State assisted-living licensing record · Arizona ADHS · record as pulled September 14, 2026· Not the federal nursing home survey
Country Villa LLC
802 West 4th Place, Mesa, AZ 85201 · Maricopa County · 10 licensed beds
ADHS licence number AL8942H · licensed, active through August 31, 2027 · first licensed September 2012
The licence
Licensed by ADHS · Assisted Living Home
Services, as licensed by ADHS
- Directed care services
- Licensed
- Personal care services
- Licensed
- Supervisory care services
- Licensed
Position within Arizona
15 citations — more than 89% of the 2,219 licensed assisted living facilities in Arizona. Compared only within Arizona: a citation from ADHS means what it means in Arizona, and there is no national assisted living record to compare to. Counted over 3 years, which holds two or three routine inspections. How this is calculated
Not in this record
Fire and life safety inspection, and severity. The fire inspection of an assisted living facility is the local fire department's, and ADHS does not publish it. What ADHS does cite about safety is here, under its own emergency and safety standards: evacuation and elopement drills, the annual fire inspection report on file, smoke detectors and extinguishers. ADHS does not rate a deficiency's severity, and its enforcement actions are recorded separately and not republished.
Get an email about Country Villa LLC
One email when it happens, from the ADHS record as it is pulled each month. No account; stop it any time with one click.
Building-related citations
The citations about the building itself — physical plant and emergency management. Usually the maintenance side’s to fix.
How that compares
Compared with the median licensed assisted living facility in Arizona. Within-state only.
| Measure | Citations |
|---|---|
| This facility | 15 |
| Median facility in Arizona | 3 |
Visit history
| Visit | Type | Citations |
|---|---|---|
| February 13, 2024 | compliance inspection | 4 |
| April 19, 2024 | complaint investigation | 0 |
| October 25, 2024 | complaint investigation | 7 |
| December 10, 2024 | complaint investigation | 4 |
| January 6, 2026 | compliance inspection | 0 |
What the citations cover
- Records and administration 6
- Medication 2
- Resident care 2
- Food service 2
- Other 3
| Category | Citations |
|---|---|
| Records and administration | 6 |
| Medication | 2 |
| Resident care | 2 |
| Food service | 2 |
| Life safety | 1 |
| Staffing and training | 1 |
| Physical plant | 1 |
Every visit on file since September 2023
As published by ADHS, newest first, including visits that cited nothing. The wording is ADHS’s own.
January 6, 2026 — compliance inspection, nothing cited
December 10, 2024 — complaint investigation, 4 citations
October 25, 2024 — complaint investigation, 7 citations
| Tag | What ADHS checks | POC due |
|---|---|---|
| R9-10-807 | Residency and Residency Agreements | — |
| R9-10-811 | Medical Records | — |
| R9-10-815 | Directed Care Services | — |
| R9-10-817 | Medication Services | — |
| R9-10-818 | Food Services | — |
| R9-10-819 | Emergency and Safety Standards | — |
| R9-10-820 | Environmental Standards | — |
April 19, 2024 — complaint investigation, nothing cited
Reflects the ADHS record as pulled September 14, 2026. A recent visit may not appear yet. This is the Arizona state licensing record; it is not the federal nursing home survey and the two are never combined.