Gems Assisted Living 3

Last inspection

April 27, 2026

Inspections

3, 26 deficiencies cited

Complaint inspections

3, 3 with deficiencies cited

Enforcement cases

3, $5,500 in civil penalties

• License active since 2017

Enforcement cases

• July 16, 2026: Civil Penalty $750 (complete); Notice of Enforcement Action (complete) case closed (complete)
• June 23, 2025: Civil Penalty $2,750 (complete) case closed (complete)
• July 3, 2024: Civil Penalty $2,000 (complete) case closed (complete)

April 27, 2026: complaint, compliance (annual) inspection, 11 deficiencies

• Administration R9-10-803.A.9
  Based on record review and interview, the owner failed to ensure compliance with Arizona Revised Statutes (A.R.S.) § 36-411(C)(1) for one of three personnel sampled. The deficient practice posed a safety risk as the Department was unable to determine substantial compliance, as the documentation was not in the personnel records during the inspection. The deficient practice posed a risk if E3 was a danger to a vulnerable population.
  Plan of correction accepted; correction date given by the community: August 3, 2026
• Residency and Residency Agreements R9-10-807.D.4
  Based on record review and interview, the manager failed to ensure there was a documented residency agreement with the assisted living facility that included a list of the services available from the assisted living facility at an additional fee or charge for two of two sampled residents.
  Plan of correction accepted; correction date given by the community: August 3, 2026
• Residency and Residency Agreements R9-10-807.D.6
  Based on record review and interview, the manager failed to ensure there was a documented residency agreement with the assisted living facility that included the policy for refunding fees, charges, or deposits, for one of two residents sampled.
  Plan of correction accepted; correction date given by the community: August 3, 2026
• Service Plans R9-10-808.A.3.c
  Based on record review and interview, the manager failed to ensure that a resident had a service plan that was established, documented, and implemented that included the amount, type, and frequency of assisted living services being provided to the resident, for one of two residents sampled. The deficient practice posed a risk if the residents’ needs were not being met.
  Plan of correction accepted; correction date given by the community: August 3, 2026
• Service Plans R9-10-808.A.4.b.iii
  Based on record review, documentation review, and interview, the manager failed to ensure that a resident had a service plan that was established, documented, and implemented that was reviewed and updated at least once every three months for a resident receiving directed care services, for one of two residents sampled.
  Plan of correction accepted; correction date given by the community: August 3, 2026

April 10, 2025: complaint, compliance (annual) inspection, 11 deficiencies

• Health care institutions; fall prevention and fall recovery; training programs; definition A.R.S. § 36-420.01.A
  Based on documentation review, record review, and interview, the governing authority failed to administer a training program for all staff regarding fall prevention and fall recovery. The deficient practice posed a risk if a staff member was not properly trained to assist a resident who had fallen and was unable to recover independently.
  Plan of correction accepted; correction date given by the community: September 15, 2025
• Tuberculosis Screening R9-10-113.A.2.a-f
  Based on documentation review, record review, and interview, the chief administrative officer failed to implement tuberculosis (TB) infection control activities including annually providing training and education related to recognizing the signs and symptoms of TB, for seven of twelve sampled employees. The deficient practice posed a potential TB exposure risk to residents.
  Plan of correction accepted; correction date given by the community: September 15, 2025
• Administration R9-10-803.A.9
  Based on documentation review, record review, and interview, the governing authority failed to ensure compliance with Arizona Revised Statutes (A.R.S.) § 36-411(A) and (C), for six of twelve sampled employees. The deficient practice posed a risk if the employees were a danger to a vulnerable population and the Department was provided false or misleading information.
  Plan of correction accepted; correction date given by the community: October 28, 2025
• Personnel R9-10-806.A.10
  Based on documentation review, record review, and interview, the manager failed to ensure a caregiver provided current documentation of first aid and cardiopulmonary resuscitation (CPR) training certification specific to adults before providing assisted living services to a resident, for one of nine sampled caregivers. The deficient practice posed a risk if a manager or a caregiver was unable to meet a resident's needs during an emergency.
  Plan of correction accepted; correction date given by the community: September 15, 2025
• 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 nine sampled caregivers. The deficient practice posed a risk if a caregiver did not have the skills and knowledge necessary to meet a resident's needs.
  Plan of correction accepted; correction date given by the community: October 28, 2025

April 10, 2024: complaint, compliance (annual) inspection, 4 deficiencies

• Administration R9-10-803.A.9
  Based on documentation review, record review, and interview, the governing authority failed to ensure compliance with Arizona Revised Statutes (A.R.S.) § 36-411(A), (C), and (E), for four of five sampled personnel members. The deficient practice posed a risk if a personnel member was a danger to a vulnerable population, or was unqualified to work in a residential care institution.
  Plan of correction accepted; correction date given by the community: April 10, 2024
• Administration R9-10-803.C.1.r
  Based on documentation review, observation, and interview, the manager failed to ensure policies and procedures covering assistance in the self-administration of medication and medication administration (P&Ps) were implemented to protect the health and safety of a resident. The deficient practice posed a risk to residents who were not prescribed accessible medications.
  Plan of correction accepted; correction date given by the community: April 10, 2024
• Residency and Residency Agreements R9-10-807.B.1.a-b
  Based on record review and interview, the manager failed to ensure before or at the time of acceptance of an individual, the individual submitted documentation dated within 90 calendar days before the individual was accepted by the facility to include whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints, and was dated and signed by a physician, registered nurse practitioner, registered nurse, or physician assistant, for one of three sampled residents.
  Plan of correction accepted; correction date given by the community: September 20, 2024
• R9-10-816.B.3.b R9-10-816.B.3.b
  Based on documentation review, record review, and interview, the manager failed to ensure medication administered to a resident was administered in compliance with a medication order, for three of three sampled residents. The deficient practice posed a risk if a resident experienced a change in condition due to improper administration of medication.
  Plan of correction accepted; correction date given by the community: April 20, 2024

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 8 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.