PersonnelR9-10-806.A.10
Cited requirement:R9-10-806.A.10. Personnel A. A manager shall ensure that: 10. Before providing assisted living services to a resident, a manager or caregiver provides current documentation of first aid training and cardiopulmonary resuscitation training certification specific to adults.
Provider-listed correction date: Aug 21, 2025. A provider’s plan does not establish agency-confirmed correction.
Tuberculosis clearanceR9-10-806.A.8.a-b
Cited requirement:R9-10-806.A.8.a-b. Personnel A. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have more than eight hours per week of direct interaction with residents, provides evidence of freedom from infectious tuberculosis: a. On or before the date the individual begins providing services at or on behalf of the assisted living facility, and b. As specified in R9-10-113;
Provider-listed correction date: Aug 21, 2025. A provider’s plan does not establish agency-confirmed correction.
Tuberculosis clearanceR9-10-807.A.1-2
Cited requirement:R9-10-807.A.1-2. Residency and Residency Agreements A. Except as provided in R9-10-808(B)(2), a manager shall ensure that a resident provides evidence of freedom from infectious tuberculosis: 1. Before or within seven calendar days after the resident's date of occupancy, and 2. As specified in R9-10-113.
Provider-listed correction date: Aug 21, 2025. A provider’s plan does not establish agency-confirmed correction.
Service PlansR9-10-808.A.3.c
Cited requirement:R9-10-808.A.3.c. Service Plans A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: c. The amount, type, and frequency of assisted living services being provided to the resident, including medication administration or assistance in the self-administration of medication;
Provider-listed correction date: Aug 21, 2025. A provider’s plan does not establish agency-confirmed correction.
Medication ServicesR9-10-816.B.3.a-c
Cited requirement:R9-10-816.B.3.a-c. Medication Services B. If an assisted living facility provides medication administration, a manager shall ensure that: 3. A medication administered to a resident: a. Is administered by an individual under direction of a medical practitioner, b. Is administered in compliance with a medication order, and c. Is documented in the resident's medical record.
Provider-listed correction date: Aug 21, 2025. A provider’s plan does not establish agency-confirmed correction.
Medication ServicesR9-10-816.F.1
Cited requirement:R9-10-816.F.1. Medication Services F. When medication is stored by an assisted living facility, a manager shall ensure that: 1. Medication is stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage;
Provider-listed correction date: Aug 21, 2025. A provider’s plan does not establish agency-confirmed correction.
Emergency and Safety StandardsR9-10-818.A.5.a
Cited requirement:R9-10-818.A.5.a. Emergency and Safety Standards A. A manager shall ensure that: 5. An evacuation drill for employees and residents: a. Is conducted at least once every six months; and
Provider-listed correction date: Aug 21, 2025. A provider’s plan does not establish agency-confirmed correction.
Emergency and Safety StandardsR9-10-818.E.5
Cited requirement:R9-10-818.E.5. Emergency and Safety Standards E. A manager of an assisted living center shall ensure that: 5. Documentation of a current fire inspection is maintained.
Provider-listed correction date: Aug 21, 2025. A provider’s plan does not establish agency-confirmed correction.
Hazardous-material storageR9-10-819.A.11
Cited requirement:R9-10-819.A.11. Environmental Standards A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents;
Provider-listed correction date: Aug 21, 2025. A provider’s plan does not establish agency-confirmed correction.
Environmental StandardsR9-10-819.A.2
Cited requirement:R9-10-819.A.2. Environmental Standards A. A manager shall ensure that: 2. A pest control program that complies with A.A.C. R3-8-20l(C)(4) is implemented and documented;
The agency cited 3 deficiencies concerning Service Plans, Directed Care Services. Read the official report for the inspector’s evidence and scope.
Findings and correction information
Service PlansR9-10-808.A.4.b.iii
Cited requirement:R9-10-808.A.4.b.iii. Service Plans A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on changes in the requirements in subsections (A)(3)(a) through (f): b. As follows: iii. At least once every three months for a resident receiving directed care services; and
Provider-listed correction date: May 15, 2025. A provider’s plan does not establish agency-confirmed correction.
Service PlansR9-10-808.C.1.g
Cited requirement:R9-10-808.C.1.g. Service Plans C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record; and
Provider-listed correction date: May 15, 2025. A provider’s plan does not establish agency-confirmed correction.
Directed Care ServicesR9-10-815.F.2.a-c
Cited requirement:R9-10-815.F.2.a-c. Directed Care Services F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 2. There is a means of exiting the facility for a resident who does not have a key, special knowledge for egress, or the ability to expend increased physical effort that meets one of the following: a. Provides access to an outside area that: i. Allows the resident to be at least 30 feet away from the facility, and ii. Controls or alerts employees of the egress of a resident from the facility; b. Provides access to an outside area: i. From which a resident may exit to a location at least 30 feet away from the facility, and ii. Controls or alerts employees of the egress of a resident from the facility; or c. Uses a mechanism that meets the Special Egress-Control Devices provisions in the International Building Code incorporated by reference in R9-10-104.01; and
The agency cited 2 deficiencies concerning Fall-prevention training. Read the official report for the inspector’s evidence and scope.
Findings and correction information
Fall-prevention trainingA.R.S. § 36-420.01.A
Cited requirement:36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition A. Each health care institution shall develop and administer a training program for all staff regarding fall prevention and fall recovery. The training program shall include initial training and continued competency training in fall prevention and fall recovery. A health care institution may use information and training materials from the department's Arizona falls prevention coalition in developing the training program.
Correction information is not available in the records reviewed.
R9-10-818.D.2.f
Cited requirement:D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver or an assistant caregiver: 2. Documents the following: f. Any action taken to prevent the accident, emergency, or injury from occurring in the future.
Correction information is not available in the records reviewed.
The agency cited 1 deficiency concerning Abuse, neglect and exploitation safeguards. Read the official report for the inspector’s evidence and scope.
Findings and correction information
Abuse, neglect and exploitation safeguardsR9-10-803.J.5.a-d
Cited requirement:J. If a manager has a reasonable basis, according to A.R.S. § 46-454, to believe abuse, neglect or exploitation has occurred on the premises or while a resident is receiving services from an assisted living facility's manager, caregiver, or assistant caregiver, the manager shall: 5. Initiate an investigation of the suspected abuse, neglect, or exploitation and document the following information within five working days after the report required in subsection (J)(2): a. The dates, times, and description of the suspected abuse, neglect, or exploitation; b. A description of any injury to the resident related to the suspected abuse or neglect and any change to the resident's physical, cognitive, functional, or emotional condition; c. The names of witnesses to the suspected abuse, neglect, or exploitation; and d. The actions taken by the manager to prevent the suspected abuse, neglect, or exploitation from occurring in the future; and
Correction information is not available in the records reviewed.
The agency cited 1 deficiency concerning Abuse, neglect and exploitation safeguards. Read the official report for the inspector’s evidence and scope.
Findings and correction information
Abuse, neglect and exploitation safeguardsR9-10-803.J.2
Cited requirement:J. If a manager has a reasonable basis, according to A.R.S. § 46-454 , to believe abuse, neglect or exploitation has occurred on the premises or while a resident is receiving services from an assisted living facility's manager, caregiver, or assistant caregiver, the manager shall: 2. Report the suspected abuse, neglect, or exploitation of the resident according to A.R.S. § 46-454;
Correction information is not available in the records reviewed.
The agency cited 10 deficiencies concerning Staff qualifications and training, Tuberculosis clearance, Resident service plans, Hazardous-material storage. Read the official report for the inspector’s evidence and scope.
Findings and correction information
R9-10-803.A.9
Cited requirement:A. A governing authority shall: 9. Ensure compliance with A.R.S. § 36-411.
Correction information is not available in the records reviewed.
R9-10-806.A.2.b
Cited requirement:A. A manager shall ensure that: 2. An assistant caregiver: b. Interacts with residents under the supervision of a manager or caregiver;
Correction information is not available in the records reviewed.
Staff qualifications and trainingR9-10-806.A.4.a
Cited requirement:A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented: a. Before the caregiver or assistant caregiver provides physical health services or behavioral health services, and
Correction information is not available in the records reviewed.
Tuberculosis clearanceR9-10-806.A.8.a-b
Cited requirement:A. A manager shall ensure that: 8. A manager, a caregiver, and an assistant caregiver, or an employee or a volunteer who has or is expected to have more than eight hours per week of direct interaction with residents, provides evidence of freedom from infectious tuberculosis: a. On or before the date the individual begins providing services at or on behalf of the assisted living facility, and b. As specified in R9-10-113;
Correction information is not available in the records reviewed.
Resident service plansR9-10-808.A.1
Cited requirement:A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 1. Is completed no later than 14 calendar days after the resident's date of acceptance;
Correction information is not available in the records reviewed.
Resident service plansR9-10-808.A.4.b.iii
Cited requirement:A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on changes in the requirements in subsections (A)(3)(a) through (f): b. As follows: iii. At least once every three months for a resident receiving directed care services; and
Correction information is not available in the records reviewed.
R9-10-818.A.4
Cited requirement:A. A manager shall ensure that: 4. A disaster drill for employees is conducted on each shift at least once every three months and documented;
Correction information is not available in the records reviewed.
R9-10-818.A.5.a
Cited requirement:A. A manager shall ensure that: 5. An evacuation drill for employees and residents: a. Is conducted at least once every six months; and
Correction information is not available in the records reviewed.
R9-10-818.E.3
Cited requirement:E. A manager of an assisted living center shall ensure that: 3. A fire inspection is conducted by a local fire department or the State Fire Marshal before licensing and according to the time-frame established by the local fire department or the State Fire Marshal;
Correction information is not available in the records reviewed.
Hazardous-material storageR9-10-819.A.11
Cited requirement:A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents;
Correction information is not available in the records reviewed.
The agency cited 11 deficiencies concerning Policies and procedures, Resident service plans, Medication services, Hazardous-material storage, R9-10-120. Opioid Prescribing and Treatment. Read the official report for the inspector’s evidence and scope.
Findings and correction information
Policies and proceduresR9-10-803.C.1.m
Cited requirement:C. A manager shall ensure that policies and procedures are: 1. Established, documented, and implemented to protect the health and safety of a resident that: m. Cover methods by which the assisted living facility is aware of the general or specific whereabouts of a resident, based on the level of assisted living services provided to the resident and the assisted living services the assisted living facility is authorized to provide;
Correction information is not available in the records reviewed.
Resident service plansR9-10-808.A.1
Cited requirement:A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 1. Is completed no later than 14 calendar days after the resident's date of acceptance;
Correction information is not available in the records reviewed.
Medication servicesR9-10-808.A.3.c
Cited requirement:A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 3. Includes the following: c. The amount, type, and frequency of assisted living services being provided to the resident, including medication administration or assistance in the self-administration of medication;
Correction information is not available in the records reviewed.
Resident service plansR9-10-808.A.4.b.iii
Cited requirement:A. Except as required in subsection (B), a manager shall ensure that a resident has a written service plan that: 4. Is reviewed and updated based on changes in the requirements in subsections (A)(3)(a) through (f): b. As follows: iii. At least once every three months for a resident receiving directed care services; and
Correction information is not available in the records reviewed.
R9-10-808.E.2.a-d
Cited requirement:E. A manager shall ensure that: 2. A calendar of planned activities is: a. Prepared at least one week in advance of the date the activity is provided, b. Posted in a location that is easily seen by residents, c. Updated as necessary to reflect substitutions in the activities provided, and d. Maintained for at least 12 months after the last scheduled activity;
Correction information is not available in the records reviewed.
Resident service plansR9-10-815.C.4
Cited requirement:C. In addition to the requirements in R9-10-808(A)(3), a manager shall ensure that the service plan for a resident receiving directed care services includes: 4. Strategies to ensure a resident's personal safety;
Correction information is not available in the records reviewed.
Policies and proceduresR9-10-815.F.1
Cited requirement:F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 1. Policies and procedures are established, documented, and implemented that ensure the safety of a resident who may wander;
Correction information is not available in the records reviewed.
R9-10-817.A.1.c
Cited requirement:A. A manager shall ensure that: 1. A food menu: c. Is conspicuously posted at least one calendar day before the first meal on the food menu is served,
Correction information is not available in the records reviewed.
R9-10-819.A.3.a
Cited requirement:A. A manager shall ensure that: 3. Garbage and refuse are: a. Stored in covered containers lined with plastic bags, and
Correction information is not available in the records reviewed.
Hazardous-material storageR9-10-819.A.11
Cited requirement:A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and are inaccessible to residents;
Correction information is not available in the records reviewed.
R9-10-120. Opioid Prescribing and TreatmentR9-10-120.F.4.a-c
Cited requirement:R9-10-120. Opioid Prescribing and Treatment F. For a health care institution where opioids are administered as part of treatment or where a patient is provided assistance in the self-administration of medication for a prescribed opioid, including a health care institution in which an opioid may be prescribed or ordered as part of treatment, a medical director, a manager as defined in R9-10-801, or a provider, as applicable to the health care institution, shall: 4. Except as provided in subsection (H), ensure that an individual authorized by policies and procedures to administer an opioid in treating a patient or to provide assistance in the self-administration of medication for a prescribed opioid: a. Before administering an opioid or providing assistance in the self-administration of medication for a prescribed opioid in compliance with an order as part of the treatment for a patient, identifies the patient's need for the opioid; b. Monitors the patient's response to the opioid; and c. Documents in the patient's medical record: i. An identification of the patient ' s need for the opioid before the opioid was administered or assistance in the self-administration of medication for …
Correction information is not available in the records reviewed.
The agency cited 5 deficiencies concerning Fall-prevention training, Staff qualifications and training, Resident service plans. Read the official report for the inspector’s evidence and scope.
Findings and correction information
Fall-prevention trainingA.R.S. § 36-420.01.A
Cited requirement:36-420.01. Health care institutions; fall prevention and fall recovery; training programs; definition A. Each health care institution shall develop and administer a training program for all staff regarding fall prevention and fall recovery. The training program shall include initial training and continued competency training in fall prevention and fall recovery. A health care institution may use information and training materials from the department's Arizona falls prevention coalition in developing the training program.
Correction information is not available in the records reviewed.
Staff qualifications and trainingR9-10-806.A.4.a
Cited requirement:A. A manager shall ensure that: 4. A caregiver's or assistant caregiver's skills and knowledge are verified and documented: a. Before the caregiver or assistant caregiver provides physical health services or behavioral health services, and
Correction information is not available in the records reviewed.
Resident service plansR9-10-817.A.6
Cited requirement:A. A manager shall ensure that: 6. A resident is provided a diet that meets the resident's nutritional needs as specified in the resident's service plan;
Correction information is not available in the records reviewed.
R9-10-818.D.1
Cited requirement:D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver or an assistant caregiver: 1. Immediately notifies the resident's emergency contact and primary care provider; and
Correction information is not available in the records reviewed.
R9-10-818.D.2.f
Cited requirement:D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver or an assistant caregiver: 2. Documents the following: f. Any action taken to prevent the accident, emergency, or injury from occurring in the future.
Correction information is not available in the records reviewed.
An enforcement case’s status does not independently confirm correction of every inspection finding.
These are dated public records, not a safety rating or a guarantee of current conditions. Complaint investigations may conclude without deficiencies. Follow-up information and older records may be held separately.
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