Haven Health Prescott, LLC

Based on observation, staff interviews, and policy review, the facility failed to ensure that current nurse staffing data was accurate and posted at the beginning of the day. This deficient practice could result in residents and visitors not being informed of accurate, up-to-date nurse staffing data. The universe was 52.Findings Include:On July 19, 2026, at 10:22 AM, an observation of the facility's nursing staff posting revealed the posted staffing information was dated July 14, 2026, and reflected a resident census of 57. The current date was July 19, 2026, and the facility census was 52 residents, indicating the required daily staffing information had not been updated for five days.During an interview on July 22, 2026, at 9:55 AM, the Assistant Director of Nursing (ADON/Staff #94) stated the facility's process is to update and post the daily nursing staffing information each day. Staff #94 stated she is responsible for updating the posting during the week but does not update it on weekends because she is not in the facility. Staff #94 described the process used to verify daily…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, staff interviews, and review of facility policy, the facility failed to ensure one medication cart was secured in accordance with facility policy. This deficient practice created the potential for unauthorized access to medications, medical supplies, and protected health information. The sample was one medication cart. The facility census was 52 residents.Findings Include:On July 22, 2026, at approximately 7:49 a.m., an observation was conducted in the hallway adjacent to the nurses' station. A medication cart was observed unlocked and unattended with no nursing staff present. The drawers faced the hallway, the back of the cart was against the wall, and the cart's locking mechanism indicated it was unlocked.While the cart remained unsecured, an environmental services staff member walked past at approximately 7:54 a.m., followed by three additional staff members at approximately 7:57 a.m. Licensed Practical Nurse (LPN/Staff #53) walked past the unsecured cart at approximately 7:58 a.m. Three Certified Nursing Assistants (CNAs) walked past at approximately 8:04…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, staff interviews, and policy review, the facility failed to ensure food items were stored in accordance with professional standards for food service safety. This deficient practice had the potential to increase the risk of foodborne illness. The census was 52. Findings Include: During an initial kitchen observation conducted on July 19, 2026, at approximately 9:45 AM, accompanied by the Dietary Aide (Staff #50), several strawberries stored in the large walk-in refrigerator were observed to have visible discoloration consistent with mold.During an interview at the time of the observation, Staff #50 stated the strawberries looked really bad and confirmed the discoloration was mold. Staff #50 stated the condition of the strawberries did not meet facility expectations and acknowledged that serving spoiled fruit could result in residents becoming ill.On July 22, 2026, at 9:48 AM, the Dietary Manager (Staff #91) confirmed the strawberries were moldy and should have been discarded. Staff #91 stated kitchen staff are expected to conduct daily visual inspections of…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interviews, review of clinical record, and review of facility policy and procedure, the facility failed to ensure the medical record was accurate and complete regarding skin assessments for one resident (#28). The deficient practice could result in interdisciplinary team members not being aware of a resident's status.-Findings include:Resident #28 admitted to the facility on [DATE], with diagnoses of ground level fall with trimalleolar fracture of the right ankle, right ankle fusion, hypertension, type 2 diabetes mellitus, coronary artery disease, chronic kidney disease, chronic obstructive pulmonary disease, cerebrovascular accident with right hemiparesis, and hypertension.A physician's order dated April 18, 2026, was for an orthopedic surgery appointment on April 30, 2026, at 10:00 a.m.A Weekly Skin Check and Wound assessment dated [DATE], revealed the following skin issues:-Coccyx: non-blanchable redness to coccyx-Scattered bruising to bilateral upper extremities-Rash under right breast-Surgical site…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility failed to ensure that PASARR Level II is completed.Number of residents sampled: 1Number of residents cited: 1Based on facility documentation, staff interviews, and policy review, the facility failed to ensure one resident's (#2) Preadmission Screening and Resident Review (PASARR) level II was completed in a timely manner. The deficient practice could result in the resident not receiving the specialized services needed.Findings include:Resident #2 was admitted to the facility on [DATE], with diagnoses that included bipolar disorder, current episode depressed, mild or moderate severity, unspecified.Review of the Minimum Data Set (MDS) dated [DATE], revealed a Brief Interview for Mental Status (BIMS) score of 14, indicating intact cognitive function. The MDS also revealed that Resident #2 was diagnosed with bipolar disorder.Review of the physician's order revealed the following order:Duloxetine HCl Oral Capsule Delayed Release Particles 60 Milligram (Duloxetine HCl). Give 60 milligram by mouth in the…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, and policy review, the facility failed to ensure one resident (#89) was offered or provided showers in accordance with his shower schedule. This deficient practice could result in residents not being provided hygiene care and services.Findings include:Resident #89 was admitted to the facility on [DATE] with diagnoses that included chronic obstructive pulmonary disease with exacerbation, pneumonia, and generalized muscle weakness. Review of the Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15, indicating intact cognition. The MDS also revealed that Resident #89 required substantial/maximal assistance with showering and bathing.Review of the shower schedule revealed that Resident #89 was scheduled to receive showers in the morning on Tuesdays and Fridays. Review of the bathing task documentation for May 2025 through June 2025 revealed three dates (May 20, 2025; May 27, 2025; June 10, 2025) in which there was no…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews and policy review, the facility failed to ensure that medications were not left at the bedside for one resident (#92). The deficient practice could result in harm to the residents, and/or visitors who have access to medications.Findings Include:Resident #92 was admitted on [DATE] with diagnoses that included, unspecified fracture of left patella, hypertension, chronic obstructive pulmonary disease, muscle spasm, gastro-esophageal reflux disease, depression, atherosclerotic heart disease, and (osteo)arthritis. The Admissions Minimum Data Set (MDS) assessment dated [DATE] is in progress.Resident #92 care plan did not address that resident was able to self-administer medication. Review of the physician's orders revealed no orders to self-administer medications.Review of the assessments revealed not assessed to self-administer medications.Review of progress note revealed no interdisciplinary meeting for self-administer medication.Further review of the Physicians orders…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, representative and staff interviews, and policy review, the facility failed to assess and monitor one resident's (#77) nutritional needs. The deficient practice could result in residents' nutritional needs not being met.Findings include:Resident #77 was admitted to the facility on [DATE] with diagnoses that included pulmonary embolism without acute cor pulmonale, diverticulitis of intestine, and dementia.Review of the Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 05, indicating severe cognitive impairment. The MDS also indicated that the resident had no swallowing impairments, but was noted to have had a weight loss of 5% or more in the last month or a loss of 10% or more in the last 6 months, while not on a physician-prescribed weight-loss regimen.Review of Resident #77's care plan revealed a problem focus, initiated on November 6, 2023, which indicated that Resident #77 had a nutritional problem, related to a hip fracture and…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

Based on observations, staff interviews, facility documentation, policies and procedures assessment, the facility failed to ensure that food items in the dry storage room and the freezer were properly labeled and dated. The deficient practice could result in food contamination which could cause sickness and potential food poisoning among the residents.Findings Include:On July 22, 2025 at 9:40 a.m during an initial walk-through visit with [NAME] #106 on behalf of the kitchen manager, staff #77 who was on leave that day at the storage room, one half-full bag of macaroni noodles was observed sitting on the shelf with no label or date. Also, two other opened bags- one of chicken tenders and one of French fries-in the freezer that were not labeled or dated. Furthermore, these bags were not stored in sealed containers or zipper bags, as required. The [NAME] stated that opened bags of food items should be dated to the date it was opened and stored in a closed container or a zipper bag. An interview was immediately conducted on July 22, 2025 at 10:00 a.m with the [NAME] #106 confirmed what…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, resident and staff interviews, and policy review, the facility failed to ensure that an incident involving allegation of abuse between a staff member and one resident (#11) was reported according to professional standards. The deficient practice could result in unnoted abuse. Findings include: Resident #11 was admitted to the facility on [DATE] with diagnoses that included toxic encephalopathy, pleural effusion, cirrhosis of the liver, and injuries of the head. A late-entry progress note dated April 16, 2025 revealed that on April 15, 2025 at 11:15 p.m., Resident #11 woke up crying and angry, and made allegations that a, chinese man hit her. The progress note revealed that on April 16, 2025, at approximately 1:30 a.m., Resident #11 stated that a Chinese man who worked at the facility hit her; and that, she wanted her husband to call the police and make a report. The progress note further revealed that staff asked the resident about the allegation and she, did not give clear…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident and staff interviews, clinical records review and facility policy, the facility failed to ensure one resident (#34) was not physically abused by another resident (#3). The deficient practice could result in residents being physically injured. Findings include: - Resident #34 was admitted to the facility on [DATE] with diagnosis that included unspecified dementia, unspecified severity, with other behavioral disturbance, chronic obstructive pulmonary disease, unspecified, unspecified psychosis not due to a substance or known physiological condition. The care plan initiated and revised on August 9, 2023 revealed a care plan that stated resident #34 had behavior problem related to refusal of medications, hallucinations, and impaired cognitive function. Review of the facility five-day report submitted on September 19, 2023 documented an interview with resident #34 who stated she scratched me as I rolled by referencing resident #3. The report also documented no past encounters with the alleged…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, clinical record review, resident and staff interviews, facility documentation and policy review, the facility failed to ensure the necessary treatment and services were provided for one resident (#1) out of fourteen sampled residents, regarding bowel care. The deficient practice could result in excessive discomfort for the resident. Findings include: Resident #1 was admitted to the facility on [DATE] with diagnoses that included paroxysmal atrial fibrillation, unspecified dementia, injury of conjunctiva and corneal abrasions of both eyes, and muscle weakness. Review of physician orders revealed an order dated July 11, 2024 for implementing a routine bowel care 3 step program if the resident did not have a bowel movement in 3 days. Review of the progress notes revealed multiple entries from July 15, 2024 to July 26, 2024 from the Nurse Practitioner (NP) that claim the resident had no constipation or abdominal pain, indicating that the NP was unaware of any constipation issues during this…

This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.