Gems Assisted Living

Last inspection

April 28, 2026

Inspections

3, 22 deficiencies cited

Complaint inspections

2, 2 with deficiencies cited

Enforcement cases

2, $2,750 in civil penalties

• License active since 2019

Enforcement cases

• May 30, 2025: Civil Penalty $750 (complete) case closed (complete)
• April 4, 2024: Civil Penalty $2,000 (complete) case closed (complete)

April 28, 2026: complaint, compliance (annual) inspection, 6 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.
  Plan of correction accepted; correction date given by the community: August 3, 2026
• Residency and Residency Agreements R9-10-807.D.1-10
  Based on record review and interview, the manager failed to ensure that before or at the time of an individual’s acceptance by an assisted living facility, 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, whether the manager or a caregiver were awake during nighttime hours, the policy for refunding fees, charges, or deposits, the policy and procedure for a resident to terminate residency, including terminating residency because services were not provided ...
  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 one 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: April 28, 2026
• Service Plans R9-10-808.C.1.g
  Based on record review and interview, the manager failed to ensure that a caregiver documents the services provided in the resident’s medical record, for one of two residents sampled. The deficient practice posed a risk if a resident did not receive needed services.
  Plan of correction accepted; correction date given by the community: August 3, 2026
• Medical Records R9-10-811.C.3.a
  Based on record review and interview, the manager failed to ensure that a resident’s medical record contained the name and contact information of the resident’s representative and the document signed by the resident consenting for the resident’s representative to act on the resident’s behalf, for one of four residents sampled.
  Plan of correction accepted; correction date given by the community: August 1, 2026
• Physical Plant Standards R9-10-821.D.4.b.i-ii
  Based on observation, documentation review, and interview, the manager failed to ensure a resident’s sleeping area was not used as a passageway to a common area unless the resident’s sleeping area was used as a passageway to another area before October 1, 2013, and written consent was obtained from the resident or the resident’s representative. The deficient practice posed a potential privacy rights violation to the resident.
  Plan of correction accepted; correction date given by the community: July 22, 2026

April 8, 2025: compliance (annual) inspection, 5 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: 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 three of three sampled personnel members. The deficient practice posed a potential TB exposure risk to residents.
  Plan of correction accepted; correction date given by the community: July 7, 2025
• Personnel R9-10-806.A.10
  Based on documentation review, record review, and interview, the manager failed to ensure a manager 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 one applicable manager. The deficient practice posed a risk if a manager was unable to meet a resident's needs during an emergency.
  Plan of correction accepted; correction date given by the community: July 7, 2025
• Environmental Standards R9-10-819.A.10
  Based on documentation review, observation, and interview, the manager failed to ensure oxygen containers were secured.
  Plan of correction accepted; correction date given by the community: September 2, 2025
• Environmental Standards R9-10-819.A.11
  Based on documentation review, observation, and interview, the manager failed to ensure poisonous or toxic materials stored by the assisted living facility were maintained in a locked area inaccessible to residents. The deficient practice posed a risk to residents with access to the poisonous or toxic materials.
  Plan of correction accepted; correction date given by the community: July 7, 2025

January 29, 2024: complaint, compliance (annual) inspection, 11 deficiencies

• Health care institutions; cardiopulmonary resuscitation; first aid; immunity; falls; definition A.R.S. § 36-420.B.2
  Based on record review and interview, the health care institution failed to provide appropriate first aid before the arrival of emergency medical services to a non-injured resident who had fallen, appeared to be uninjured, and was unable to reasonably recover independently.
  Plan of correction accepted; correction date given by the community: February 10, 2025
• Administration R9-10-803.A.9
  Based on documentation review, interview, and record review, the governing authority failed to ensure compliance with Arizona Revised Statutes (A.R.S.) § 36-411, for one of four personnel members sampled. The deficient practice posed a risk if the personnel member was a danger to a vulnerable population.
  Plan of correction accepted; correction date given by the community: February 10, 2025
• Administration R9-10-803.C.1.j.i
  Based on documentation review, record review, and interview, the manager failed to ensure policies and procedures were implemented to protect the health and safety of a resident that cover termination of residency, including termination initiated by the manager of an assisted living facility.
  Plan of correction accepted; correction date given by the community: April 20, 2024
• Administration R9-10-803.C.1.m
  Based on documentation review, observation, and interview, the manager failed to ensure policies and procedures were established, documented, and implemented to protect the health and safety of a resident to cover methods by which the assisted living facility was aware of the general or specific whereabouts of a resident, based on the level of assisted living services provided to the resident and the assisted living services the assisted living facility was authorized to provide. The deficient practice posed a risk if the facility was unaware of the whereabouts of a resident.
  Plan of correction accepted; correction date given by the community: February 17, 2025
• Personnel R9-10-806.A.5.a-c
  Based on documentation review, record review and, interview, the manager failed to ensure an assisted living facility had caregivers with the qualifications, experience, skills, and knowledge necessary to provide the assisted living services and ancillary services in the assisted living facility's scope of services, meet the needs of a resident, and ensure the health and safety of a resident. The deficient practice posed a risk to the health and safety of a resident.
  Plan of correction accepted; correction date given by the community: February 17, 2025

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 6 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.