Orchard Pointe at Surprise

Last inspection

September 1, 2026

Inspections

5, 11 deficiencies cited

Complaint inspections

4, 3 with deficiencies cited

Enforcement cases

0

• License active since 2017

September 1, 2026: complaint, compliance (annual) inspection, 6 deficiencies

• Opioid Prescribing and Treatment R9-10-120.F.4.a-c
  Based on documentation review, record review, and interview, the manager failed to ensure an individual authorized to administer opioids identified the resident's need for an opioid before administering the opioid and monitored the resident's response to the opioid for residents who did not have an active malignancy or an end-of-life condition. The deficient practice posed a risk to the physical health and safety of a resident.
  Plan of correction rejected; correction date given by the community: October 1, 2026
• Personnel R9-10-806.A.8.a-b
  Based on documentation review, record review, and interview, the manager failed to ensure employees provided evidence of freedom from infectious tuberculosis (TB) as specified in R9-10-113, for two of nine employees reviewed. The deficient practice posed a TB exposure risk to residents.
  Plan of correction rejected; correction date given by the community: October 1, 2026
• Service Plans R9-10-808.A.4.a
  Based on record review and interview, the manager failed to ensure a written service plan was updated no later than 14 days after a significant change in a resident's physical, cognitive, or functional condition, for a resident who had a significant change in condition. The deficient practice posed a health and safety risk to the resident if the caregivers did not know what services the resident needed.
  Plan of correction rejected; correction date given by the community: October 1, 2026
• Service Plans R9-10-808.A.5.a-d
  Based on record review and interview, the manager failed to ensure a resident had a written service plan that, when initially developed and when updated, was signed and dated by the resident or resident's representative and the manager. The deficient practice posed a risk if the service plan was not developed to articulate decisions and agreements.
  Plan of correction rejected; correction date given by the community: October 1, 2026
• Memory Care Services R9-10-816.B
  Based on record review and interview, the manager failed to ensure that staff obtained a certificate of completion, as specified in R9-10-126, which requires staff to complete a minimum of eight hours of initial memory care services training within the first 30 days of hire or provide a copy of a qualifying certificate of completion. The deficient practice posed a risk if the individuals were not qualified to provide the required memory care services.
  Plan of correction rejected; correction date given by the community: October 1, 2026
• Medication Services R9-10-817.A.1.a-g
  Based on record review, documentation review, and interview, the manager failed to follow procedures for assisting a resident in procuring medication.
  Plan of correction rejected; correction date given by the community: October 1, 2026

August 28, 2024: complaint inspection, 1 deficiency

• Administration R9-10-803.A.3.b.i-ii
  Based on documentation review and interview, the governing authority failed to designate a certified manager, in writing, a manager who has either a certificate as an assisted living facility manager issued under A.R.S. § 36-446.04(C), or a temporary certificate as an assisted living facility manager issued under A.R.S. § 36-446.06. The deficient practice posed a risk as the assisted living facility was unable to ensure compliance with applicable Rules.
  Plan of correction accepted; correction date given by the community: August 28, 2024

February 14, 2024: complaint, compliance (annual) inspection, 4 deficiencies

• Medical Records R9-10-811.C.17
  Based on documentation review, record review, and interview, the manager failed to ensure a resident medical record contained documentation of notification of the resident of the availability of vaccination for flu and pneumonia, according to A.R.S. § 36-406(1)(d), to four of nine residents reviewed. The deficient practice posed a potential illness risk to residents.
  Plan of correction accepted; correction date given by the community: March 1, 2024
• Directed Care Services R9-10-815.B.1
  Based on record review and interview, the manager failed to ensure the facility did not accept or retain a resident who was confined to a bed or chair because of an inability to ambulate even with assistance, unless the facility obtained a written determination from a medical practitioner, every six months, that stated the resident's needs could be met by the facility and the resident's needs were within the facility's scope of services, for two of three residents reviewed who were confined to a bed or chair.
  Plan of correction accepted; correction date given by the community: February 14, 2024
• R9-10-818.D.1 R9-10-818.D.1
  Based on record review and interview, the manager failed to ensure when a resident had an incident that resulted in the resident needing medical services, a caregiver immediately notified the resident's emergency contact and primary care provider, for two of two residents reviewed who had an incident that resulted in the resident needing medical services. The deficient practice posed a health and safety risk.
  Plan of correction accepted; correction date given by the community: February 14, 2024
• R9-10-818.D.2.f R9-10-818.D.2.f
  Based on record review and interview, the manager failed to ensure when a resident had an incident that resulted in the resident needing medical services, a caregiver documented any action taken to prevent the incident from occurring in the future, for two of two residents reviewed who had an incident that resulted in the resident needing medical services. The deficient practice posed a health and safety risk.
  Plan of correction accepted; correction date given by the community: February 14, 2024

Other inspection reports

• September 17, 2025: modification inspection. On September 17, 2025, an off-site desktop review to change the licensed capacity from 130 directed care to 20 directed care and 110 personal care was completed. Read the Statement of Deficiencies on AZ Care Check.

Inspections with no deficiencies listed

• January 17, 2025: complaint, compliance (annual) inspection. No deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00222110 conducted on January 17, 2025.

Read the full record on AZ Care Check →

ADHS writes a Statement of Deficiencies after each inspection that finds a rule was not met. The community then files a plan of correction, which ADHS accepts or rejects. ADHS investigates complaints on site. A complaint inspection that ends with “No deficiencies were found” did not find a rule violation; deficiencies cited on a complaint inspection are listed with that inspection. AZ Care Check does not list complaints that did not lead to an on-site inspection. Enforcement cases are actions ADHS takes after an inspection, such as a civil money penalty, a provisional license or a license revocation, with their status. This community is licensed for 130 residents; larger communities are inspected and reported on more often, so read counts with size in mind. Source: Arizona Department of Health Services, Licensing Services, AZ Care Check, data as of October 15, 2026, showing all records on AZ Care Check (back to September 5, 2023). Always visit in person and ask the community about anything listed here.