Supreme Adult Care Home

Last inspection

September 4, 2026

Inspections

4, 26 deficiencies cited

Complaint inspections

4, 4 with deficiencies cited

Enforcement cases

1, $1,000 in civil penalties

• License active since 2010

Enforcement cases

• July 3, 2024: Civil Penalty $1,000 (complete) case closed (complete)

September 4, 2026: complaint, compliance (annual) inspection, 3 deficiencies

• Personnel R9-10-806.A.10
  Based on documentation review, record review, and interview, the manager failed to ensure a manager or caregiver provided current documentation of first aid training and cardiopulmonary resuscitation (CPR) training that included a demonstration of the individual's ability to perform CPR, before providing assisted living services, for one of two employees reviewed. The deficient practice posed a risk if an employee was unable to meet a resident's needs during an emergency.
  Approved
• Service Plans R9-10-808.A.2.a-c
  Based on documentation review, record review and interview, the manager failed to ensure a resident had a written service plan which was signed and dated by the resident or resident's representative and the manager for two of two residents sampled. This posed a health and safety risk if the resident or resident's representative and the manager did not acknowledge the services that were to be provided.
  Approved
• Service Plans R9-10-808.A.4.b.i-iii
  Based on documentation review, record review and interview, the manager failed to ensure a written service plan was reviewed and updated at least once every three months, for two of two residents sampled who received directed care services. The deficient practice posed a risk as a service plan reinforces and clarifies services to be provided to a resident.
  Approved

June 12, 2025: complaint inspection, 9 deficiencies

• Administration R9-10-803.C.1.g
  Plan of correction accepted; correction date given by the community: March 27, 2025
• Quality Management R9-10-804.2.a
  Plan of correction accepted; correction date given by the community: March 27, 2025
• Residency and Residency Agreements R9-10-807.B.1.a-b
  Plan of correction accepted; correction date given by the community: March 27, 2025
• Residency and Residency Agreements R9-10-807.E.2
  Plan of correction accepted; correction date given by the community: March 27, 2025
• Service Plans R9-10-808.A.5.a
  Plan of correction accepted; correction date given by the community: March 27, 2025

February 3, 2025: complaint, compliance (annual) inspection, 9 deficiencies

• Administration R9-10-803.C.1.g
  Based on documentation review, record review, and interview, the manager failed to ensure that policies and procedures were implemented to protect the health and safety of a resident that covered how a caregiver will respond to a resident's sudden, intense, or out-of control behavior to prevent harm to the resident or another individual.
  Plan of correction accepted
• Quality Management R9-10-804.2.a
  Based on record review, documentation review, and interview, the manager failed to ensure that a documented report was submitted to the governing authority that included an identification of each concern about the delivery of services related to resident care.
  Plan of correction accepted
• Residency and Residency Agreements R9-10-807.B.1.a-b
  Based on record review and interview, the manager failed to ensure that before or at time of acceptance of an individual submitted documentation that was dated within 90 calendar days before the individual was accepted by an assisted living facility and included whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints and was signed and dated by a medical practitioner, for one of three residents sampled. The deficient practice posed a risk if the facility was unable to meet a resident's needs.
  Plan of correction accepted
• Residency and Residency Agreements R9-10-807.E.2
  Based on documentation review, record review, and interview, the manager failed to ensure that within five working days after a resident's acceptance by the assisted living facility, the manager obtained the signature of the resident's representative on the documented agreement required in subsection (D), for one of three residents sampled. The deficient practice posed a risk if the resident, the resident's representative was not informed of the terms of residency.
  Plan of correction accepted
• Service Plans R9-10-808.A.5.a
  Based on record review and interview, the manager failed to ensure that a resident's written service plan when updated, was signed and dated by the resident's representative, for two of three residents sampled. The deficient practice posed a risk if the service plan was not developed to articulate decisions and agreements.
  Plan of correction accepted

May 29, 2024: complaint inspection, 5 deficiencies

• Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document A.R.S. § 36-420.04.C
  Based on record review and interview, the manager failed to ensure that for two of two residents sampled, a standardized emergency responder patient information form as described in subsection A of this section, was completed and maintained for each resident. The deficient practiced 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: June 9, 2024
• Administration R9-10-803.B.3.b
  Based on observation and interview, the manager failed to ensure a qualified caregiver, who had been designated in writing, was present on the assisted living facility's premises and accountable for the assisted living facility when the manager was not present on the assisted living facility premises. The deficient practice posed a risk as no individual was designated to act on behalf of the governing authority in the onsite management of the assisted living facility.
  Plan of correction accepted; correction date given by the community: June 9, 2024
• Personnel R9-10-806.C.1.c.ix
  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 A.R.S. § 36-411, for one of two personnel records sampled. The deficient practice posed a risk if E2 was a danger to a vulnerable population.
  Plan of correction accepted; correction date given by the community: June 9, 2024
• Service Plans R9-10-808.C.1.a
  Based on record review and interview, the manager failed to ensure a caregiver provided a resident with the assisted living services in the resident's service plan, for one of two residents sampled. The deficient practice posed a risk as the service plan to direct services was not followed.
  Plan of correction accepted; correction date given by the community: June 9, 2024
• Medical Records R9-10-811.C.10
  Based on record review and interview, the manager failed to ensure a resident's medical record contained the resident's service plan and updates, for two of two residents sampled. The deficient practice posed a risk as services stated in the residents' service plans were not available.
  Plan of correction accepted; correction date given by the community: June 9, 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.