Gems Assisted Living #4

Last inspection

July 16, 2026

Inspections

5, 34 deficiencies cited

Complaint inspections

5, 5 with deficiencies cited

Enforcement cases

3, $7,000 in civil penalties

• License active since 2020

Enforcement cases

• July 16, 2026: Civil Penalty $500 (complete); Notice of Enforcement Action (complete) case closed (complete)
• June 23, 2025: Civil Penalty $5,750 (complete) case closed (complete)
• July 3, 2024: Civil Penalty $750 (complete) case closed (complete)

July 16, 2026: complaint inspection, 6 deficiencies

• Administration R9-10-803.J.1-6
  Based on documentation review, record review, and interview, after the manager had a reasonable basis, according to A.R.S. § 46-454, to believe abuse, neglect, or exploitation had occurred on the premises, the manager failed to document the report and the investigation as required per R9-10-803(J). 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.
  Approved
• Service Plans R9-10-808.C.1.g
  Based on record review, documentation review, and interview, the manager failed to ensure a caregiver documented the services provided in the resident’s medical record, for two of two residents sampled. The deficient practice posed a risk if the residents’ needs were not being met.
  Approved
• Medical Records R9-10-811.C.12
  Based on record review, documentation review, and interview, the manager failed to ensure a resident’s medical record contained a medication order from a medical practitioner for each medication that was administered to the resident. The deficient practice posed a health and safety risk if a resident received medication and the Department was unable to verify the order.
  Approved
• Medical Records R9-10-811.C.13.b
  Based on record review, documentation review, and interview, the manager failed to ensure that a resident's medical record contained documentation of medication administered to a resident that included the strength, dosage, and route of administration, for one of two residents sampled. The deficient practice posed a risk if the resident experienced a change in condition due to improper medication administration.
  Approved
• Medication Services R9-10-817.B.3.b
  Based on record review, documentation review, and interview, the manager failed to ensure that medication administered to a resident was administered in compliance with a medication order, for one of two residents sampled. The deficient practice posed a risk if the resident experienced a change in condition due to improper medication administration.
  Approved
• Emergency and Safety Standards R9-10-819.D.2.a-f
  Based on documentation review, record review, and interview, the manager failed to ensure that when a resident had an accident, emergency, or injury that resulted in the resident needing medical services, a caregiver or assistant caregiver documented the following: the date and time of the accident, emergency, or injury; a description of the accident, emergency, or injury; the names of individuals who observed the accident, emergency, or injury; the actions taken by the caregiver or assistant caregiver; the individuals notified by the caregiver or assistant caregiver; and any action taken to ...
  Approved

April 28, 2026: complaint, compliance (annual) inspection, 9 deficiencies

• Emergency responders; patient information; hospitals; discharge planning; patient screenings; discharge document A.R.S. § 36-420.04.C
  Based on documentation review, record review, and interview, the assisted living home failed to maintain a standardized form for each resident that included the information prescribed in subsection A of this section, for two of two residents sampled.
  Plan of correction accepted; correction date given by the community: August 3, 2026
• Residency and Residency Agreements R9-10-807.A.1-2
  Based on documentation review, record review, and interview, the manager failed to ensure a resident provided evidence of freedom from infectious tuberculosis (TB) as specified in Arizona Administrative Code (A.A.C.) R9-10-113, for two of two sampled residents. The deficient practice posed a potential TB exposure risk to residents.
  Plan of correction accepted; correction date given by the community: August 3, 2026
• Residency and Residency Agreements R9-10-807.B.1.a-b
  Based on record review and interview, the manager failed to ensure a resident accepted by the assisted living facility submitted documentation signed by a medical practitioner or a registered nurse that stated whether the individual required continuous medical services, continuous or intermittent nursing services, or restraints, for one of two residents sampled. The deficient practice posed a risk if the facility was unable to meet a resident's needs.
  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
• Service Plans R9-10-808.A.5.b
  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 when initially developed and when updated, was signed and dated by the manager, for two of two residents sampled. The deficient practice posed a risk if the service plan was not developed to articulate decisions and agreements.
  Plan of correction accepted; correction date given by the community: August 3, 2026

April 9, 2025: complaint, compliance (annual) inspection, 12 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 and the Department was provided false or misleading information.
  Plan of correction accepted; correction date given by the community: July 7, 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 tuberculosis, for six of nine sampled personnel members. The deficient practice posed a potential TB exposure risk to residents.
  Plan of correction accepted; correction date given by the community: October 24, 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 five of nine sampled personnel members. The deficient practice posed a risk if the employees were a danger to a vulnerable population.
  Plan of correction accepted; correction date given by the community: November 4, 2025
• Personnel R9-10-806.A.10
  Based on documentation review, record review, and interview, the manager failed to ensure a manager or 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 two of nine applicable sampled personnel members. 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: October 28, 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 four 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 and the Department was provided false or misleading information.
  Plan of correction accepted; correction date given by the community: October 28, 2025

April 8, 2024: complaint inspection, 5 deficiencies

• Personnel R9-10-806.A.4.a-b
  Based on documentation review, record review, and interview, the manager failed to ensure a caregiver's or assistant caregiver's skills and knowledge were verified and documented before the caregiver or assistant caregiver provided physical health services and according to policies and procedures, for three of five sampled caregivers or assistant caregivers. The deficient practice posed a risk if a caregiver or assistant 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: April 15, 2024
• Directed Care Services R9-10-815.F.2.a.i-ii
  Based on observation and interview, the manager failed to ensure a means of exiting the facility for a resident who did not have a key, special knowledge for egress, or the ability to expend increased physical effort 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 egress of a resident from the facility.
  Plan of correction accepted; correction date given by the community: April 15, 2024
• R9-10-816.A.1.e R9-10-816.A.1.e
  Based on documentation review and interview, the manager failed to ensure policies and procedures for medication services included procedures for assisting a resident in procuring medication. The deficient practice posed a risk if required medication was not available for a resident.
  Plan of correction accepted; correction date given by the community: April 15, 2024
• R9-10-816.B.3.b R9-10-816.B.3.b
  Based on record review, interview, and documentation review, the manager failed to ensure medication administered to a resident was administered in compliance with a medication order, for two 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
• R9-10-816.F.3.a R9-10-816.F.3.a
  Based on documentation review and interview, the manager failed to ensure policies and procedures were established, documented, and implemented to cover receiving, storing, inventorying, tracking, and dispensing medication.
  Plan of correction accepted; correction date given by the community: April 15, 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 10 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.