Inspection Reports for Orange Garden Assisted Living
10858 West Carlota Lane, Sun City, AZ 85373, AZ, 85373
Back to Facility ProfileInspection Report Summary
The most recent inspection on June 25, 2024, resulted in an enforcement action with a $500 fine that has been paid in full. Earlier inspections showed a pattern of deficiencies related to staff qualifications, documentation, policy implementation, meal service compliance, and safety issues such as food handling and storage of poisonous materials. Prior enforcement actions included fines totaling $1,250 for insufficient skilled staff, unauthorized service provision, and repeat documentation problems. Complaint investigations did not identify any substantiated complaints but noted several deficiencies during combined complaint and compliance inspections. The facility’s inspection history indicates ongoing challenges with staffing and documentation, with enforcement actions continuing into the most recent inspection.
Deficiencies (last 2 years)
Deficiencies (over 2 years)
5 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
35% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
8
6
4
2
0
Enforcement Action
Enforcement
Fines: 1
Total: $500.00
Date: Jun 25, 2024
Summary
A fine of $500.00 was imposed and has been paid in full as part of the enforcement action.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Fine imposed as part of enforcement action | Paid |
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 3
Date: May 8, 2024
Visit Reason
Three deficiencies found related to abuse reporting, policy implementation, and meal service compliance during complaint and annual compliance inspection.
Findings
Three deficiencies found related to abuse reporting, policy implementation, and meal service compliance during complaint and annual compliance inspection.
Deficiencies (3)
J. If a manager has a reasonable basis, according to A.R.S. § 46-454, to believe abuse, neglect or exploitation has occurred on the premises or while... — Abuse reporting documentation
F. A manager of an assisted living facility authorized to provide directed care services shall ensure that: 1. Policies and procedures are established... — Policy and procedure implementation
A. A manager shall ensure that: 2. Meals and snacks provided by the assisted living facility are served according to posted menus; — Meal service compliance
Enforcement Action
Enforcement
Fines: 1
Total: $1,250.00
Date: Sep 5, 2023
Summary
The enforcement resulted in a fine which has been paid in full.
Fines & Penalties (1)
| Amount | Reason | Status |
|---|---|---|
| $1,250.00 | Fine related to enforcement action against the facility | Paid |
Enforcement Action
Enforcement
Fines: 3
Total: $1,250.00
Date: Jul 3, 2023
Summary
The facility was found to have multiple violations including insufficient skilled staff, unauthorized service provision by an assistant caregiver, and a repeat documentation deficiency. Civil fines totaling $1250.00 were assessed and agreed upon by the licensee.
Fines & Penalties (3)
| Amount | Reason | Status |
|---|---|---|
| $500.00 | Insufficient staff with skills and knowledge to meet the needs of a resident, with occurrence of actual harm. | — |
| $250.00 | One resident did not have documentation to ensure the required services were within the scope that the Facility was authorized to provide (repeat deficiency). | — |
| $500.00 | One assistant caregiver was assigned to provide services the assistant caregiver did not have the documented skills and knowledge to perform. | — |
Inspection Report
Complaint Investigation
Capacity: 10
Deficiencies: 7
Date: Jul 3, 2023
Visit Reason
Seven deficiencies found related to notification failures, caregiver qualifications, resident documentation, caregiver assignments, documentation of services, food safety, and storage of poisonous materials during complaint and compliance inspection.
Findings
Seven deficiencies found related to notification failures, caregiver qualifications, resident documentation, caregiver assignments, documentation of services, food safety, and storage of poisonous materials during complaint and compliance inspection.
Deficiencies (7)
A. A governing authority shall: 7. Except as provided in subsection (A)(6), notify the Department according to A.R.S. § 36-425(I) when there is a cha... — Notification of management changes
A. A manager shall ensure that: 5. An assisted living facility has a manager, caregivers, and assistant caregivers with the qualifications, experience... — Caregiver qualifications
B. A manager shall ensure that before or at the time of acceptance of an individual, the individual submits documentation that is dated within 90 cale... — Resident documentation
C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: b. Is only assigned to provide the assisted living services the caregiver or... — Assignment of caregivers
C. A manager shall ensure that: 1. A caregiver or an assistant caregiver: g. Documents the services provided in the resident's medical record; and — Documentation of services
C. A manager shall ensure that food is obtained, prepared, served, and stored as follows: 1. Food is free from spoilage, filth, or other contamination... — Food safety
A. A manager shall ensure that: 11. Poisonous or toxic materials stored by the assisted living facility are maintained in labeled containers in a lock... — Storage of poisonous materials
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