Garden Ridge.

“Based on documentation review and interview, the manager failed to ensure that for every eight residents, there was at least one working toilet that flushed and had a seat, and one sink with running water. The deficient practice posed a health and safety risk to the residents. Findings include: 1. A review of Department documentation revealed a complaint dated February 12, 2026, alleging the water had been shut off and residents were unable to wash their hands, flush toilets, or take a shower. 2. In an interview, R1 stated the water was not working in the morning and R1 had not been notified of the shutoff. R1 reported the water was functioning when checked again at approximately 4:00 PM. 3. In an interview, E11 confirmed the water was shut off at approximately 9:30 AM on February 12, 2026, due to an unexpected plumbing incident and was restored at approximately 2:56 PM. E11 reported the facility provided temporary hand-washing stations and bottled water for residents during the outage. 4. In an interview, E11 acknowledged that during the water outage, the facility did not have at least one operational toilet that flushed and one sink with running water for every eight residents, as required. 5. In an interview, the findings were reviewed with E2, and no additional information was provided.”

“Based on the documentation review and interview, the manager failed to ensure a resident was treated with dignity, respect, and consideration. The deficient practice posed a risk of physical and/or psychosocial harm.   Findings include:   1. In an internal investigation during facility interviews, R1 reported that E4 was on E4's cell phone. R1 asked E4 to put the phone away so that E4 could concentrate. It was reported that E4 told R1, "I know what I am doing." The resident was described as being "shocked." 2. In an internal investigation, E5 was interviewed regarding E4. E5 reported that "residents have told E5 that E4 was rude, short, and mean. I don't want E4 to be with me because E4 was mean." 3. In an internal investigation, E6 sent an email to E3, reporting that R6 reported R6 asked E4 for help with collapsing the legs of the wheelchair to fit under the table. R6 reported that E4 ignored R6 and was rude.   4. In an interview, E1 and E2 reported that it was not witnessed; however, due to other write-ups, E4 was terminated.   5. In an exit interview, the findings were reviewed with E1, and no additional information was provided.”

“Based on record review and interview, the manager failed to ensure a resident's orientation to the assisted living facility's evacuation plan and the route to be used was signed and documented within 24 hours of acceptance for five of ten residents reviewed. The deficient practice posed a health and safety risk if the resident needed to exit the facility in an emergency.    Findings include: 1. A review of R1's, R3's, R5's, R6's, and R8's medical records revealed documentation of orientation to the facility's evacuation plan. However, the orientation was not completed within 24 hours of acceptance. Based on the dates of acceptance, this documentation was required.     2. In an interview, E1 acknowledged R1's, R3's, R5's, and R8's orientation to the assisted living facility's evacuation plan and the route to be used was not done within 24 hours of acceptance.”

“Based on observation and interview, the manager failed to ensure the equipment used at the assisted living facility was maintained in working order. The deficient practice posed a health and safety risk for residents. Findings include: 1. During the environmental inspection of the facility, the Compliance Officer observed a double door in a hallway with a missing door handle. This double door opened to the outside, and was an exit door used as an emergency exit. 2. During an interview, E1 acknowledged the door was an emergency exit and the door was missing a door handle.”

“Based on documentation review, record review, and interview, the manager failed to ensure a caregiver provided documentation of completion of a caregiver training program approved by the Department or the Board of Examiners for Nursing Care Institution Administrators and Assisted Living Facility Managers (NCIA Board), for one of seven caregivers sampled. The deficient practice posed a risk if the individual was not qualified to provide the required services. Findings include: 1. A review of facility documentation revealed a weekly staff schedule dated August 13, 2023 through August 19, 2023. The schedule revealed E3 was scheduled to work on August 13 and 16-19, 2023 from 2:00 PM to 10:30 PM. 2. A review of facility documentation revealed a weekly staff schedule dated October 8, 2023 through October 14, 2023. The schedule revealed E3 was scheduled to work on October 8 and 11, 2023 from 2:00 PM to 10:30 PM. 3. A review of R1's medical record revealed a document titled "Service Received". The document revealed E3 provided R1 with toileting assistance on September 24, 2023 at 10:38 PM, and provided R1 with a safety check on September 4, 2023 at 2:02 AM. 4. A review of E3's personnel record revealed no documentation of completion of a caregiver training program approved by the Department or the NCIA Board. 5. In an interview, E1 and E2 reviewed E3's personnel and acknowledged there was no documentation available for review to reflect E3 completed a caregiver training program approved by the Department or the NCIA Board.”

“Based on record review and interview, the manager failed to ensure a resident's medical record contained documentation of the resident's orientation to exits from the facility, for five of seven residents sampled. The deficient practice posed a risk if a resident was unaware of the route to be used to evacuate the facility in an emergency. Findings include: 1. A review of R2's, R3's, R4's, R5's, and R7's medical records revealed no documentation of R2's, R3's, R4's, R5's and R7's orientation to the exits of the facility. 2. In an interview, E1 acknowledged R2's, R3's, R4's, R5's, and R7's medical records did not contain documentation of the residents' orientation to exits from the facility.”

“Based on observation, documentation review, and interview, the manager failed to ensure pets were licensed consistent with local ordinances. The deficient posed a risk if a pet allowed into the facility did not meet the Maricopa County licensing requirements. Findings include: 1. During the inspection, the Compliance Officer observed various pets living in the facility with their owners. 2. A review of the facility's pet records revealed no documentation to indicate O1 was licensed consistent with local ordinances. 3. A review of the facility's pet records revealed O2's pet license expired June 9, 2023. 4. A review of the facility's pet records revealed O3's pet license expired September 12, 2023. 5. A review of the facility's pet records revealed O4's pet license expired September 14, 2023. 6. A review of the facility's pet records revealed O5's pet license expired August 7, 2023. 7. In an interview, E1 acknowledged there was no other documentation available for review to reflect the aforementioned pets were licensed consistent with local ordinances. This is a repeat citation from the previous compliance inspection conducted on August 25, 2022.”

“Based on observation, documentation review, and interview, the manager failed to ensure a pet was vaccinated against rabies. The deficient practice posed a potential rabies infection risk to residents. Findings include: 1. During the inspection, the Compliance Officer observed various pets living in the facility with their owners. 2. A review of facility documentation revealed O5's rabies vaccination expired June 17, 2023. 3. A review of facility documentation revealed O6's rabies vaccination expired October 12, 2023. 4. A review of facility documentation revealed O7's rabies vaccination expired August 18, 2023. 5. In an interview, E1 acknowledged there was no documentation available for review to reflect a current rabies vaccination for O5, O6, and O7. This is a repeat citation from the previous compliance inspection conducted on August 25, 2022.”