Inspection Reports for
Gems Assisted Living III
871 Thunderbolt Ave, Lake Havasu City, AZ 86406, United States, AZ, 86406
Back to Facility Profile5 Reports
Inspection Report — Jul 23, 2025
Enforcement State
Date: Jul 23, 2025
Visit Reason
Civil monetary penalty, action 00131211 (invoice INV-282415), assessed with a balance due as of 23 July 2025.
Findings
A $2,750.00 penalty was assessed. Partial payment of $250.00 was made, leaving $2,500.00 remaining as of the due date.
Report Facts
Penalty amount: 2750
Amount paid: 250
Amount remaining: 2500
Inspection Report — Apr 10, 2025
Annual Inspection State
Date: Apr 10, 2025
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints 00106900, 00107194, and 00126044 at an Assisted Living Home, conducted 10 April 2025.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints 00106900, 00107194, 00126044 conducted on April 10, 2025.
Findings
This inspection found eleven deficiencies related to staff training, documentation, and compliance with tuberculosis screening, fingerprint clearance, residency agreements, service plans, and medication inventory procedures.
Deficiencies (11)
A.R.S. § 36-420.01.A — The governing authority failed to administer a training program for all staff regarding fall prevention and fall recovery, including initial and continued competency training every six months.
R9-10-113 — The chief administrative officer failed to implement tuberculosis infection control activities, including annual training and education on recognizing signs and symptoms of tuberculosis, for seven of twelve sampled employees.
R9-10-803 — The governing authority failed to ensure compliance with fingerprint clearance card requirements and verification against the Adult Protective Services registry for six of twelve sampled employees, including failure to verify or expired clearance cards.
R9-10-806 — The manager failed to ensure a caregiver provided current documentation of first aid and CPR training specific to adults before providing assisted living services, for one of nine sampled caregivers.
R9-10-806 — The manager failed to ensure a caregiver's skills and knowledge were verified and documented before providing physical health services, for one of nine sampled caregivers.
R9-10-806 — The manager failed to ensure a manager and a caregiver provided evidence of freedom from infectious tuberculosis on or before the date they began providing services, for two of ten sampled personnel.
R9-10-807 — The manager failed to ensure a resident submitted documentation dated within 90 days before acceptance that included whether the resident required continuous medical, nursing services, or restraints, for one of two sampled residents.
R9-10-807 — The manager failed to ensure the residency agreement included terms of occupancy, specifically the date of occupancy or expected date of occupancy, for one of two sampled residents.
R9-10-808 — The manager failed to ensure a resident's written service plan included the frequency of assisted living services provided, for two of two sampled residents.
R9-10-808 — The manager failed to ensure a caregiver documented the services provided to residents in their medical records, for two of two sampled residents.
R9-10-816 — The manager failed to ensure policies and procedures were implemented for inventorying controlled substances, as narcotic inventory records lacked required columns.
Report Facts
Deficiencies cited: 11
Complaints investigated: 3
Inspection Report — May 28, 2024
Enforcement State
Date: May 28, 2024
Visit Reason
Civil monetary penalty, action 00109392 (invoice INV-256719), assessed 28 May 2024.
Findings
A $2,000.00 penalty was assessed and paid in full on 3 August 2024.
Report Facts
Penalty amount: 2000
Amount paid: 2000
Amount remaining: 0
Inspection Report — Apr 10, 2024
Annual Inspection State
Date: Apr 10, 2024
Visit Reason
On-site complaint investigation of complaint AZ00203585 combined with a compliance (annual) inspection at an Assisted Living Home, conducted 10 April 2024.
Complaint Details
The following deficiencies were found during the compliance inspection and investigation of complaint AZ00203585 conducted on April 10, 2024.
Findings
This inspection found four deficiencies related to fingerprint clearance card compliance, medication management policies and procedures, required resident documentation, and medication administration practices. Plans of correction were provided for all deficiencies.
Deficiencies (4)
Failure to ensure compliance with fingerprint clearance card requirements for four of five sampled personnel, including lack of valid cards, expired cards, and no documented good faith efforts to verify status upon hire.
Manager failed to implement policies and procedures to protect resident health and safety by not securing medications properly, resulting in accessible medications in a locked box and medication administration without signed orders.
Manager failed to ensure required documentation dated within 90 days before acceptance was submitted for one of three sampled residents, risking inability to meet resident needs.
Manager failed to ensure medications were administered in compliance with medication orders for three sampled residents, including incidents of wrong medication given.
Report Facts
Deficiencies cited: 4
Report
State
Viewing
Loading inspection reports...
