Desert Gem Assisted Living Facility

Last inspection

July 20, 2026

Inspections

4, 31 deficiencies cited

Complaint inspections

3, 2 with deficiencies cited

Enforcement cases

2, $2,250 in civil penalties

• License active since 2023

Enforcement cases

• September 3, 2026: Civil Penalty $1,000 (in process); Notice of Enforcement Action (complete) case finalized
• July 14, 2026: Civil Penalty $1,250 (in process); Notice of Enforcement Action (complete) case finalized

July 20, 2026: complaint, compliance (annual) inspection, 9 deficiencies

• Tuberculosis Screening R9-10-113.A.2.a-f
  Based on record review and interview, the manager failed to ensure individuals employed and admitted by the facility completed a screening that consisted of assessing risks of prior exposure to infectious tuberculosis and determining if the individual had signs or symptoms of tuberculosis for one of four employees sampled.
  Approved
• Administration R9-10-803.A.7
  Based on documentation review, observation, and interview, the governing authority failed to notify the Department according to A.R.S. § 36-425(I) when there was a change in the manager and identify the name and qualifications of the new manager.
  Approved
• Administration R9-10-803.B.3.a-b
  Based on observation, documentation review, and interview, the manager failed to designate, in writing, a caregiver who was present on the assisted living facility's premises and accountable for the assisted living facility when the manager was not present. The deficient practice posed a risk as no individual on-site was designated to act on behalf of the governing authority in the management of the assisted living facility.
  Approved
• Service Plans R9-10-808.A.1-5
  Based on record review and interview, the manager failed to ensure that a resident had a service plan that was established, documented and completed no later than 14 calendar days after the resident’s date of acceptance, for one of two sampled residents.
  Approved
• Service Plans R9-10-808.A.4.a
  Based on record review, observation and interview, the manager failed to ensure that a resident had a service plan that was reviewed and updated based on changes in a resident’s functional conditions, no later than 14 calendar days after a significant change in the resident’s functional conditions. The deficient practice posed a risk if the resident received the incorrect level of assistance.
  Approved

July 13, 2026: complaint inspection, 12 deficiencies

• Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document A.R.S. § 36-420.04.A.1-9
  Based on record review and interview, the manager of an assisted living center who contacted emergency responders on behalf of a resident failed to provide to the emergency responders a written document that included all information required in A.R.S. § 36-420.04, for two of three residents sampled. The deficient practice posed a risk if the emergency responder was not aware of critical health information for the resident.
  Plan of correction accepted; correction date given by the community: September 18, 2026
• Administration R9-10-803.J.1-6
  Based on documentation review, record review, and interview, after having a reasonable basis to believe abuse occurred on the premises, the manager failed, according to A.R.S. § 46-454, to initiate an investigation of the suspected abuse, neglect, or exploitation and document the following information within five working days after the report required in subsection (J)(2). The deficient practice posed a risk as the Department was unable to assess if there was an immediate health and safety concern for residents who resided in the assisted living facility.
  Poc resubmitted; correction date given by the community: October 1, 2026
• Personnel R9-10-806.A.7
  Based on documentation review and interview, the manager failed to ensure documentation was maintained for the caregivers working each day, including the hours worked by each. The deficient practice posed a risk, as there was no documentation to identify which staff were present each day to ensure the health and safety of residents.
  Plan of correction accepted; correction date given by the community: October 1, 2026
• Personnel R9-10-806.C.2.a-b
  Based on documentation review, record review, and interview, the manager failed to ensure that a personnel record for each employee was maintained throughout the individual's period of providing services in or for the assisted living facility for one of three personnel sampled. The deficient practice posed a risk as required information could not be verified for E4.
  Plan of correction accepted; correction date given by the community: October 1, 2026
• Service Plans R9-10-808.C.1.a
  Based on record review, documentation review, and interview, the manager failed to ensure a caregiver or an assistant caregiver documented the services provided to a resident in the resident's medical record for one of three sampled residents. The deficient practice posed a risk as services could not be verified as provided against a service plan.
  Plan of correction accepted; correction date given by the community: September 1, 2026

September 11, 2025: compliance (annual) inspection, 10 deficiencies

• Tuberculosis Screening R9-10-113.B.1-2
  Based on record review and interview, the manager failed to ensure individuals employed by the facility obtained one of the following as evidence of freedom from infectious tuberculosis: a. Documentation of a negative Mantoux skin test or other tuberculosis screening test that was recommended by the U.S.
  Plan of correction submitted; correction date given by the community: July 31, 2026
• Administration R9-10-803.A.9
  Based on documentation review, record review, and interview, the governing authority failed to ensure compliance with A.R.S. § 36-411 for one of four personnel sampled. The deficient practice posed a risk if the employee was a danger to a vulnerable population.
  Plan of correction submitted; correction date given by the community: July 31, 2026
• Personnel R9-10-806.A.4.a-b
  Based on documentation review, record review and interview, the manager failed to ensure a caregiver's skills and knowledge were verified and documented before the caregiver provided physical health services, for one of four caregivers sampled. The deficient practice posed a risk if the employees did not have the skills and knowledge required to ensure the health and safety of residents.
  Plan of correction submitted; correction date given by the community: July 31, 2026
• Personnel R9-10-806.A.9
  Based on record review and interview, the manager failed to ensure a caregiver or an assistant caregiver received orientation specific to the duties to be performed before providing assisted living services to a resident, for one of the four sampled caregivers. The deficient practice posed a health and safety risk to the residents if the caregiver was not informed of the duties that needed to be performed.
  Plan of correction submitted; correction date given by the community: July 31, 2026
• Personnel R9-10-806.A.10
  Based on observation, record review, and interview, the manager failed to ensure that, before providing personal care services or directed care services to a resident, a caregiver provided documentation of first aid training and cardiopulmonary resuscitation (CPR) training certification specific to adults, for two of two caregivers sampled. The deficient practice posed a risk if an employee was unable to meet a resident's needs during an emergency.
  Plan of correction submitted; correction date given by the community: July 31, 2026

Inspections with no deficiencies listed

• December 18, 2024: complaint inspection. An on-site investigation of complaint AZ00220640 was conducted on December 18, 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 9 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.