Lilisity

Assisted Living

Pecan Care Concepts at American Orchards

765 North Lindsay Road, Buildi, Gilbert, AZ 85234 · Map
Licensed for 53 residents

State license active
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Pecan Care Concepts at American Orchards is a state-licensed assisted living community in Gilbert, Arizona. It is licensed for 53 residents. Lilisity publishes no score or ranking for this community; the details below come from the state licensing record.

Assisted LivingCare offered
53 residentsLicensed capacity
State licensedAssisted living center-directed
$3,400 to $4,900/moTypical assisted living start in Maricopa County, from 65 communities that publish prices

Prices

This community does not publish its prices.

Area costs

Assisted Living in Maricopa County typically starts at $3,400 to $4,900 a month. Based on 65 communities that publish prices. These are area figures, not this community's price.

Care and services

From the community’s website

What Pecan Care Concepts at American Orchards says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Nurse on site: 24 hours a day. We pride ourselves on having licensed nursing staff on-site 24 hours a day, 7 days a week. (page, checked Oct 12, 2026)
  • Offers hospice care on site or works with hospice providers. Coordination with Ancillary Care Providers (Home Health, Therapy, Medical Specialists, Hospice etc.) (page, checked Oct 15, 2026)
  • Provides transportation. Transportation with Companion Caregiver is Available for Outside Appointments (page, checked Oct 15, 2026)
  • 3 meals a day. Our monthly fee is “all-inclusive” regarding basic services, covering room and board, three daily meals, snacks, housekeeping, laundry, and local transportation. (page, checked Oct 12, 2026)
  • Pets allowed. Pet Friendly (page, checked Oct 15, 2026)
  • Has a secured outdoor area. Our outdoor courtyards are fully enclosed and secured, allowing residents to enjoy the Arizona sunshine and fresh air safely. (page, checked Oct 12, 2026)
  • Apartment types named: studio. At American Orchards, we offer residents a choice of five high-quality studios and suites. (page, checked Oct 12, 2026)

Lilisity’s independent report

What the public record shows

Gathered by Lilisity from state and federal sources. Communities can’t edit this part of the page.

State inspections

4Deficiencies cited
9Complaint inspections

Last inspection: Apr 20, 2026. See the record

License

Active, 53 residents

Assisted Living Center-Directed AL10048C.

Nearest emergency room

3.4 miles

Banner Gateway Medical Center, rated 3 of 5 stars by CMS.

Side by side with nearby communities

The 4 nearest communities that offer assisted living, by straight-line distance. Prices are starting prices each community publishes; we never show estimates.

CommunityDistanceLicensed capacityPublished starting priceLicenseInspection citations
Pecan Care Concepts at American Orchards this community53Not publishedActive4 deficiencies, 1 enforcement case
Almond Care Concepts at American Orchards0.0 mi45Not publishedActive8 deficiencies, 0 enforcement cases
Wyns Garden Assisted Living0.4 mi10Not publishedActive5 deficiencies, 0 enforcement cases
Beloved Care Home0.6 mi9Not publishedActive15 deficiencies, 1 enforcement case
Sunset Grand Assisted Living0.9 mi5Not publishedActive0 deficiencies, 0 enforcement cases
State inspection record4 deficiencies, 1 enforcement case
Last inspection
April 20, 2026
Inspections
10, 4 deficiencies cited
Complaint inspections
9, 3 with deficiencies cited
Enforcement cases
1, $500 in civil penalties
  • No deficiencies cited at the last 2 inspections (November 2025 to April 2026)
  • License active since 2016

Enforcement cases

June 20, 2025: complaint, compliance (annual) inspection, 1 deficiency

  • Medication Services R9-10-816.F.1
    Based on observation and interview, the manager failed to ensure medication was stored in a separate locked room, closet, cabinet, or self-contained unit used only for medication storage.
    Plan of correction accepted; correction date given by the community: November 14, 2025

October 22, 2024: complaint inspection, 1 deficiency

  • Directed Care Services R9-10-815.F.2.a.i-ii
    Based on an observation and interview, the manager failed to ensure a means of exiting the facility controlled or alerted employees of the egress of a resident from the facility. The deficient practice posed a risk if the facility was unaware of the general or specific whereabouts of a resident.
    Plan of correction accepted

April 4, 2024: complaint inspection, 2 deficiencies

  • Residency and Residency Agreements R9-10-807.G.2.a-b
    Based on record review and interview, the manager failed to ensure a residency agreement included the policy and procedure for an assisted living facility to terminate residency, in compliance with A.A.C. R9-10-807(G), for three of three resident records reviewed.
    Plan of correction accepted; correction date given by the community: May 31, 2024
  • R9-10-816.B.3.c R9-10-816.B.3.c
    Based on record review, and interview, the manager failed to ensure a medication administered to a resident was accurately documented in the resident's medical record, for one of three resident records reviewed. The deficient practice posed a risk as medication could not be verified as administered against a medication order.
    Plan of correction accepted; correction date given by the community: May 31, 2024

Other inspection reports

  • March 26, 2025: complaint inspection. On March 11, 2026, an off-site review of the plan of correction was conducted. The plan of correction was accepted for all citations. Read the Statement of Deficiencies on AZ Care Check.

Inspections with no deficiencies listed

  • April 20, 2026: compliance (annual) inspection. No deficiencies were found during the on-site compliance inspection conducted on April 20, 2026.
  • November 24, 2025: complaint inspection. No deficiencies were found during the on-site investigation of complaints 00145758, 0014424, 00143382, 00136533, and 00142341 conducted on November 24, 2025.
  • May 2, 2025: complaint inspection. No deficiencies were found during the on-site investigation of complaint 00124949 conducted on May 02, 2025.
  • December 2, 2024: complaint inspection. An on-site investigation of complaint AZ00218847 was conducted on December 2, 2024 and no deficiencies were cited :
  • April 25, 2024: complaint inspection. An on-site investigation of complaint AZ00209422 was conducted on April 25, 2024, and no deficiencies were cited.
  • March 5, 2024: complaint inspection. An on-site investigation of complaints AZ00205520, AZ00205548, and AZ00206636 was conducted on March 5, 2024, and no deficiencies were cited.

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 53 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.

License and ownershipActive license
License type
Assisted Living Center-Directed
License number
AL10048C
License status
Active
Licensed capacity
53

Source: Arizona state licensing records (agency listing), retrieved 2026-09-09. Licensing status is a matter of public record; it is not a quality rating.

Paying with Medicaid and other programsHow Medicaid pays for care in Arizona, and other programs

How Medicaid pays for care in Arizona

  • Arizona Long Term Care System (ALTCS). Yes. Arizona's Medicaid long-term care program, ALTCS, is for people who need nursing facility level of care. Members do not have to live in a nursing home, and many live in an assisted living facility and get needed services there. (state page)

Ask the community whether it accepts Medicaid.

Location and nearby careNearest hospital 3.4 mi, nursing home 3.1 mi, pharmacy 0.9 mi
Nearest hospital with an emergency room
Banner Gateway Medical Center, Gilbert. 3.4 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
Nearest Medicare nursing home
Citrus Heights Respiratory and Rehabilitation, Mesa. 3.1 miles away, straight line.
Nearest home health agency office
At Home Healthcare, Mesa. 2.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Stoneview Pharmacy. 0.9 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 85234 as metropolitan (metropolitan core).
Dialysis within 15 miles
032539 Mesa Dialysis Center (Fmc), Gilbert, 1.3 miles away, straight line (CMS rating 1 of 5 stars)
Usrc Mesa, Mesa, 2.1 miles away, straight line (CMS rating 3 of 5 stars)
Davita Gilbert Dialysis Center, Gilbert, 3.2 miles away, straight line (has a shift starting after 5 pm; CMS rating 3 of 5 stars)
Hospice
77 Medicare hospices tell CMS they serve ZIP code 85234.
American Care Concepts Hospice LLC, office in Gilbert, 0.0 miles away, straight line
Always Present Hospice, office in Gilbert, 1.2 miles away, straight line (CMS family survey rating 3 of 5 stars)
Advisacare Hospice, LLC, office in Gilbert, 1.5 miles away, straight line
Nearest geriatric medicine practice
Hope Diabetes Center LLC, Mesa. 1.2 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard riskFEMA overall risk relatively moderate; outside FEMA's high-risk flood areas

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Zone X: 0.2% annual chance (500-year) flood area (moderate risk). (FEMA flood map)
FEMA National Risk Index
Overall: relatively moderate. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado very low, heat wave very high, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

Questions to ask on a tour10 questions picked for this community from its record

Picked for this community from its record. Ask them in person and write down the answers.

  1. The state recorded a finding in June 2025. What was it, and how was it fixed?
  2. What does the base rate include, and when did rates last go up?
  3. How many caregivers are on duty during the day and at night?
  4. What happens if care needs increase? When would someone need to move?
  5. What fees are charged at move-in?
  6. How do you tell families about falls, illness or changes?
  7. How long have the executive director and the head of care been here?
  8. Who gives medications, and what training do they have?
  9. For what reasons can a resident be asked to leave?
  10. Is the apartment held during a hospital stay, and at what cost?
What we checked12 public sources we searched, with dates

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
Arizona Department of Health Services, Licensing Services inspection recordsOct 15, 2026See above
U.S. Department of Labor wage and hour casesOct 15, 2026Nothing on record
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above
Common questionsAnswers to 4 questions families ask
What type of care does Pecan Care Concepts at American Orchards provide?

Pecan Care Concepts at American Orchards is licensed by the state of Arizona for assisted living in Gilbert, Arizona. Its licensed capacity is 53 residents.

Does Lilisity rate Pecan Care Concepts at American Orchards?

No. We publish state licensing details for Pecan Care Concepts at American Orchards but no score, rating, or ranking. Only communities on the Top Communities list or with a Senior Living Alliance Excellence Award, both based on phone-verified resident and family interviews, are ranked.

How much does Pecan Care Concepts at American Orchards cost?

Assisted Living in Maricopa County typically starts at $3,400 to $4,900 a month. Based on 65 communities that publish prices. These are area figures, not this community's price. Pecan Care Concepts at American Orchards does not publish its prices.

How do I contact Pecan Care Concepts at American Orchards?

Use Pecan Care Concepts at American Orchards's website, americanorchardsaz.com, or visit at 765 North Lindsay Road, Buildi, Gilbert, AZ 85234.

Choosing assisted livingOur care guide: what to look for, what it costs, how families pay, and more questions to ask (PDF)

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How Lilisity works. The only scores or rankings Lilisity publishes are the Top Communities list and the Excellence Awards, both built from phone-verified resident and family interviews. Communities can pay Lilisity a flat monthly fee to manage their own listing: photos, prices, contact details, and receiving the inquiries families choose to send them. The fee is the same no matter how many families contact them or move in. Senior Living Alliance, which runs Lilisity, offers the same listing to its member communities as part of their membership; members pay SLA for its resident and family interview program. No community pays Lilisity per inquiry, per referral or per move-in. Payment never changes a testimonial, a rating, or the order of search results. The "Nearby Senior Living Alliance communities" box shows member communities only. How we verify testimonials · How we are paid