Heavenly Assisted Living Facility

Last inspection

April 21, 2025

Inspections

2, 13 deficiencies cited

Complaint inspections

1, 1 with deficiencies cited

Enforcement cases

2, $2,250 in civil penalties

• License active since 2018

Enforcement cases

• June 9, 2025: Civil Penalty $1,500 (complete) case closed (complete)
• June 14, 2024: Civil Penalty $750 (complete) case closed (complete)

April 21, 2025: complaint, compliance (annual) inspection, 7 deficiencies

• Tuberculosis Screening R9-10-113.A.2.a-f
  Based on documentation review, record review, and interview, the health care institution's chief administrative officer failed to ensure the health care institution documented, and implemented tuberculosis infection control activities required in R9-10-113.A.2.a-f.
  Plan of correction accepted; correction date given by the community: April 21, 2025
• Personnel R9-10-806.A.7
  Based on observation, documentation review, and interview, the manager failed to ensure documentation was maintained of the caregivers and assistant caregivers working each day, including the hours worked by each.
  Plan of correction accepted; correction date given by the community: April 21, 2025
• Personnel R9-10-806.C.1.a-c
  Based on observation, record review, and interview, the manager failed to maintain a personnel record for each employee which included the items required by this rule, for one of two personnel sampled. The deficient practice posed a risk as required information could not be verified for an employee.
  Plan of correction accepted; correction date given by the community: April 21, 2025
• Service Plans R9-10-808.A.3.b
  Based on record review and interview, the manager failed to ensure a written service plan included the level of service the resident is expected to receive, for one of two residents sampled.
  Plan of correction accepted; correction date given by the community: April 21, 2025
• Directed Care Services R9-10-815.F.2.a-c
  Based on record review, observation, and interview, the manager failed to ensure that there was a means of exiting the facility that controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident.
  Plan of correction accepted; correction date given by the community: April 21, 2025
• Medication Services R9-10-816.B.3.c
  Based on record review and interview, the manager failed to ensure a medication administered to a resident was documented in the resident's medical record for one of two residents sampled. The deficient practice posed a risk as medication could not be verified as administered against a medication order.
  Plan of correction accepted; correction date given by the community: April 21, 2025
• Medication Services R9-10-816.D.1
  Based on observation and interview, the manager failed to ensure there was a current drug reference guide that was available for use by personnel members.
  Plan of correction accepted; correction date given by the community: April 21, 2025

May 22, 2024: compliance (annual) inspection, 6 deficiencies

• 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 two residents sampled.
  Plan of correction accepted; correction date given by the community: May 22, 2024
• Service Plans R9-10-808.E.2.b
  Based on observation and interview, the manager failed to ensure a current calendar of activities was posted.
  Plan of correction accepted; correction date given by the community: May 22, 2024
• R9-10-816.B.3.b R9-10-816.B.3.b
  Based on record review, observation, and interview, the manager failed to ensure medication administered to a resident was administered in compliance with a medication order, for one of two sampled residents.
  Plan of correction accepted; correction date given by the community: May 22, 2024
• R9-10-816.F.1 R9-10-816.F.1
  Based on observation, record review, and interview, the manager failed to ensure that medication was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage. The deficient practice posed a risk to residents who were not prescribed the accessible medication.
  Plan of correction accepted; correction date given by the community: May 22, 2024
• R9-10-817.A.1.c R9-10-817.A.1.c
  Based on observation and interview, the manager failed to ensure a food menu was conspicuously posted at least one calendar day before the first meal on the food menu was served. The deficient practice posed a potential residents' rights violation if residents were not treated with dignity, respect, or consideration.
  Plan of correction accepted; correction date given by the community: May 22, 2024
• R9-10-819.A.11 R9-10-819.A.11
  Based on observation and interview, the manager failed to ensure poisonous or toxic materials were maintained in a locked area separate from food preparation and storage areas and were inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident.
  Plan of correction accepted; correction date given by the community: May 26, 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.