Montebello Assisted Living 4

Last inspection

March 20, 2025

Inspections

1, 6 deficiencies cited

Complaint inspections

1, 1 with deficiencies cited

Enforcement cases

1, $500 in civil penalties

• License active since 2020

Enforcement cases

• May 7, 2025: Civil Penalty $500 (complete) case closed (complete)

March 20, 2025: complaint, compliance (annual) inspection, 6 deficiencies

• Personnel R9-10-806.A.8.a-b
  Based on documentation review, record review, and interview, the manager failed to ensure an employee provided documentation of freedom from infectious tuberculosis (TB) as specified in R9-10-113, for two of four personnel reviewed. The deficient practice posed a potential TB exposure risk to residents and the required information could not be verified.
  Plan of correction accepted; correction date given by the community: March 21, 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 three residents sampled. The deficient practice posed a TB exposure risk to residents.
  Plan of correction accepted; correction date given by the community: March 24, 2025
• Service Plans R9-10-808.A.3.c
  Based on record review and interview, the manager failed to ensure a resident's written service plan included the amount, type, and frequency of assisted living services being provided to the resident, for one of three residents sampled. The deficient practice posed a risk as the service plans did not reinforce and clarify services to be provided to a resident.
  Plan of correction accepted; correction date given by the community: March 21, 2025
• Directed Care Services R9-10-815.F.2.a-c
  Based on documentation review, observation, and interview, for a facility authorized to provide directed care services, the manager failed to ensure there was a means of exiting the facility that provided access to an outside area from which a resident could exit to a location at least 30 feet away from the facility and 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: March 20, 2025
• Environmental Standards R9-10-819.A.1.b
  Based on documentation review, observation, and interview, the manager failed to ensure the premises at the assisted living facility were free from a condition or situation that may cause a resident or other individual to suffer physical injury. The deficient practice posed potential dangers to residents.
  Plan of correction accepted; correction date given by the community: March 25, 2025
• Physical Plant Standards R9-10-820.F.1.a-f
  Based on documentation review, observation, and interview, the manager failed to ensure the swimming pool on the premises of the assisted living facility was enclosed by a wall or fence with a self-closing, self-latching gate that was locked when the swimming pool was not in use. The deficient practice posed a risk to the physical health and safety of residents with access to the swimming pool.
  Plan of correction accepted; correction date given by the community: March 21, 2025

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.