Cold Spring Assisted Living

Last inspection

March 26, 2026

Inspections

3, 26 deficiencies cited

Complaint inspections

3, 3 with deficiencies cited

Enforcement cases

2, $3,000 in civil penalties

• License active since 2021

Enforcement cases

• June 5, 2026: Civil Penalty $1,250 (in process); Notice of Enforcement Action (complete) case finalized
• October 28, 2024: Civil Penalty $1,750 (complete) case closed (complete)

March 26, 2026: complaint, compliance (annual) inspection, 11 deficiencies

• Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document A.R.S. § 36-420.04.A.1-9
  Based on documentation review and interview, the assisted living home that contacted an emergency responder on behalf of a resident failed to provide the emergency responder with a written document that included all requirements in Subsection A.1-9.
  Plan of correction accepted; correction date given by the community: March 30, 2026
• Opioid Prescribing and Treatment R9-10-120.F.2.a-b
  Based on documentation review and interview, the healthcare institution failed to include in the plan for the healthcare institution's quality management program a process for review of incidents of opioid-related adverse reactions and other negative outcomes a patient experiences, or opioid related deaths. The deficient practice posed a risk as a quality management program documents the necessary information required to effectively manage services provided.
  Plan of correction accepted; correction date given by the community: April 27, 2026
• Administration R9-10-803.A.7
  Based on documentation review, observation, and interview, the governing authority failed to notify the Department according to A.R.S. § 36-425(I) when there is a change in the manager and identify the name and qualifications of the new manager. The deficient practice posed a risk if the assisted living facility was unable to ensure compliance with applicable Rules.
  Plan of correction accepted; correction date given by the community: June 30, 2026
• Residency and Residency Agreements R9-10-807.B.1.a-b
  Based on record review and interview, the manager failed to ensure that before or at the time of acceptance of an individual, the individual submitted documentation that was dated within 90 calendar days before the individual was accepted by an assisted living facility which included if the individual was expected to receive supervisory care services, personal care services, or directed care services, and included whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints; and was dated and signed by a physician, registered nurse ...
  Plan of correction accepted; correction date given by the community: April 3, 2026
• Service Plans R9-10-808.A.4.a
  Based on record review and interview, the manager failed to ensure a written service plan was updated no later than 14 days after a significant change in a resident's physical, cognitive, or functional condition, for one of four residents sampled. The deficient practice posed a health and safety risk to the resident if the caregivers did not know what services the resident needed.
  Plan of correction accepted; correction date given by the community: April 3, 2026

September 20, 2024: complaint, compliance (annual) inspection, 12 deficiencies

• Personnel R9-10-806.A.4.a
  Based on record review, documentation review, and interview, the manager failed to ensure an assistant caregiver's skills and knowledge were verified and documented before the assistant caregiver provided physical health services, for one of one assistant caregivers sampled. The deficient practice posed a risk if the assistant caregiver was unable to meet a resident's needs.
  Plan of correction accepted; correction date given by the community: September 21, 2024
• Personnel R9-10-806.C.1.b
  Based on record review, documentation review, and interview, the manager failed to ensure a personnel record for each employee included the individual's starting date of employment, for one of four employees sampled.
  Plan of correction accepted; correction date given by the community: September 21, 2024
• Residency and Residency Agreements R9-10-807.D.10
  Based on record review and interview, the manager failed to ensure before or at the time of an individual's acceptance by the assisted living facility, there was a documented residency agreement with the assisted living facility which included the manager's signature and date signed, for one of three residents reviewed.
  Plan of correction accepted; correction date given by the community: September 21, 2024
• Service Plans R9-10-808.A.5.a
  Based on record review and interview, the manager failed to ensure a written service plan included the signature and date from the resident or representative, for one of three residents reviewed. The deficient practice posed a health and safety risk if the resident or representative did not acknowledge the services that were to be provided.
  Plan of correction accepted; correction date given by the community: September 21, 2024
• Service Plans R9-10-808.E.2.a
  Based on observation and interview, the manager failed to ensure a calendar of planned activities was prepared at least one week in advance of the date the activity was provided.
  Plan of correction accepted; correction date given by the community: September 21, 2024

May 29, 2024: complaint inspection, 3 deficiencies

• Service Plans R9-10-808.A.1-5
  Based on record review and interview, the manager failed to ensure a written service plan was available, for one of two residents reviewed. The deficient practice posed a health and safety risk if the caregivers did not know the services the resident needed to receive.
  Plan of correction accepted; correction date given by the community: May 29, 2024
• Medical Records R9-10-811.C.4
  Based on documentation review, record review, and interview, the manager failed to ensure a resident's medical record contained the date of termination of residency, for two of two terminated residents sampled.
  Plan of correction accepted; correction date given by the community: May 29, 2024
• Directed Care Services R9-10-815.C.1
  Based on record review and interview, the manager failed to ensure a service plan included skin maintenance to prevent and treat bruises, injuries, pressure sores, and infections, for one of one resident reviewed receiving directed care services. The deficient practice posed a risk if the facility was unable to meet a resident's needs.
  Plan of correction accepted; correction date given by the community: May 29, 2024

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 10 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.