Inspection Reports for
Gems Assisted Living IV
1502 Avalon Ave, Lake Havasu City, AZ 86404, United States, AZ, 86404
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Inspection Report — Jul 23, 2025
Enforcement State
Date: Jul 23, 2025
Visit Reason
Civil monetary penalty, action 00129666 (invoice INV-282443), assessed with a due date of 23 July 2025.
Findings
A $5,750.00 penalty was assessed and partially paid with $250.00 paid and $5,500.00 remaining as of the payment schedule date.
Report Facts
Penalty amount: 5750
Amount paid: 250
Amount remaining: 5500
Inspection Report — Apr 9, 2025
Annual Inspection State
Date: Apr 9, 2025
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints 00107544, 00108033, and 00124025 at an Assisted Living Home, conducted 9 April 2025.
Complaint Details
The inspection included investigation of complaints 00107544, 00108033, and 00124025. Deficiencies were found during the on-site compliance inspection and investigation conducted on April 9, 2025.
Findings
The inspection found twelve deficiencies related to staff training, tuberculosis screening, fingerprint clearance, CPR and first aid certification, residency agreements, service plans, exit alarms, and controlled substance inventory procedures. Plans of correction were provided for all deficiencies.
Deficiencies (12)
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 initially and every six months as required by policy and procedure.
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 six of nine sampled personnel.
R9-10-803 — The governing authority failed to ensure compliance with fingerprint clearance card requirements, including expired cards and lack of documented good faith efforts to verify clearance and APS registry status for multiple employees.
R9-10-806 — The manager failed to ensure current documentation of first aid and CPR training certification specific to adults before providing assisted living services for two of nine sampled personnel.
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 four sampled caregivers.
R9-10-806 — The manager failed to ensure a caregiver provided evidence of freedom from infectious tuberculosis on or before the date the caregiver began providing services.
R9-10-807 — The manager failed to ensure residents provided evidence of freedom from infectious tuberculosis as required, posing a potential TB exposure risk for two sampled residents.
R9-10-807 — The manager failed to ensure a residency agreement included terms of occupancy such as the date of occupancy or expected date for one of two sampled residents.
R9-10-808 — The manager failed to ensure residents' written service plans included the frequency of assisted living services being provided for two sampled residents.
R9-10-808 — The manager failed to ensure caregivers documented services provided in residents' medical records for one of two sampled residents.
R9-10-815 — The manager failed to ensure a means of exiting the facility for residents without keys or special knowledge controlled or alerted employees of egress, as two doors lacked alarms.
R9-10-816 — The manager failed to implement policies and procedures for inventorying controlled substances, including lack of required markings and incomplete narcotic inventory records.
Report Facts
Deficiencies cited: 12
Complaints investigated: 3
Inspection Report — May 28, 2024
Enforcement State
Date: May 28, 2024
Visit Reason
Civil monetary penalty, action 00111160 (invoice INV-257972), assessed 28 May 2024.
Findings
A $750.00 penalty was assessed and paid in full on 3 August 2024.
Report Facts
Penalty amount: 750
Amount paid: 750
Amount remaining: 0
Inspection Report — Apr 8, 2024
Complaint Investigation State
Date: Apr 8, 2024
Visit Reason
On-site complaint investigation of complaints AZ00206698 and AZ00208591 at an Assisted Living Home, conducted 8 April 2024.
Complaint Details
An on-site investigation of complaints AZ00206698 and AZ00208591 was conducted on April 8, 2024, resulting in five deficiencies cited.
Findings
The inspection found five deficiencies related to caregiver skills documentation, facility egress alerts, medication procurement policies, medication administration compliance, and medication policy implementation.
Deficiencies (5)
The manager failed to ensure a caregiver's or assistant caregiver's skills and knowledge were verified and documented before providing physical health services for three of five sampled caregivers. Documentation was missing despite manager's claim of verification.
The manager failed to ensure means of exiting the facility for residents without keys or special knowledge controlled or alerted employees of resident egress. Alerts on doors were either missing or turned off, posing a risk of unmonitored resident exit.
The manager failed to ensure policies and procedures for medication services included procedures for assisting a resident in procuring medication. No such policy was found during the inspection.
The manager failed to ensure medication was administered in compliance with medication orders for two of three sampled residents. Medications were not given as ordered due to stock issues and staff interruptions.
The manager failed to ensure policies and procedures were established and implemented for receiving, storing, inventorying, tracking, and dispensing medication. Existing policies did not cover all required areas and were not fully implemented.
Report Facts
Deficiencies cited: 5
Inspection Report — Feb 7, 2024
Annual Inspection State
Date: Feb 7, 2024
Visit Reason
On-site complaint investigation and annual compliance inspection of complaints AZ00193846, AZ00199675, AZ00200902, AZ00200903, AZ00201499 and AZ00206036 at an Assisted Living Home, conducted 7 February 2024.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaints AZ00193846, AZ00199675, AZ00200902, AZ00200903, AZ00201499 and AZ00206036 conducted on February 7, 2024.
Findings
Two deficiencies were found related to staff training and personnel record documentation. The facility failed to provide required fall prevention training for some staff and lacked documentation of compliance with fingerprint clearance requirements for one employee.
Deficiencies (2)
36-420.01 — The facility failed to administer initial and continued competency training in fall prevention and fall recovery for two of five personnel sampled, posing a risk due to lack of organized instruction related to resident care and safety.
Documentation deficiency — The manager failed to ensure personnel records included documentation of compliance with A.R.S. § 36-411(C)(1) for one of five employees sampled, risking potential danger to vulnerable populations.
Report Facts
Deficiencies cited: 2
Complaints investigated: 6
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