Loading EveryPlace content…
Limited public data available for this facility. Call to verify details directly.
Email Legend to yourself
Get a one-time email with a link to this profile so it is easy to find and share later.
This sends one email and does not add you to a mailing list.
Compare this facility with at least one nearby backup option.
When public data is thin, nearby alternatives give you better context on pricing, reviews, and how much information is publicly available in the same market.
Legend Ddd Services - Elwood Nsgh
< 1 miAdult Family Home · Peoria, AZ
Winilyn Home LLC
< 1 miAssisted Living · Sun City, AZ
Dove Song Retreat 1 LLC
< 1 miAssisted Living · Peoria, AZ
Desert Winds Assisted Living
< 1 miAssisted Living · Peoria, AZ
Lake Pleasant Post Acute Rehabilitation Center
< 1 miNursing Home · Peoria, AZ
Legend Ddd Services - Alex Nsgh
< 1 miAdult Family Home · Peoria, AZ
Source: AZ State Licensing Agency
No deficiencies were found during the complaint investigation for 00136958 conducted on July 21, 2025.
No deficiencies were found during the on-site investigation of complaint 00133384 conducted on June 16, 2025.
The following deficiencies were found during the on-site compliance inspection conducted on April 7, 2025:
Based on documentation review and interview, the administrator did not ensure a disaster drill for employees was conducted on each shift at least once every three months and documented. The deficient practice posed a risk if employees were unable to implement a disaster plan. Findings include: 1. A review of facility documentation revealed no documentation of disaster drills being conducted was available for review. 2. In an interview, E1 reported E1 was unaware of the frequency and documentation required when conducting disaster drills. E1 acknowledged a disaster drill for employees was not conducted on each shift at least once every three months and documented.
Based on documentation review and interview, the administrator did not ensure an evacuation drill for employees was conducted on each shift at least once every three months and documented. The deficient practice posed a risk if employees were unable to implement a disaster plan. Findings include: 1. A review of the facility’s documentation revealed no documentation of employee evacuations drills being conducted was available for review. 2. In an interview, E1 reported E1 was unaware of the requirement for employee evacuation drills to be conducted. E1 acknowledged an evacuation drill for employees was not conducted on each shift at least once every three months and documented.
Based on documentation review and interview, the administrator did to ensure an evacuation drill for residents was conducted at least once each year on each shift and documented. Findings include: 1. In an interview E1 reported the facility schedule consists of the following two shifts: 7:00AM to 7:00PM; and 7:00PM to 7:00AM. 2. A review of facility documentation revealed documentation of the following evacuation drills were conducted: November 8, 2024 at 16:05PM; and February 21, 2025 at 16:30PM. However, no documentation of an evacuation drill for residents being conducted during the 7:00PM to 7:00AM shift was available for review. 3. In an interview, E1 acknowledged an evacuation drill for residents was not conducted at least once each year on each shift and documented.
Based on record review and interview, the administrator did not ensure a resident’s medical record contained documentation of the resident’s placement evaluation. Findings include: 1. A review of R2’s medical record revealed no documentation of R2’s placement evaluation was available for review. 2. In an interview, E1 acknowledged the R2’s medical record did not contain documentation of R2’s placement evaluation.
Based on documentation review and interview, the administrator did not ensure a disaster plan was reviewed at least once every 12 months. Findings include: 1. A review of the facility’s documentation revealed documentation of the facility’s disaster plan being reviewed was not available for compliance officer review. 2. In an interview, E1 reported E1 was not aware the disaster plan was required to be reviewed annually. E1 acknowledged the disaster plan was not reviewed at least once every 12 months.
The State initial licensure survey was conducted on June 16, 2023. There were no deficiencies cited. The State initial licensure survey was conducted on June 16, 2023. The following deficiencies were cited:
Contact this facility directly and verify the details that matter most to your family.
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.