Bethesda Gardens

Last inspection

July 29, 2026

Inspections

19, 36 deficiencies cited

Complaint inspections

19, 11 with deficiencies cited

Enforcement cases

4, $14,000 in civil penalties

• License active since 1999

Enforcement cases

• September 14, 2026: In-service education for all staff regarding R9-10-808.C.1.a-g (complete); In-service education for all staff regarding R9-10-810.B.1 (complete); In-service education for all staff regarding R9-10-817.B.3.a-c (complete); Civil Penalty $3,500 (complete) case closed (complete)
• September 14, 2026: details on AZ Care Check case closed (complete)
• May 6, 2025: Civil Penalty $500 (complete) case closed (complete)
• April 23, 2024: Civil Penalty $10,000 (complete) case closed (complete)

July 29, 2026: complaint inspection, 4 deficiencies

• Administration R9-10-803.A.10
  Based on observation, record review, documentation review, and interview, the governing authority failed to ensure that the health, safety, or welfare of residents was not placed at risk of harm.
  Plan of correction submitted; correction date given by the community: August 17, 2026
• Service Plans R9-10-808.C.1.a
  Based on observation, documentation review, record review, and interview, the manager failed to ensure that a caregiver or an assistant caregiver provided a resident with the assisted living services in the resident’s service plan for one of two sampled residents. The Department was provided with false and misleading information.
  Plan of correction submitted; correction date given by the community: July 28, 2026
• Medication Services R9-10-817.B.3.b
  Based on observation, record review, documentation review, and interview, the manager failed to ensure that medication was administered to a resident in compliance with a medication order. The Department was provided with false and misleading information.
  Plan of correction submitted; correction date given by the community: August 26, 2026
• Medication Services R9-10-817.B.3.c
  Based on observation, record review, documentation review, and interview, the manager failed to ensure that medication administration was correctly documented in the resident's medical record. The Department was provided with false and misleading information.
  Plan of correction submitted; correction date given by the community: August 26, 2026

July 15, 2026: complaint inspection, 3 deficiencies

• Administration R9-10-803.A.10
  Based on record review, documentation review, and interview, the manager failed to ensure that the health, safety, or welfare of a resident was not placed at risk of harm. The deficient practice posed a health and safety risk to the resident.
  Plan of correction accepted; correction date given by the community: August 26, 2026
• Administration R9-10-803.C.1.r
  Based on documentation review, record review, and interview, the manager failed to ensure policies and procedures were implemented to protect the health and safety of a resident that covered assistance in the self-administration of medication and medication administration. The deficient practice posed a health and safety risk to the residents.
  Plan of correction accepted; correction date given by the community: August 26, 2026
• Resident Rights R9-10-810.B.1
  Based on documentation review and interview, the manager failed to ensure that a resident was treated with dignity, respect, and consideration. The deficient practice violated a resident's rights.
  Plan of correction accepted; correction date given by the community: August 26, 2026

March 11, 2026: complaint, compliance (annual) inspection, 2 deficiencies

• Administration R9-10-803.A.10
  Based on documentation review, record review, and interview, the governing authority failed to ensure the health, safety, or welfare of a resident is not placed at risk of harm. The deficient practice posed a risk as R2 eloped from the facility.
  Plan of correction accepted; correction date given by the community: May 8, 2026
• Administration R9-10-803.K.3
  Based on documentation review and interview, the manager failed to provide written notification to the Department of a resident’s elopement, within 24 hours of the elopement being discovered, for one of ten residents sampled. The deficient practice posed a risk as the Department was unable to assess if there was an immediate health and safety concern for the other residents residing in the assisted living facility.
  Plan of correction accepted; correction date given by the community: March 11, 2026

September 17, 2025: complaint inspection, 1 deficiency

• Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document A.R.S. § 36-420.04.A.1-9
  Based on record review, documentation review, and interview, the manager of an assisted living center who contacted emergency responders on behalf of a resident failed to provide the emergency responders with a written document that included all information required in A.R.S. § 36-420.04, for one of four residents sampled. The deficient practice posed a risk if the emergency responder was not aware of critical health information for the resident.
  Plan of correction accepted; correction date given by the community: October 17, 2025

Other inspection reports

• October 30, 2025: complaint inspection. The following deficiencies were found during the on-site investigation of complaints 00147541 and 00148394, conducted on October 30, 2025: Citations removed at direction of Assistant Director of Licensing Read the Statement of Deficiencies on AZ Care Check.

Inspections with no deficiencies listed

• April 27, 2026: complaint inspection. No deficiencies were found during the on-site investigation of complaints 00167045 and 00167285 conducted on April 27, 2026.
• July 11, 2025: complaint inspection. No deficiencies were found during an on-site investigation of Complaints 00135985 and 00136010 on July 11, 2025.
• March 7, 2025: complaint inspection. No deficiencies were found during the on-site investigation of complaint #00121645 conducted on March 7, 2025.
• February 20, 2025: complaint inspection. An on-site investigation of complaint case 00115589 was conducted on February 20, 2025, and no deficiencies were cited.
• December 23, 2024: complaint inspection. An on-site investigation of complaint AZ00220231 was conducted on December 23, 2024 and no deficiencies were cited :
• September 30, 2024: complaint inspection. An on-site investigation of complaint AZ00216429 was conducted on September 30, 2024, and no deficiencies were cited.

Read the full record on AZ Care Check →

ADHS writes a Statement of Deficiencies after each inspection that finds a rule was not met. The community then files a plan of correction, which ADHS accepts or rejects. ADHS investigates complaints on site. A complaint inspection that ends with “No deficiencies were found” did not find a rule violation; deficiencies cited on a complaint inspection are listed with that inspection. AZ Care Check does not list complaints that did not lead to an on-site inspection. Enforcement cases are actions ADHS takes after an inspection, such as a civil money penalty, a provisional license or a license revocation, with their status. This community is licensed for 147 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Arizona Department of Health Services, Licensing Services, AZ Care Check, data as of October 15, 2026, showing all records on AZ Care Check (back to September 5, 2023). Always visit in person and ask the community about anything listed here.