Sierra Adult Care

Last inspection

April 22, 2026

Inspections

4, 10 deficiencies cited

Complaint inspections

1, 0 with deficiencies cited

Enforcement cases

2, $500 in civil penalties

• License active since 2005

Enforcement cases

• June 29, 2026: Civil Penalty $250 (complete); Notice of Enforcement Action (complete) case closed (complete)
• November 14, 2023: Civil Penalty $250 (complete) case closed (complete)

April 22, 2026: compliance (annual) inspection, 2 deficiencies

• Medication Services R9-10-817.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 one of two residents sampled who received medication administration.
  Plan of correction accepted; correction date given by the community: April 26, 2026
• Environmental Standards R9-10-820.A.11
  Based on observation and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were maintained in a locked area, labeled and inaccessible to residents. The deficient practice posed a risk to the physical health and safety of a resident.
  Plan of correction accepted; correction date given by the community: April 28, 2026

November 6, 2024: compliance (annual) inspection, 3 deficiencies

• Residency and Residency Agreements R9-10-807.B.1.a.i-iii
  Based on record review, documentation review, and interview, the manager failed to ensure an individual submitted documentation dated within 90 calendar days before the individual was accepted by the facility including whether the individual required continuous medical services, continuous nursing services, or intermittent nursing services, for one of two residents sampled.
  Plan of correction accepted; correction date given by the community: November 30, 2024
• Residency and Residency Agreements R9-10-807.D.2.a
  Based on record review and interview, the manager failed to ensure, for two of two sampled residents, a documented residency agreement included the date of occupancy or expected date of occupancy.
  Plan of correction accepted; correction date given by the community: November 30, 2024
• R9-10-816.B.3.c R9-10-816.B.3.c
  Based on record review, observation, and interview, the manager failed to ensure a medication administered to a resident was documented in the resident's medical record, for one of two residents sampled who received medication administration.
  Plan of correction accepted; correction date given by the community: November 30, 2024

October 17, 2023: compliance (annual) inspection, 5 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 manager failed to ensure the health care institution administered a training program for all staff regarding fall prevention and fall recovery. The deficient practice posed a risk to the physical health and safety of a resident.
  Plan of correction accepted; correction date given by the community: October 31, 2023
• Residency and Residency Agreements R9-10-807.D.1-10
  Based on record review, documentation review, and interview, the manager failed to ensure before or at the time of an individual's acceptance by the assisted living facility, there was a documented residency agreement with the assisted living facility which included the requirements in R9-10-807(D)(1-10), for one of three residents sampled. The deficient practice posed a risk if the resident was not informed of the terms of residency.
  Plan of correction accepted; correction date given by the community: October 18, 2023
• Directed Care Services R9-10-815.C.1-7
  Based on record review and interview, the manager failed to ensure the service plan for a resident receiving directed care services included the requirements in R9-10-815(C)(1-5), for two of two directed care residents sampled.
  Plan of correction accepted; correction date given by the community: December 26, 2023
• R9-10-816.F.1 R9-10-816.F.1
  Based on observation, record review, and interview, the manager failed to ensure that medication was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage. The deficient practice posed a risk to residents who were not prescribed the accessible medications.
  Plan of correction accepted; correction date given by the community: October 31, 2023
• 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 which could cause a resident or other individual to suffer physical injury.
  Plan of correction accepted; correction date given by the community: October 31, 2023

Inspections with no deficiencies listed

• May 9, 2024: complaint inspection. An on-site investigation of complaint AZ00207117 was conducted on May 9, 2024, and no deficiencies were cited :

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.