Immaculate Heart of Mary Assisted Living Home

Last inspection

June 3, 2026

Inspections

4, 16 deficiencies cited

Complaint inspections

4, 4 with deficiencies cited

Enforcement cases

4, $2,700 in civil penalties

• License active since 2022

Enforcement cases

• September 18, 2026: Civil Penalty $250 (complete); Notice of Enforcement Action (complete) case closed (complete)
• August 14, 2024: Civil Penalty $1,700 (complete) case closed (complete)
• July 22, 2024: Civil Penalty $500 (complete) case closed (complete)
• May 6, 2024: Civil Penalty $250 (complete) case closed (complete)

June 3, 2026: complaint, compliance (annual) inspection, 7 deficiencies

• Health care institutions; fall prevention and fall recovery; training programs; definition A.R.S. § 36-420.01.A
  Based on documentation review, record review, and interview, the governing authority failed to administer a training program for all staff regarding fall prevention and fall recovery. The deficient practice posed a risk if a staff member was not properly trained to assist a resident who had fallen and was unable to recover independently.
  Plan of correction accepted; correction date given by the community: June 5, 2026
• Administration R9-10-803.C.1.w
  Based on documentation review, and interview, the manager failed to ensure that policies and procedures were implemented to protect the health and safety of a resident, which covers a quality management program, including incident reports and supporting documentation.
  Plan of correction accepted; correction date given by the community: June 5, 2026
• Residency and Residency Agreements R9-10-807.A.1-2
  Based on 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.A.2.a.i-ii. The deficient practice posed a TB exposure risk to residents.
  Plan of correction accepted; correction date given by the community: June 5, 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: June 5, 2026
• Medical Records R9-10-811.A.1
  Based on documentation review, record review, and interview, the manager failed to ensure a medical record was maintained for each resident according to A.R.S. Title 12, Chapter 13, Article 7.1. The deficient practice posed a risk as the required information could not be verified for the sampled resident.
  Plan of correction accepted; correction date given by the community: June 5, 2026
• Emergency and Safety Standards R9-10-819.A.2
  Based on documentation review and interview, the manager failed to ensure the disaster plan required in subsection(A)(1) is reviewed at least once every 12 months.
  Plan of correction accepted; correction date given by the community: June 8, 2026
• Emergency and Safety Standards R9-10-819.A.4
  Based on documentation review and interview, the manager did not ensure that a disaster drill for employees was conducted at least once every three months on each shift and documented.
  Plan of correction accepted; correction date given by the community: June 7, 2026

July 19, 2024: complaint inspection, 1 deficiency

• Administration R9-10-803.A.3.b.i-ii
  Based on observation, documentation review, and interview, the governing authority failed to designate, in writing, a manager who had either a certificate as an assisted living facility manager issued under A.R.S. § 36-446.04(C), or a temporary certificate as an assisted living facility manager issued under A.R.S. § 36-446.06. 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: August 1, 2024

June 26, 2024: complaint, compliance (annual) inspection, 4 deficiencies

• Directed Care Services R9-10-815.F.2.a.i-ii
  Based on documentation review, observation, and interview, the manager failed to ensure the 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, controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if staff were unaware of the egress of a resident from the facility.
  Plan of correction accepted; correction date given by the community: June 26, 2024
• R9-10-816.B.3.c 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 two of two sampled residents who received medication administration services. The deficient practice posed a risk if a resident experienced a change in condition due to improper administration of medication.
  Plan of correction accepted; correction date given by the community: July 1, 2024
• R9-10-816.F.1 R9-10-816.F.1
  Based on observation and interview, the manager failed to ensure medication stored by the facility was stored in a locked area. The deficient practice posed a risk to the physical health and safety of residents with access to the medication.
  Plan of correction accepted; correction date given by the community: June 26, 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 stored by the facility were stored in a locked area and inaccessible to residents. The deficient practice posed a risk to the physical health and safety of residents with access to the materials.
  Plan of correction accepted; correction date given by the community: June 26, 2024

March 7, 2024: complaint inspection, 4 deficiencies

• Administration R9-10-803.A.9
  Based on record review and interview, the governing authority failed to ensure compliance with A.R.S. § 36-411, which required employees to have a valid fingerprint clearance card or fingerprint clearance card application within 20 working days of hire and for owners to make documented, good faith efforts to verify the current status of a person's fingerprint clearance card; for one of five sampled personnel records which posted a safety risk.
  Plan of correction accepted; correction date given by the community: April 25, 2024
• Personnel R9-10-806.B.4.b.i
  Based on observation, record review, and interview, the manager failed to ensure if the manager or caregiver was not awake during nighttime hours, the manager or caregiver could hear and respond to a resident needing assistance. The deficient practice posed a health and safety risk to the resident.
  Plan of correction accepted; correction date given by the community: April 25, 2024
• Personnel R9-10-806.C.1.a-c
  Based on observation, documentation review, record review, and interview, the manager failed to ensure one of six sampled employees or volunteers had a record maintained at the facility.
  Plan of correction accepted; correction date given by the community: April 25, 2024
• R9-10-819.A.1.b R9-10-819.A.1.b
  Based on observation and interview, the manager failed to ensure the premises was free from a condition or situation that may cause a resident or other individual to suffer physical injury.
  Plan of correction accepted; correction date given by the community: April 25, 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.