Silver Bells Adult Care Home

Last inspection

June 5, 2026

Inspections

4, 14 deficiencies cited

Complaint inspections

1, 0 with deficiencies cited

Enforcement cases

1, $250 in civil penalties

• License active since 1999

Enforcement cases

• January 19, 2024: Civil Penalty $250 (complete) case closed (complete)

June 5, 2026: compliance (annual) inspection, 3 deficiencies

• Residency and Residency Agreements R9-10-807.A.1-2
  Based on record review and interview, the manager failed to ensure that a resident provided freedom from infectious tuberculosis (TB) before or within seven calendar days after the resident’s date of occupancy, and as specified in R9-10-113, for one of the two residents sampled. The deficient practice posed a potential TB exposure risk to residents.
  Plan of correction accepted; correction date given by the community: July 13, 2026
• 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 provided to the resident, including medication and assistance in self-administration of medication for two of the two residents sampled.
  Plan of correction accepted; correction date given by the community: July 13, 2026
• Service Plans R9-10-808.A.5.b
  Based on record review, documentation review, and interview, the manager failed to ensure that a resident had a service plan that was signed and dated by the manager, for one of two residents sampled. 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: July 13, 2026

April 15, 2025: compliance (annual) inspection, 3 deficiencies

• Medication Services R9-10-816.F.3.a
  Based on observation, documentation review, and interview, the manager failed to implement policies and procedures for discarding expired medication. The deficient practice posed a health and safety risk to a resident if the facility provided a resident with an expired medication.
  Plan of correction accepted; correction date given by the community: April 15, 2025
• Food Services R9-10-817.C.7
  Based on observation and interview, the manager failed to ensure that facility equipment and food contact surfaces were clean. The deficient practice posed a health and safety risk to residents if food surfaces were not maintained in a clean manner.
  Plan of correction accepted; correction date given by the community: April 15, 2025
• Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document A.R.S. § 36-420.04.C
  Based on documentation review, record review, and interview, for two of two residents reviewed, the facility failed to maintain a standardized form for each resident that included the information prescribed in A.R.S. 36-420.04. The deficient practice posed a risk as required patient information was not prepared in case of an emergency.
  Plan of correction accepted; correction date given by the community: April 15, 2025

December 14, 2023: compliance (annual) inspection, 8 deficiencies

• Administration R9-10-803.C.1.a
  Based on documentation review, record review, observation, and interview, for one of five employees reviewed, the manager failed to establish and document a job description for an employee. The deficient practice posed a risk to the health and safety of residents, if the facility did not establish a job description which covered the duties, and qualifications, including required skills and knowledge, education, and experience for employees and volunteers.
  Plan of correction accepted; correction date given by the community: January 22, 2024
• Personnel R9-10-806.A.4.a-b
  Based on observation, record review, and interview, for one of three caregivers reviewed, the manager failed to ensure a caregiver's skills and knowledge were verified and documented before the caregiver provided physical health services or behavioral health services. The deficient practice posed a health and safety risk to residents, if a caregiver did not have the documented skills and knowledge to provide care and services for a resident.
  Plan of correction accepted; correction date given by the community: January 22, 2024
• Medical Records R9-10-811.A.2.c
  Based on record review and interview, for one of three resident records reviewed, the manager failed to ensure an entry in a resident's medical record was not changed to make the initial entry illegible. The deficient practice posed a risk if documentation in a resident's medical record was altered and illegible.
  Plan of correction accepted; correction date given by the community: January 22, 2024
• Medical Records R9-10-811.C.13.b
  Based on record review, observation, and interview, for one of three residents reviewed, who received medication administration, the manager failed to ensure a resident's medical record included the dosage of a medication administered to a resident. The deficient practice posed a risk if documentation of a medication administered to a resident did not include the dosage administered to the resident, ensuring the resident was administered the correct dosage per the resident's medication orders.
  Plan of correction accepted; correction date given by the community: January 22, 2024
• R9-10-816.F.3.d R9-10-816.F.3.d
  Based on observation, record review, documentation review, and interview, for one of three residents reviewed, who received a controlled substance, the manager failed to ensure policies and procedures were implemented for inventorying controlled substances. The deficient practice posed a risk if controlled substances were not inventoried and accounted for by the facility.
  Plan of correction accepted; correction date given by the community: January 22, 2024

Inspections with no deficiencies listed

• January 29, 2026: complaint inspection. No deficiencies were found during the on-site investigation of complaint 00155429 conducted on January 29, 2026.

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.