Holbrook Senior Center Extended Care

Last inspection

September 8, 2025

Inspections

2, 12 deficiencies cited

Complaint inspections

0, 0 with deficiencies cited

Enforcement cases

2, $1,000 in civil penalties

• License active since 1998

Enforcement cases

• November 5, 2025: Civil Penalty $750 (complete) case closed (complete)
• April 23, 2024: Civil Penalty $250 (complete) case closed (complete)

September 8, 2025: compliance (annual) inspection, 4 deficiencies

• Personnel R9-10-806.A.1.b.i-iv.
  Based on record review and interview, the manager failed to ensure a caregiver provided documentation of 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 (NCIA) for one of ten personnel records sampled. The deficient practice posed a risk if E2 was not able to meet the needs of residents.
  Plan of correction accepted; correction date given by the community: November 10, 2025
• Personnel R9-10-806.A.8.a-b
  Based on documentation review, record review, and interview, the manager failed to ensure a personnel record for each employee or volunteer included documentation of evidence of freedom from infectious tuberculosis (TB), as specified in R9-10-113, for two of two personnel sampled. The deficient practice posed a potential TB exposure risk to residents.
  Plan of correction accepted; correction date given by the community: November 10, 2025
• Residency and Residency Agreements R9-10-807.A.1-2
  Based on documentation review, record review, and interview, the manager failed to ensure a resident provided evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113, for one of two residents sampled. The deficient practice posed a TB exposure risk to residents.
  Plan of correction accepted; correction date given by the community: November 10, 2025
• 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 90 calendar days before the individual was accepted by the assisted living facility and included whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints and was dated and signed by a medical practitioner or registered nurse, for two of two residents sampled. 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: October 15, 2025

March 12, 2024: compliance (annual) inspection, 8 deficiencies

• Health care institutions; fall prevention and fall recovery; training programs; definition A.R.S. § 36-420.01.A
  Based on record review and interview the health care institution failed to develop a training program for all staff regarding fall prevention and fall recovery.
  Plan of correction accepted; correction date given by the community: April 10, 2024
• Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document A.R.S. § 36-420.04.C
  Based on record review and interview, the manager failed to ensure that for three of three sample resident records, a standardized emergency responder patient information form was completed and maintained for each resident.
  Plan of correction accepted; correction date given by the community: April 10, 2024
• Administration R9-10-803.B.3.b
  Based on documentation review and interview, the manager failed to designate, in writing, a caregiver who was present on the assisted living facility's premises and accountable for the assisted living facility when the manager was not present.
  Plan of correction accepted; correction date given by the community: April 2, 2024
• Residency and Residency Agreements R9-10-807.A.1-2
  Based on record review and interview, the manager failed to ensure that one of three sample resident records contained evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113.
  Plan of correction accepted; correction date given by the community: April 10, 2024
• Service Plans R9-10-808.A.4.b.ii
  Based on record review and interview, the manager failed to ensure that one of three sample resident records contained documentation of a written service plan that was reviewed and updated at least once every six months for a resident receiving personal care services.
  Plan of correction accepted; correction date given by the community: April 10, 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 16 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.