Inspection Reports for
Orchard Pointe at Surprise

AZ, 85374

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Deficiencies (last 2 years)

Deficiencies (over 2 years) 2.5 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

32% better than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2024
2025

Inspection Report

Modification
Capacity: 130 Deficiencies: 0 Date: Sep 17, 2025

Visit Reason
Off-site desktop review completed to change licensed capacity from 130 directed care to 20 directed care and 110 personal care. No deficiencies cited.

Findings
Off-site desktop review completed to change licensed capacity from 130 directed care to 20 directed care and 110 personal care. No deficiencies cited.

Inspection Report

Complaint Investigation
Capacity: 130 Deficiencies: 0 Date: Jan 17, 2025

Visit Reason
On-site compliance inspection and complaint investigation found no deficiencies.

Complaint Details
Complaint AZ00222110 investigated.
Findings
On-site compliance inspection and complaint investigation found no deficiencies.

Inspection Report

Complaint Investigation
Capacity: 130 Deficiencies: 1 Date: Aug 28, 2024

Visit Reason
On-site investigation of complaints AZ00214632 and AZ00214723 found deficiency for failure to designate a certified manager in writing.

Complaint Details
Complaints AZ00214632 and AZ00214723 investigated.
Findings
On-site investigation of complaints AZ00214632 and AZ00214723 found deficiency for failure to designate a certified manager in writing.

Deficiencies (1)
A. A governing authority shall: 3. Designate, in writing, a manager who: b. Except for the manager of an adult foster care home, has either a: i. Certificate as an assisted living facility manager — failure to designate a certified manager

Inspection Report

Complaint Investigation
Capacity: 130 Deficiencies: 4 Date: Feb 14, 2024

Visit Reason
On-site compliance inspection and complaint investigation found four deficiencies related to resident medical records, acceptance of residents, and caregiver notifications/documentation after incidents.

Complaint Details
Complaints AZ00199018, AZ00201053, and AZ00203885 investigated.
Findings
On-site compliance inspection and complaint investigation found four deficiencies related to resident medical records, acceptance of residents, and caregiver notifications/documentation after incidents.

Deficiencies (4)
C. A manager shall ensure that a resident's medical record contains: 17. Documentation of notification of the resident of the availability of vaccination — failure to ensure documentation
B. A manager of an assisted living facility authorized to provide directed care services shall not accept or retain a resident who, except as provided — failure to ensure facility did not accept or retain a resident confined to bed or chair
D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver immediately notifies the resident's representative — failure to ensure caregiver notification
D. When a resident has an accident, emergency, or injury that results in the resident needing medical services, a manager shall ensure that a caregiver documents any action taken to protect the resident — failure to ensure caregiver documentation

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