Inspection Reports for
Orange Garden Assisted Living
10858 West Carlota Lane, Sun City, AZ 85373, AZ, 85373
Back to Facility Profile8 Reports
Inspection Report — Mar 5, 2026
Enforcement
Date: Mar 5, 2026
Visit Reason
Civil monetary penalty, action 00156330 (invoice INV-323966), assessed 5 February 2026.
Findings
A $500.00 penalty was assessed and paid in full on 5 February 2026.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — Dec 12, 2025
Annual Inspection
Date: Dec 12, 2025
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints 00125992, 00126134, 00127213, and 00135978 at an Assisted Living Home, conducted 12 December 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint 00125992, 00126134, 00127213, and 00135978 conducted on December 12, 2025.
Findings
This inspection found eight deficiencies related to emergency responder documentation, tuberculosis screening training, directed care services egress monitoring, medication storage and reference guides, food safety, and environmental safety including toxic material storage. Plans of correction were provided for all deficiencies.
Deficiencies (8)
A.R.S. § 36-420.04.A.1-9 — The assisted living home failed to maintain written documentation of emergency responder information including the resident's HIPAA release authorization for hospital communication for two sampled residents.
R9-10-113 — The chief administrative officer failed to provide annual tuberculosis training and education related to recognizing signs and symptoms of TB for two sampled employees for the years 2024 and 2025.
R9-10-815 — The manager failed to ensure means of exiting the facility for residents without keys or special knowledge were secured and monitored; two doors leading to the backyard were unlocked and alarms were inactive or broken.
R9-10-817 — The manager failed to ensure a current toxicology reference guide was available for use by personnel members.
R9-10-817 — The manager failed to ensure medication was stored in a separate locked, self-contained unit; medications and other items were found in unlocked cabinets and accessible locations.
R9-10-818 — The manager failed to ensure food was free from spoilage and contamination; moldy strawberries were found and some products requiring refrigeration were stored unrefrigerated.
R9-10-820 — The manager failed to ensure the premises were free from conditions that may cause physical injury; wheelchairs, walker, commode chair, hospital bed, and transfer equipment were accessible in a walkway.
R9-10-820 — The manager failed to ensure poisonous or toxic materials were stored in labeled containers in a locked area separate from food, dining areas, and medications; multiple toxic materials were found improperly stored and accessible.
Report Facts
Deficiencies cited: 8
Complaints investigated: 4
Inspection Report — Jun 25, 2024
Enforcement
Date: Jun 25, 2024
Visit Reason
Civil monetary penalty, action 00111006 (invoice INV-257861), assessed 25 June 2024.
Findings
A $500.00 penalty was assessed and paid in full on 15 August 2024.
Report Facts
Penalty amount: 500
Amount paid: 500
Amount remaining: 0
Inspection Report — May 8, 2024
Annual Inspection
Date: May 8, 2024
Visit Reason
On-site complaint investigation of complaints AZ00209953, AZ00199996, and AZ00204944 combined with a compliance (annual) inspection at an Assisted Living Home, conducted 8 May 2024.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00209953, AZ00199996, and AZ00204944 conducted on May 8, 2024.
Findings
The inspection found three deficiencies related to failure to investigate and document suspected abuse or neglect, lack of implementation of wandering resident safety policies, and meals not served according to posted menus.
Deficiencies (3)
R9-10-803(J)(5)(a-d) — The manager failed to initiate an investigation and document required information within five working days after having a reasonable basis to believe abuse, neglect, or exploitation occurred on the premises.
The manager failed to ensure policies and procedures were established, documented, and implemented to ensure the safety of a resident who may wander, as no routine checks were conducted or documented.
The manager failed to ensure meals and snacks were served according to posted menus, posing a risk of not meeting residents' dietary needs.
Report Facts
Deficiencies cited: 3
Complaints investigated: 3
Inspection Report — Sep 5, 2023
Enforcement
Date: Sep 5, 2023
Visit Reason
Civil monetary penalty, action 00112575 (invoice INV-259037), assessed 5 September 2023.
Findings
A $1,250.00 penalty was assessed and paid in full on 11 November 2023.
Report Facts
Penalty amount: 1250
Amount paid: 1250
Amount remaining: 0
Inspection Report — Jul 3, 2023
Annual Inspection
Date: Jul 3, 2023
Visit Reason
On-site complaint investigation of complaint AZ00196165 combined with an annual compliance inspection at an Assisted Living Home, conducted 3 July 2023.
Complaint Details
The following deficiencies were found during the compliance inspection and investigation of complaint #AZ00196165 conducted on July 3, 2023.
Findings
The inspection found seven deficiencies related to failure to notify the Department of a manager change, inadequate caregiver qualifications and documentation, spoiled food storage, and unsafe storage of poisonous materials.
Deficiencies (7)
The governing authority failed to notify the Department of a change in the manager and did not provide documentation of the notification, risking the Department's ability to ensure a qualified manager was maintained.
The manager failed to ensure caregivers had the qualifications and skills necessary to meet a resident's needs, evidenced by lack of documentation of resident checks after a fall incident.
The manager failed to ensure a resident submitted required documentation signed by a medical practitioner regarding continuous medical services, constituting a repeat deficiency.
The manager failed to ensure an assistant caregiver was only assigned services they had documented skills and knowledge to perform, lacking documented tube feeding training.
The manager failed to ensure caregivers documented services provided in the resident's medical record, preventing verification of service delivery.
The manager failed to ensure food stored by the facility was free from spoilage and safe for consumption, as spoiled tomatoes were found in a refrigerator.
The manager failed to ensure poisonous or toxic materials were stored in labeled containers in a locked area inaccessible to residents, with such materials found in an unlocked shed.
Report Facts
Deficiencies cited: 7
Complaints investigated: 1
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