Liberty Manor Residency II

Last inspection

July 1, 2026

Inspections

3, 13 deficiencies cited

Complaint inspections

0, 0 with deficiencies cited

Enforcement cases

2, $2,500 in civil penalties

• License active since 2005

Enforcement cases

• August 21, 2025: Civil Penalty $1,750 (complete) case closed (complete)
• February 8, 2024: Civil Penalty $750 (complete) case closed (complete)

July 1, 2026: compliance (annual) inspection, 4 deficiencies

• Service Plans R9-10-808.A.3.c
  Based on record review and interview, the manager failed to ensure that a resident had a service plan that was established, documented, and implemented, which included the amount, type, and frequency of assisted living services and ancillary services being provided to the resident, for one of two residents sampled. The deficient practice posed a risk as the service plan did not reinforce and clarify the services to be provided.
  Plan of correction accepted; correction date given by the community: September 3, 2026
• Service Plans R9-10-808.C.1.g
  Based on documentation review, record review, and interview, the manager failed to ensure that a caregiver documented the services being provided to a resident, for one of two residents sampled. The deficient practice posed a risk as services could not be verified as provided against a service plan.
  Plan of correction accepted; correction date given by the community: August 3, 2026
• Medical Records R9-10-811.C.18
  Based on record review and interview, the manager failed to ensure that a resident's medical record contained documentation of the resident's orientation to exits from the assisted living facility required in R9-10-819(B), for two of two residents sampled. The deficient practice posed a risk if a resident was unaware of the evacuation path to be used in an emergency.
  Plan of correction accepted; correction date given by the community: July 2, 2026
• Environmental Standards R9-10-820.A.11
  Based on observation and interview, the manager failed to ensure that poisonous or toxic materials stored by the assisted living facility were maintained in labeled containers in a locked area separate from food preparation and storage, dining areas, and medications and were inaccessible to residents. The deficient practice posed a physical health and safety risk to the residents.
  Plan of correction accepted; correction date given by the community: July 1, 2026

June 4, 2025: compliance (annual) inspection, 6 deficiencies

• Health care institutions; fall prevention and fall recovery; training programs; definition A.R.S. § 36-420.01.A
  Based on record review, documentation review, and interview, the manager failed to ensure the health care institution developed and administered 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: July 25, 2025
• Personnel R9-10-806.A.10
  Based on record review and interview, the manager failed to ensure a personnel record for each employee included documentation of cardiopulmonary resuscitation (CPR) training, for two of two sampled employees. The deficient practice posed a risk if an employee was unable to meet a resident's needs during an emergency.
  Plan of correction accepted; correction date given by the community: June 5, 2025
• Residency and Residency Agreements R9-10-807.B.1.a-b
  Based on record review and interview, the manager accepted an individual before the individual submitted documentation, dated within 90 calendar days before the individual was accepted by the facility, to include whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints; dated and signed by a physician, registered nurse practitioner, registered nurse, or physician assistant, 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: July 25, 2025
• Service Plans R9-10-808.A.4.b.ii
  Based on record review and interview, the manager failed to ensure that a resident had a written service plan that was reviewed and updated at least once every 12-months for a resident receiving supervisory care services, at least once every six-months for a resident receiving personal care services. The deficient practice posed a risk if the service plan was not developed to articulate decisions and agreements.
  Plan of correction accepted; correction date given by the community: June 5, 2025
• Emergency and Safety Standards R9-10-818.A.2
  Based on documentation review and interview, the manager failed to ensure a disaster plan was reviewed at least once every 12 months. The deficient practice posed a risk as a disaster plan reinforces and clarifies standards expected of employees.
  Plan of correction accepted; correction date given by the community: June 4, 2025
• Emergency and Safety Standards R9-10-819.A.5.a
  Based on documentation review and interview, the manager failed to ensure that an Evacuation drill for employees and residents was conducted every six months and documented. The deficient practice posed a risk as there was no plan to ensure the health and safety of residents in an emergency.
  Plan of correction accepted; correction date given by the community: June 5, 2025

December 11, 2023: compliance (annual) inspection, 3 deficiencies

• Health care institutions; fall prevention and fall recovery; training programs; definition A.R.S. § 36-420.01.A
  Based on documentation review and interview, the administrator failed to ensure the health care institution developed and administered a training program for all staff regarding fall prevention and fall recovery. The deficient practice posed a risk if facility staff were 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: January 11, 2024
• Personnel R9-10-806.B.3
  Based on documentation review and interview, the manager failed to ensure, as part of the policies and procedures required in Arizona Administrative Code (A.A.C.) R9-10-803(C)(1)(h), a plan was documented to ensure the manager or a caregiver was available as back-up to provide assisted living services to a resident if the manager or a caregiver assigned to work was not available or not able to provide the required assisted living services. The deficient practice posed a risk if no qualified employee was available to meet a resident's needs.
  Plan of correction accepted; correction date given by the community: January 11, 2024
• R9-10-818.A.4 R9-10-818.A.4
  Based on documentation review and interview, the manager failed to ensure a disaster drill for employees and residents was conducted on each shift at least once every three months. The deficient practice posed a risk if employees were unable to implement a disaster plan.
  Plan of correction accepted; correction date given by the community: January 11, 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 5 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.