Inspection Reports for
Gems Assisted Living II
2136 Senita Dr, Lake Havasu City, AZ 86403, United States, AZ, 86403
Back to Facility Profile5 Reports
Inspection Report — Jun 3, 2025
Enforcement
Date: Jun 3, 2025
Visit Reason
Civil monetary penalty, action 00129247 (invoice INV-278329), assessed 3 June 2025.
Findings
A $750.00 penalty was assessed and paid in full on 3 June 2025.
Report Facts
Penalty amount: 750
Amount paid: 750
Amount remaining: 0
Inspection Report — Apr 8, 2025
Annual Inspection
Date: Apr 8, 2025
Visit Reason
On-site compliance (annual) inspection of GEMS ASSISTED LIVING LLC conducted on April 8, 2025.
Findings
Five deficiencies were found related to staff training, certification, and safety practices including fall prevention training, tuberculosis training, CPR certification, oxygen container storage, and secure storage of poisonous materials.
Deficiencies (5)
A.R.S. § 36-420.01.A — The governing authority failed to administer a fall prevention and fall recovery training program for all staff as required, with multiple staff lacking proper training despite facility policies.
R9-10-113 — The chief administrative officer failed to implement tuberculosis infection control activities, including annual training on recognizing TB signs and symptoms, for all sampled personnel, posing a potential TB exposure risk.
R9-10-806 — The manager did not ensure current documentation of first aid and CPR certification before providing assisted living services, with a gap in certification for the manager lasting over seven months.
R9-10-819 — The manager failed to ensure oxygen containers were secured in an upright position, with an unsecured oxygen container observed in the master bedroom closet.
R9-10-819 — The manager failed to ensure poisonous or toxic materials were stored in locked areas inaccessible to residents, with unlocked cabinets and outdoor storage containing hazardous materials observed.
Report Facts
Deficiencies cited: 5
Inspection Report — Mar 12, 2024
Enforcement
Date: Mar 12, 2024
Visit Reason
Civil monetary penalty, action 00111583 (invoice INV-258304), assessed 12 March 2024.
Findings
A $2,000.00 penalty was assessed and paid in full on 4 May 2024.
Report Facts
Penalty amount: 2000
Amount paid: 2000
Amount remaining: 0
Inspection Report — Jan 29, 2024
Annual Inspection
Date: Jan 29, 2024
Visit Reason
On-site complaint investigation of complaint AZ00205459 combined with an annual compliance inspection at an Assisted Living Home, conducted 29 January 2024.
Complaint Details
The following deficiencies were found during the on-site compliance inspection and investigation of complaint AZ00205459 conducted on January 29, 2024.
Findings
The inspection found 11 deficiencies related to failure to provide appropriate first aid, noncompliance with fingerprint clearance requirements, incomplete policies on termination of residency and resident whereabouts, inadequate caregiver qualifications, lack of current CPR and first aid certification for caregivers, missing residency agreement details, improper medication administration, unsecured medication storage, and unlicensed use of a building for resident occupancy.
Deficiencies (11)
36-420.B.2 — The facility failed to provide appropriate first aid before emergency medical services arrived to a non-injured resident who had fallen and was unable to recover independently.
The governing authority failed to ensure compliance with A.R.S. § 36-411 by employing a caregiver without a current fingerprint clearance card or documented good faith efforts to verify it.
The manager failed to implement policies and procedures covering termination of residency, including termination initiated by the manager, as a suicidal resident's residency had not been terminated per policy.
The manager failed to ensure policies covered methods by which the facility was aware of a resident's whereabouts based on the level of services provided; door alerts were nonfunctional and locks were not properly secured.
The manager failed to ensure caregivers had the qualifications, experience, skills, and knowledge necessary to provide services and ensure resident health and safety, as evidenced by inability to lift a resident safely.
The manager failed to ensure caregivers provided current documentation of first aid and CPR training before providing services; two caregivers worked several months without valid certification.
The manager failed to ensure the residency agreement documented whether the manager or caregiver would be awake during nighttime hours for one resident.
The manager failed to ensure means of exiting the facility for residents without keys or special knowledge controlled or alerted employees of resident egress; door alerts were off or nonfunctional.
The manager failed to ensure medication was administered in compliance with medication orders; residents did not receive medications as ordered due to holds or out-of-stock reasons without proper orders.
The manager failed to ensure medication was stored in a separate locked area used only for medication storage; unlocked medication cart and refrigerator contained accessible resident medications.
R9-10-110 — The licensee failed to submit a request for approval of a modification of the health care institution by using an unlicensed building to house a resident.
Report Facts
Deficiencies cited: 11
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