River Valley Estates

Last inspection

September 21, 2026

Inspections

4, 14 deficiencies cited

Complaint inspections

3, 3 with deficiencies cited

Enforcement cases

2, $1,250 in civil penalties

• License active since 2018

Enforcement cases

• July 23, 2025: Civil Penalty $1,000 (complete) case closed (complete)
• July 22, 2024: Civil Penalty $250 (complete) case closed (complete)

July 30, 2026: complaint, compliance (annual) inspection, 4 deficiencies

• Health care institutions; fall prevention and fall recovery; training programs; definition A.R.S. § 36-420.01.A
  Based on documentation review, interview, and record review, the governing authority failed to develop and administer a training program for all staff regarding fall prevention and fall recovery, for five of nine sampled staff. 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.
  Approved
• Administration R9-10-803.A.9
  Based on documentation review, record review, and interview, the governing authority failed to ensure compliance with Arizona Revised Statutes (A.R.S.) § 36-411(C), for eight of nine sampled personnel members. The deficient practice posed a risk if the employees were a danger to a vulnerable population.
  Approved
• Administration R9-10-803.C.1.m
  Based on documentation review and interview, the manager failed to ensure policies and procedures were implemented to protect the health and safety of a resident to cover methods by which the assisted living facility was aware of the general or specific whereabouts of a resident, based on the level of assisted living services provided to the resident and the assisted living services the assisted living facility was authorized to provide.
  Approved
• Service Plans R9-10-808.A.3.b
  Based on record review and interview, the manager failed to ensure a resident had a service plan that was documented that included the level of service the resident was expected to receive, for one of nine sampled residents. The deficient practice posed a risk as the service plan did not reinforce and clarify the level of service to be provided to a resident.
  Approved

May 28, 2025: complaint, compliance (annual) inspection, 2 deficiencies

• Administration R9-10-803.A.9
  Based on documentation review, record review, and interview, the manager failed to ensure a personnel record for each employee included documentation of compliance with the requirements in Arizona Revised Statutes (A.R.S.) § 36-411, for one of eight personnel records reviewed. The deficient practice posed a health and safety risk to the residents if personnel members were a danger to vulnerable populations.
  Plan of correction accepted; correction date given by the community: July 1, 2025
• Service Plans R9-10-808.A.1-5
  Based on record review and interview, the manager failed to ensure a resident had a written service plan which, was completed no later than 14 calendar days after the resident's date of acceptance, and when initially developed and when updated, was signed and dated by the resident or resident's representative, the manager, and the nurse or medical practitioner who reviewed the service plan, for four of eight resident records reviewed.
  Plan of correction accepted; correction date given by the community: June 9, 2025

June 4, 2024: complaint, 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 documentation review, record review, and interview, the health care institution failed to administer a training program for all staff regarding fall prevention and fall recovery. The deficient practice posed a risk as organized instruction and information related to resident care and safety was not implemented.
  Plan of correction accepted; correction date given by the community: August 31, 2024
• Service Plans R9-10-808.A.3.b
  Based on record review and interview, the manager failed to ensure that a resident had a written service plan that included the level of service the resident was expected to receive, which posed a health and safety risk for two of six residents' records reviewed.
  Plan of correction accepted; correction date given by the community: August 1, 2024
• Service Plans R9-10-808.A.5.c
  Based on record review and interview, the manager failed to ensure the written service plan when initially developed and when updated, for four of five sampled residents receiving medication administration and or directed care services, was signed and dated by a nurse or medical practitioner when updated which could pose a health risk to the resident if the service plan was not reviewed and signed as required..
  Plan of correction accepted; correction date given by the community: August 1, 2024
• Service Plans R9-10-808.C.1.b
  Based on documentation review, record review, and interview, the manager failed to ensure that caregivers were only assigned to provide the assisted living services the caregivers had the documented skills and knowledge to perform, which posed a health and safety risk. Two of four caregivers' personnel records were reviewed.
  Plan of correction accepted; correction date given by the community: August 1, 2024
• Personal Care Services R9-10-814.F.1
  Based on record review and interview, the manager failed to ensure that a service plan for a resident who is receiving personal care services included skin maintenance to prevent and treat bruises, injuries, pressure sores, and infections which posed a health and safety risk; for one of one sampled resident.
  Plan of correction accepted; correction date given by the community: August 1, 2024

Other inspection reports

• September 21, 2026: modification inspection. On September 21, 2026, an on-site modification inspection was conducted. Read the Statement of Deficiencies on AZ Care Check.

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 88 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.