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Haven Of Scottsdale

3293 North Drinkwater Boulevard, Scottsdale, AZ 85251 · For profit - Limited Liability company · 56 certified beds · (480) 947-7443 Medicare & Medicaid certified

Call the home — (480) 947-7443 Need help choosing, fast? Free, unbiased: Eldercare Locator 1-800-677-1116
Abuse/neglect citations on record (F0600, F0602) — most recent Nov 20241 actual-harm citation
Insights

This home has serious findings on its record. Read them closely before you consider it.

In its favor
  • no federal fines or payment denials on record
Worth asking about
  • it has abuse, neglect, or exploitation citations (F0600, F0602) — most recent Nov 2024
  • it has citations for its abuse-prevention policies, restraint use, or reporting and investigating of allegations (F0607, F0609, F0610) — cited below the harm level, meaning inspectors found the process wanting but did not find a resident harmed
  • it has 1 actual-harm citation
  • a high number of inspection citations overall (24) — worth reading through, though larger and more-often-surveyed homes tend to accrue more lower-severity tags
  • its facility-reported quality-measure score sits well above its independent inspection score
  • its independent health-inspection rating is low (1/5)
  • its payroll-based staffing rating is low (1/5)
  • nursing-staff turnover (77%) runs well above the national median (45%)

One thing this read cannot see: what residents and families actually experience day to day. Public data misses the feel of a place — visit unannounced, ideally at a mealtime or on a weekend, talk to staff and families, and ask your tour questions.

A plain-English summary of the public record below — not a rating, ranking, or recommendation. We take no money from any facility.

2/5
CMS overall
2 of 5
Health inspectionSurveyor-assigned, ranked within your stateInspector-verified 1 of 5
StaffingFrom payroll records (PBJ) 1 of 5
Quality measuresSelf-reported by the facility 5 of 5

Worth a closer look. This home's quality-measure rating runs 4 stars above its independent health-inspection score. The inspection is done by state surveyors; the quality-measure score leans on data the facility reports about itself — so a gap this large is worth reading the inspection record for.

Location & what’s nearby

Urgent care / clinic
7514 E Monterey Way Ste 1 · (480) 637-0685 · Call to confirm hours
Pharmacy
7331 E Osborn Dr Ste 208 · (480) 945-9519 · Call to confirm hours
Grocery
2785 N Scottsdale Rd · (480) 947-7574 · Call to confirm hours
Park
7775 E Osborn Rd · (480) 312-7275 · Typically dawn to dusk
Place of worship

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Overall quality measures 5 of 5
Long-stay residentspeople who live here 5 of 5
Short-stay residentsrehab / post-hospital 4 of 5

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Trend — is this home getting better or worse?

Over 2025-02 to 2026-06, this home’s CMS overall rating fell from 4 to 2 stars. From monthly CMS archive snapshots.

Horizontal axis runs 2025-02 to 2026-06. That is where CMS’s monthly archive ends, so the right-hand edge of each line is that month — not today.

Overall rating2★
Inspection scorelower = better
See all quality measures vs. state & national benchmarks
MeasureThis homeState avgTypical statevs typical state
Long-stay residents whose need for help with daily activities increased5.6%10.7%15.4%better
Long-stay residents who lose too much weight0.0%5.3%5.4%check this — see note marked star below the table
Long-stay residents with a catheter left in their bladder0.0%0.8%0.9%better
Long-stay residents with a urinary tract infection0.0%1.2%2.0%better
Long-stay residents with depressive symptoms0.0%3.9%6.5%check this — see note marked star below the table
Long-stay residents who were physically restrained0.0%0.3%0.1%better than state — see note marked double-dagger below the table
Long-stay residents with falls causing major injury0.0%2.1%3.3%check this — see note marked star below the table
Long-stay residents on antianxiety or hypnotic medication8.8%21.0%18.9%better
Long-stay residents with pressure ulcers5.9%4.4%4.7%worse
Long-stay residents with worsening bladder/bowel control20.6%20.6%21.2%typical
Long-stay residents who got an antipsychotic medication — see the note below the table2.3%10.6%17.1%better
Short-stay residents who newly got an antipsychotic medication1.9%1.2%1.4%worse
Short-stay residents given the seasonal flu vaccine79.8%87.3%79.4%typical
Short-stay residents rehospitalized after admission21.7%23.7%22.6%typical
Short-stay residents with an outpatient ER visit4.8%10.4%12.0%better

* This home reported 0% on a measure where lower is better. That can mean genuinely excellent care — but because the number is self-reported, a zero can also mean the problem was not recorded. Weigh it against the inspection record above.

On this measure the state average is at least twice (or half) the typical state — a gap that size is usually how the state codes and reports the measure, not how its homes actually perform. Against a benchmark this state does not sit on, a “vs typical state” verdict would mostly be measuring the state, so we compare this home with its own state instead and show both averages.

§ Antipsychotics carry an FDA boxed warning — they raise the risk of death in older people with dementia-related psychosis, and are not approved for that use. So this measure is partly a read on whether a home sedates residents instead of staffing for them. But read a low rate carefully in both directions: CMS excludes residents coded with schizophrenia (and Tourette's or Huntington's) from this measure, and federal auditors have found implausible increases in schizophrenia coding since the measure was published — so a very low rate can reflect recoding rather than less prescribing. Ask the home what share of its residents carry a schizophrenia diagnosis, and how it handles behavioral symptoms without medication.

CMS quality measures, as Care Compare shows them. For most rows lower is better (fewer falls, ulcers, hospitalizations); vaccination rates are the exception. Not every row is risk-adjusted. CMS adjusts some measures for resident mix, but falls with major injury, antipsychotic use, physical restraints and the vaccination rates are unadjusted rates — so a home caring for heavier or more behaviorally complex residents can look worse on them without providing worse care. The “typical state” column is the median of the 50 state averages — not a national average of all homes. We use it because a plain average across homes is pulled badly off course by a few states’ reporting habits (long-stay depressive symptoms is the clearest case: Illinois codes it several times higher than most states, which alone lifted the all-homes figure to about twice what a typical state records). The median of state averages resists that — but it does weigh every state equally, so a large state counts no more than a small one, and it is a benchmark of our construction rather than a CMS-published figure. better/worse means the home differs from that benchmark by more than 10% of it; closer than that reads typical. CMS does not publish how many residents each measure covers, and the counts are often small — a single resident can move a rate by several points — so treat small gaps as noise. These come from data the facility reports, so weigh them against the independent inspection record above.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

54.1% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 140 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

54.1%U.S. median 51.5%
Got home and stayed home
11.9%U.S. median 10.7%
Went back to hospital
70.0%U.S. median 56.6%
Met the expected recovery
0.28U.S. median 0.31
Therapy hours / resident / day
0.19hours / resident / day
Physical therapy
0.04hours / resident / day
Occupational therapy
0.05hours / resident / day
Speech therapy

Met the expected recovery: 70.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 60 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.28 therapist hours per resident per day in 2026Q1 — more than 41% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 18% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

See every short-stay measure CMS publishes for this home
MeasureThis homeU.S. medianPeriod coveredCMS’s call
Got home and stayed homeRate of successful return to home or community from a SNF54.1%CMS range 43.6–60.951.5%Oct 2022–Sep 2024no different from U.S.
Went back to hospitalRate of potentially preventable hospital readmissions 30 days after discharge from a SNF11.9%CMS range 8.6–15.310.7%Oct 2022–Sep 2024no different from U.S.
Met the expected recoveryPercentage of residents who are at or above an expected ability to care for themselves and move around at discharge70.0%56.6%Oct 2024–Sep 2025CMS makes no comparison for this measure
Self-care at dischargePercentage of residents who are at or above an expected ability to care for themselves at discharge65.0%52.8%Oct 2024–Sep 2025CMS makes no comparison for this measure
Moving around at dischargePercentage of residents who are at or above an expected ability to move around at discharge56.7%50.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication problems followed upPercentage of residents whose medications were reviewed and who received follow-up care when medication issues were identified100.0%98.7%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the next providerPercentage of residents where the SNF provided a current medication list to the next health care setting100.0%100.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
Medication list to the familyPercentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final dischargenot reported — The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Falls with major injuryPercentage of SNF residents who experience one or more falls with major injury during their SNF stay0.0%0.0%Oct 2024–Sep 2025CMS makes no comparison for this measure
New or worsened pressure ulcersPercentage of residents with pressure ulcers/pressure injuries that are new or worsened2.9%1.9%Oct 2024–Sep 2025CMS makes no comparison for this measure
Infections that led to hospitalPercentage of infections residents got during their SNF stay that resulted in hospitalization8.1%CMS range 4.9–11.37.1%Oct 2023–Sep 2024no different from U.S.
Medicare spending per stayMedicare Spending Per Beneficiary (MSPB) for residents in SNFs0.921.02Oct 2022–Sep 2024CMS makes no comparison for this measure

From the CMS Skilled Nursing Facility Quality Reporting Program — Medicare short-stay outcomes, which is a different dataset from the long-stay quality measures above and describes a different set of residents. Where CMS risk-adjusts a measure we show its adjusted rate, and the CMS range beside it is the confidence interval CMS publishes: a home whose range is wide is a home with few stays, where one patient moves the number several points. Read the period column. These measures do not share a window — the claims-based ones (getting home, readmission, spending) lag by a year or more, because a stay has to finish and its claims settle before it can be counted. CMS’s call is CMS’s, not ours: it is the only place anyone tests whether this home differs from the national rate at all, and most homes on most measures do not. Two caveats on it. CMS tests only three of these measures — getting home, readmission, and infections that led to hospital; on the other nine it publishes a rate and no comparison, and rather than compute a verdict CMS declined to make, we say so in the column. And on readmission almost every home in the country lands on “no different”, so that row separates homes far less than getting-home does — which is why met the expected recovery, a measure CMS does not test but which spreads across the whole range, is called out above the table rather than left in this list. The U.S. median column is our own, taken across every home CMS publishes that measure for in this same file; it is not a CMS-published benchmark. Homes CMS gives no rate for are left out of it rather than counted as zero. Medicare spending per stay is a ratio, not a percentage — 1.00 means this home’s Medicare spending for a stay matched the national figure CMS compares it against, and it measures cost to Medicare, not quality of care.

Staffing

0.61
RN hours/ resident / day
0.98
LPN hours/ resident / day
1.55
Aide hours/ resident / day
3.14
Total nurse hours/ resident / day
0.40
RN hoursweekends
76.9%
Total nursing turnover
75.0%
RN turnover

How full it usually is: this home is certified for 56 beds and averages 47.0 residents a day — about 84% occupied, or roughly 9 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.14 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.61 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.55 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.58 hrs/resident/day on weekends vs 3.37 on weekdays — 23% thinner on weekends — a notable drop. RN hours go from 0.69 to 0.40 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 77% is well above the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

12
deficiencies at the latest standard inspection (2026-01-07)
7
at the previous standard inspection (2024-10-10)

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

ABCDEFGHIJKL

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

24 citations, most serious first. The 11 most serious are shown; the remaining 13 are one tap away and print in full.

  • Actual harm · Gcited before2026-01-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: 46Number of residents cited: 1Based on observation, interview, review of clinical record, staff interviews, review of facility's video footage, policy and procedure, the facility failed to ensure adequate supervision was provided to one resident (#27). The deficient practice resulted in the resident sustaining injury from accidental foley catheter dislodgement and a transfer to the hospital.Findings include:-Resident #27 was re-admitted on [DATE], with diagnoses of acute on chronic congestive heart failure, cardiomyopathy, pneumonia, unspecified dementia, anxiety disorder, and retention of urine.A care plan dated December 5, 2025, revealed Resident #27 was at risk for functional self-care deficits and/or functional mobility limitations related to subdural hemorrhage; and, had a catheter. Goals were to safely perform functional self-care and mobility tasks; and, that the resident will be and will remain free from catheter-related trauma. Interventions included that the resident…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-01-07 · tag F0607 — failed to have anti-abuse policies — pattern
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, facility documentation and policy review, the facility failed to implement their policy on abuse reporting and investigation for allegations of abuse for 2 of 9 sampled residents (#77 and #72). The deficient practice could result in allegations of abuse not reported, not investigated and residents not protected from continued abuse.Findings include: -Resident #77 was admitted on [DATE] with diagnoses of displaced intertrochanteric fracture of the left femur, osteoporosis and chronic pain. The ADL (activities of Daily Living) care plan dated August 1, 2023 included the resident was at risk for ADL self-care performance deficit. Intervention included to encourage resident to participate to the fullest extent possible with each interaction. The progress note dated August 1, 2023 revealed the resident was admitted after a GLF (ground level fall) at home and presented with left hip fracture. The IDT (interdisciplinary team) fall review dated August 7, 2023 included…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-01-07 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, facility documentation and policy review, the facility failed to ensure an allegations of abuse were reported to APS and law enforcement; and failed to ensure that the results of the investigations of the alleged violation for 2 of 9 sampled residents (#77 and #72) were submitted to the SA within 5 working days of the incident. The deficient practice could result in allegations of abuse not investigated and residents not protected from continued abuse.Findings include: -Resident #77 was admitted on [DATE] with diagnoses of displaced intertrochanteric fracture of the left femur, osteoporosis and chronic pain. The ADL (activities of Daily Living) care plan dated August 1, 2023 included the resident was at risk for ADL self-care performance deficit. Intervention included to encourage resident to participate to the fullest extent possible with each interaction. The progress note dated August 1, 2023 revealed the resident was admitted after a GLF (ground level fall)…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2026-01-07 · tag F0610 — failed to investigate and act on abuse reports — pattern
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, facility documentation and policy review, the facility failed to ensure allegations of abuse for 2 of 9 sampled residents (#77 and #72) were thoroughly investigated. The deficient practice could result in residents not protected from continued abuse and appropriate corrective action not taken.Findings include: -Resident #77 was admitted on [DATE] with diagnoses of displaced intertrochanteric fracture of the left femur, osteoporosis and chronic pain. The ADL (activities of Daily Living) care plan dated August 1, 2023 included the resident was at risk for ADL self-care performance deficit. Intervention included to encourage resident to participate to the fullest extent possible with each interaction. The progress note dated August 1, 2023 revealed the resident was admitted after a GLF (ground level fall) at home and presented with left hip fracture. The IDT (interdisciplinary team) fall review dated August 7, 2023 included that the resident sustained a fall on…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2026-01-07 · tag F0880 — failed to prevent and control infections — pattern
    Provide and implement an infection prevention and control program.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY -Regarding Resident #82: Resident #82 was admitted on [DATE], with diagnoses that included end stage renal disease and type 2 diabetes mellitus. An admission Evaluation note dated January 2, 2026, revealed Resident #82 admitted from short-term general hospital for intravenous (IV) infusions with contact isolation. A physician order dated January 3, 2026, included contact isolation due to Extended-Spectrum Beta-Lactamases (ESBL) for 5 days or until treatment has been completed on January 6. A care plan focus dated January 4, 2026, revealed the resident had an active infection including ESBL with interventions that included contact/droplet isolation precautions, educate resident and staff regarding preventative measures to contain infection, use as much disposable equipment as possible or use dedicated equipment (i.e. BP cuff, thermometer), non-disposable resident care equipment to be appropriately cleaned and disinfected per facility protocol, provide independent activities or 1:1 activities as tolerated by…

    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.

    Infection Control Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-07 · tag F0550 — failed to protect resident dignity and rights — isolated
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, review of clinical record, and review of facility policy and procedure, the facility failed to ensure a resident (#27) was treated with dignity and respect. The deficient practice could lead to psychosocial harm of a resident.-Findings include:Resident #27 was re-admitted on [DATE], with diagnoses of acute on chronic congestive heart failure, cardiomyopathy, pneumonia, unspecified dementia, anxiety disorder, and retention of urine.An admission minimum data set (MDS) assessment dated [DATE], revealed Resident #27 had a brief interview for mental status (BIMS) assessment score of 9, indicating moderate cognitive impairment.A care plan focus dated December 5, 2025, revealed Resident #27 was at risk for functional self care deficits and / or functional mobility limitations, with a goal to safely perform functional self care and mobility tasks. Interventions included: -The resident required assistance with transferring-Encourage resident to participate to the fullest extent possible…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-07 · tag F0628 — isolated
    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews and review of facility documentation and policy, the facility failed to ensure that the Ombudsman was provided a copy of the notice of discharge for 2 of 3 sampled residents (#76 and #70). The deficient practice could result in residents being inappropriately discharged .Findings include:-Resident #76 was admitted on [DATE] with diagnoses of metabolic encephalopathy, COPD (chronic obstructive pulmonary disease) and anxiety. The admission evaluation dated September 16, 2025 included that the resident was admitted from a short-term general hospital via a stretcher for post-op rehabilitation. The skilled needs review dated September 17, 2025 revealed that the IDT (interdisciplinary team) attested that the resident met all the criteria for skilled services and the case manager approved continued stay through September 18, 2025. According to the documentation, the resident was expected to be discharged to community. The social services progress note dated September…

    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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-07 · tag F0684 — failed to provide proper treatment and quality of care — isolated
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical record, interview, and review of facility policy and procedure, the facility failed to ensure a resident (#27) was administered narcotic medication according to physician order. The deficient practice could lead to physical harm of a resident from overdose of narcotic medication.-Findings include:Resident #27 was re-admitted on [DATE], with diagnoses of acute on chronic congestive heart failure, cardiomyopathy, pneumonia, unspecified dementia, anxiety disorder, and retention of urine.An admission minimum data set (MDS) assessment dated [DATE], revealed Resident #27 had a brief interview for mental status (BIMS) assessment score of 9, indicating moderate cognitive impairment.A care plan focus initiated December 5, 2025, revealed Resident #27 had or was at risk for pain, with interventions that included to administer analgesia medication as per orders, to anticipate the resident's need for pain relief and respond as soon as possible to any complaint of pain, to monitor / record / report…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-07 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews and facility documentation and policy review, the facility failed to ensure care and services related to pressure ulcer was provided to 1 of 3 sampled residents (#64). The deficient practice could result in worsening of the resident's pressure ulcer.Findings include:Resident #64 was admitted on [DATE] with diagnoses of fracture of the upper end of the left tibia, type II diabetes with hyperglycemia and pulmonary fibrosis. The late entry admission evaluation note dated September 19, 2024 included that the resident was admitted from a short-term general hospital, had shortness of breath with lying flat, was on 2 liters of oxygen via nares to keep oxygen saturation above 90% while lying flat, and had bowel and bladder incontinence. The Braden scale dated September 19, 2024 revealed a score of 15 indicating the resident had low risk of developing pressure ulcers. The progress note dated September 19, 2024 included the resident was alert to name only and had a stage 4…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-07 · tag F0755 — failed to provide safe pharmacy services — isolated
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, facility documentation and policy review, the facility failed to ensure protocols for reconciliation of controlled medications were followed by staff to prevent diversion of narcotic medications for 2 sampled residents (#73 and #74). The deficient practice could result in result in risk of harm including inadequate relief of pain and complications associated with the medication use and misuse.Findings include: -Resident #74 was readmitted on [DATE] with diagnoses of acute osteomyelitis of the right ankle and foot, infection and inflammatory reaction due to internal left hip prosthesis and pain in the left hip. The admission evaluation dated February 9, 2024 revealed the resident was admitted on [DATE] from short-term general hospital. The care plan dated February 9, 2024 included that the resident was prescribed with high risk medications and was at risk for pain. Interventions included to administer analgesia medications as per orders, observe for and report…

    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.

    Pharmacy Service Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2026-01-07 · tag F0812 — failed to store, cook, and serve food safely — isolated
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, staff interviews and review of policies and procedures, the facility failed to ensure that food was labeled and stored in accordance with professional standards. The deficient practices could result in food-borne illnesses.Findings include:-Regarding food labeling, dating and storageA kitchen observation was conducted on January 4, 2026 at 7:21 a.m. with the morning cook (staff #6) and revealed the following:-A [NAME] style cooking wine in walk-in dry storage was found with use by date of August 25, 2025--Within the large, three-door freezer, peas and sliced carrot were discovered wrapped in a blue plastic bag and lacked any date labeling.Initial observation of the nourishment refrigerator located close to nurse station was conducted on January 4, 2026, at approximately 8:20 a.m., revealed that the multiple edible items which were almost full capacity in an unorganized fashion and the following items were not labelled and dated:-A transparent plastic container with a red lid containing…

    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.

    Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
Show the remaining 13 citations
  • Potential for harm · D2026-01-07 · tag F0842 — failed to keep accurate, complete medical records — isolated
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of clinical record, interviews, and review of facility policy and procedure, the facility failed to ensure the medical record was complete and accurate for one resident (#27). The deficient practice could lead to care team members not being fully aware of a resident's status.-Findings include:Resident #27 was re-admitted on [DATE], with diagnoses of acute on chronic congestive heart failure, cardiomyopathy, pneumonia, unspecified dementia, anxiety disorder, and retention of urine.An admission minimum data set (MDS) assessment dated [DATE], revealed Resident #27 had a brief interview for mental status (BIMS) assessment score of 9, indicating moderate cognitive impairment.A care plan focus initiated December 5, 2025, revealed Resident #27 had or was at risk for pain, with interventions that included to administer analgesia medication as per orders, to anticipate the resident's need for pain relief and respond as soon as possible to any complaint of pain, to monitor / record / report to the nurse…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2025-11-05 · tag F0658 — failed to meet professional standards of care — isolated
    Ensure services provided by the nursing facility meet professional standards of quality.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews and policy reviews, the facility failed to ensure that 1 of 3 sampled residents (#1) received the appropriate inhalation powder per physician orders. The deficient practice could result in uncontrolled symptoms related to chronic obstructive pulmonary disease (COPD). Findings include:Resident #1 was admitted on [DATE] with diagnosis that included chronic obstructive pulmonary disease (COPD), acute respiratory failure, an open wound of abdominal wall and sepsis. A comprehensive care plan initiated on September 15, 2025, revealed that Resident # 1 had COPD with intervention that included to give aerosol or bronchodilators as ordered and to monitor and document the side effects and effectiveness. A progress note dated September 15, 2025, revealed that Tyvaso Dry Powder Inhaler (DPI) was on hold pending provider direction. The progress note goes on to reveal that the facility initially did not have the medication and that the resident's family would bring the Tyvaso…

    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.

    Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-20 · tag F0600 — failed to protect residents from abuse and neglect — isolated
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of documentation, interviews with staff and residents and review of the facility policy, the facility failed to ensure two residents are free from verbal abuse (#5 and #30). The deficient practice could lead to psychosocial harm for residents. Findings include: - Resident #5 was admitted on [DATE] with a diagnosis of traumatic subdural hemorrhage without loss of consciousness, subsequent encounter, essential (primary) hypertension, acute pain due to trauma, gout, unspecified. Review of the care plan dated November 6, 2024, revealed that resident #5 was at risk for falls. An intervention included that the staff would anticipate and meet the residents needs and make sure the residents call light is within reach and encourage the resident to use it for assistance as needed. Additional interventions included; a psychosocial well -being problem related to admission and allow the resident time to answer questions and verbalize feelings, perceptions and fears. A grievance report was completed by…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2024-11-20 · tag F0609 — failed to report abuse allegations — isolated
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of documentation, interviews and review of the facility policy, the facility failed to report alleged abuse for two residents (#5 and #30). The deficient practice could lead to continued abuse for residents. Findings include: - Resident #5 was admitted on [DATE] with a diagnosis of traumatic subdural hemorrhage without loss of consciousness, subsequent encounter, essential (primary) hypertension, acute pain due to trauma, gout, unspecified. Review of the care plan dated November 6, 2024, revealed that resident #5 was at risk for falls. An intervention included that the staff would anticipate and meet the residents needs and make sure the residents call light is within reach and encourage the resident to use it for assistance as needed. Additional interventions included; a psychosocial well -being problem related to admission and allow the resident time to answer questions and verbalize feelings, perceptions and fears. A grievance report was completed by resident #5 on November 8, 2024. It stated…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-10-10 · tag F0600 — failed to protect residents from abuse and neglect — pattern
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of documentation, interviews and review of the facility policy, the facility failed to ensure 3 residents ( #456, #457 and #458) were not abused from one staff member. The deficient practice could lead residents to suffer from psychosocial harm. Findings include: - Resident #456 was admitted on [DATE] with a diagnosis of displaced intertrochanteric fracture of the right femur, chronic systolic heart failure, anxiety disorder, depression, acute pain due to trauma and tachycardia. Review of the Minimum Data Set (MDS) assessment, dated April 4, 2024, revealed the resident had a Brief Interview for Mental Status (BIMS) score of 15, which revealed no cognitive impairment. Review of the care plan dated April 4, 2024, revealed that resident #456 was dependent on staff for care. An intervention included that the staff would converse with him while providing care. Review of the care plan dated April 11, 2024 revealed resident #456 was resistive to care. The goal was to demonstrate effective coping skills…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-10-10 · tag F0607 — failed to have anti-abuse policies — pattern
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of documentation, interviews and review of the facility policy, the facility failed to ensure the policy for abuse was implemented for 3 residents (#456, #457 and #458). The deficient practice could lead residents to suffer from psychosocial harm and further abuse of more residents from staff member. Findings include: - Resident #456 was admitted on [DATE] with a diagnosis of displaced intertrochanteric fracture of the right femur, chronic systolic heart failure, anxiety disorder, depression, acute pain due to trauma and tachycardia. Review of the Minimum Data Set (MDS) assessment, dated April 4, 2024, revealed the resident had a Brief Interview for Mental Status (BIMS) score of 15, which revealed no cognitive impairment. Review of the care plan dated April 4, 2024, revealed that resident #456 was dependent on staff for care. An intervention included that the staff would converse with him while providing care. Review of the care plan dated April 11, 2024 revealed resident #456 was resistive to…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-10-10 · tag F0609 — failed to report abuse allegations — pattern
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of documentation, interviews and review of the facility policy, the facility failed to report alleged violations of abuse for resident's (#456, #457 and #458) . The deficient practice could lead to further abuse of residents from staff member. Findings include: - Resident #456 was admitted on [DATE] with a diagnosis of displaced intertrochanteric fracture of the right femur, chronic systolic heart failure, anxiety disorder, depression, acute pain due to trauma and tachycardia. Review of the Minimum Data Set (MDS) assessment, dated April 4, 2024, revealed the resident had a Brief Interview for Mental Status (BIMS) score of 15, which revealed no cognitive impairment. Review of the care plan dated April 4, 2024, revealed that resident #456 was dependent on staff for care. An intervention included that the staff would converse with him while providing care. Review of the care plan dated April 11, 2024 revealed resident #456 was resistive to care. The goal was to demonstrate effective coping skills…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Ecited before2024-10-10 · tag F0610 — failed to investigate and act on abuse reports — pattern
    Respond appropriately to all alleged violations.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of documentation, interviews and review of the facility policy, the facility failed to investigate and correct alleged violations of abuse for resident's (#456, #457 and #458) from one staff member (staff #42). The deficient practice could lead residents to suffer from psychosocial harm and further abuse of residents. Findings include: - Resident #456 was admitted on [DATE] with a diagnosis of displaced intertrochanteric fracture of the right femur, chronic systolic heart failure, anxiety disorder, depression, acute pain due to trauma and tachycardia. Review of the Minimum Data Set (MDS) assessment, dated April 4, 2024, revealed the resident had a Brief Interview for Mental Status (BIMS) score of 15, which revealed no cognitive impairment. Review of the care plan dated April 4, 2024, revealed that resident #456 was dependent on staff for care. An intervention included that the staff would converse with him while providing care. Review of the care plan dated April 11, 2024 revealed resident #456…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-10 · tag F0697 — failed to manage pain — pattern
    Provide safe, appropriate pain management for a resident who requires such services.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, and policy reviews, the facility failed to ensure three of four sampled residents (#14, #4, #40) were administered scheduled pain medication in accordance with the physician order. The deficient practice could result in residents' pain not being adequately controlled. Findings Include: -Regarding Resident #14: Resident #14 was initially admitted on [DATE] with diagnoses that included COPD, displaced fracture of 5th cervical vertebra, major depressive disorder, and insomnia. A care plan initiated on July 16, 2021 revealed that the resident has chronic pain and takes an opioid and non-opioid analgesic related to chronic pain of the bilateral lower extremities. Interventions that were initiated on March 4, 2021, indicated to administer analgesia medication as per orders. Physician orders revealed the following: -Dated April 5, 2022: Oxycodone HCl Tablet 15 mg (milligram), give 15 mg by mouth (PO) every 4 hours as needed for pain level 4-10 out of 10. -Dated July…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · E2024-10-10 · tag F0726 — failed to have competent, trained nursing staff — pattern
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on personnel file review, staff interview, and facility policy review, the facility failed to ensure that three of three sampled Certified Nursing Assistants (CNA/ Staff#48, Staff#61, and Staff#42) maintained valid Cardiopulmonary Resuscitation (CPR) and first aid certifications. The deficient practice could result in potential harm to residents due to staff not being knowledgeable about how to provide emergency care to residents as part of the CPR team. Findings include: Review of the personnel file for a CNA (Staff#48) revealed a hire date and signed job description on [DATE]. Continued review of the personnel file revealed no evidence that Staff #48 obtained a CPR or First Aid certification. Review of the personnel file for a CNA (Staff#61) revealed a hire date of [DATE], and a signed job description on [DATE]. Continued review of the personnel file revealed no evidence that Staff #61 obtained a CPR or First Aid certification. Review of the personnel file for a CNA (Staff#42) revealed a hire date 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.

    Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-10-10 · tag F0602 — failed to protect residents from theft of their belongings — isolated
    Protect each resident from the wrongful use of the resident's belongings or money.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, facility documentation, staff interviews, and policy review, the facility failed to ensure one resident (#96) was free from misappropriation of the resident's property. The deficient practice could result in resident rights being violated due to the misappropriation of personal property. Findings Include: Resident #96 was admitted to the facility on [DATE] with diagnoses that included peripheral vascular disease, anxiety disorder and cellulitis. Resident #96's inventory sheet dated December 7, 2022 revealed that the resident had 1 phone and 1 charger in her possession. The quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 12, indicating intact cognition. Review of the facility's investigative report revealed that Resident #96's cell phone went missing the night of April 9, 2023 or early in the morning on April 10, 2023, and was reported to the former Director of Nursing (DON) on April 10, 2023. The report details…

    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.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · D2024-06-13 · tag F0585 — failed to handle grievances — isolated
    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident and staff interviews, clinical record review, and facility policy, the facility failed to file and investigate a grievance per policy for one resident, #34. Findings include: Resident #34 admitted to the facility on [DATE] and discharged on 04/15/2024 with diagnoses that included Hypertension, pain in left shoulder, delirium, hallucinations and presence of Pacemaker. Review of discharge Minimum Data Set assessment dated [DATE], reident #34 scored an 11 on the Brief Interview for Mental Status (BIMS) which suggested moderate cognitive impairment. The care plan initiated on 04/13/2024 stated her goal is to establish an appropriate discharge plan with interventions being to coordinate with the Interdisciplinary Team and help provider services according to care plan to enhance optimum well being. In a statement from Resident #34's husband on 06/11/2024 at 12:54pm, he stated that he spoke with nursing staff, resident relations, and the executive director on 04/14/2024 and 04/15/2024. He stated 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.

    Resident Rights Deficiencies · Deficient, Provider has date of correction
  • Potential for harm · Dcited before2023-11-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    What the surveyor found here — an excerpt from the official record, may be distressing

    NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on clinical record review, staff interviews, and facility documentation and policy review, the facility failed to ensure that the resident #3 received adequate supervision during medication and treatment administration to prevent accidents. The sample size was 1. The deficient practice could result in medication errors and/or ingestion of hazardous materials. Findings include: Resident #3 was admitted to the facility on [DATE], went home on November 9, 2023 and re-entered the facility on November 10, 2023. Resident #3 had medical diagnoses with included end-stage renal disease with dependence on renal dialysis, type 2 diabetes mellitus. Review of the admission Minimum Data Set (MDS) assessment dated [DATE], the resident had a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident was cognitively intact. It was also noted that the resident had pressure and surgical wounds and was receiving pressure injury and surgical wound care. Review of the Physician's History and Physical dated…

    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.

    Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Worried about a resident here? There are three different people you can turn to, and they do different jobs:
  • Long-Term Care Ombudsman — a free, confidential advocate for the resident. They act only with the resident’s consent and work to resolve the problem. Find yours at theconsumervoice.org/get_help.
  • Adult Protective Services — the state agency that investigates suspected abuse, neglect, or exploitation of a vulnerable adult. Not sure of your state’s APS number? The federal Eldercare Locator will route you: 1-800-677-1116 or eldercare.acl.gov.
  • State survey agency — the regulator that licenses and inspects the home. Every state has an official nursing-home complaint line and most take complaints online; the Ombudsman or Eldercare Locator can connect you.
Not sure where to start, or need other help? Dial 2-1-1 for local resources — and if a call is hard or impossible for you, many local 211s also take a text (send your ZIP code to 898-211) or a web chat at 211.org; both vary by area, and 211.org will show what yours offers. Deaf or hard of hearing: dial 711 for the telecommunications relay service, then any number above. In an emergency, call 911.
It is illegal for a facility to retaliate against a resident or family for reporting a concern: federal law gives a resident the right to voice grievances — to the home or to any outside agency — without discrimination or reprisal (42 CFR §483.10(j)(1)). You may report anonymously.

Fines & penalties

No federal fines in the current CMS record.

Part of a chain

This home belongs to HAVEN HEALTH — 20 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

RatingThis homeChain avg
Overall 2 of 52.7-0.7 vs chain
Health inspection 1 of 52.0-1.0 vs chain
Staffing 1 of 52.3-1.3 vs chain
Quality measures 5 of 54.7+0.3 vs chain
The other 19 homes this chain runs (chain average 2.7★, per CMS)

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

Owner / managerTypeRoleSince
HAVEN HEALTH GROUP LLCOrganizationDIRECT OWNERSHIP INTERESTsince 04/01/2016
SEASTRAND, JASONIndividualINDIRECT OWNERSHIP INTEREST; OPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2016
HAVEN HEALTH PROPERTIES LLCOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 04/01/2016
HAVEN SCOTTSDALE REAL ESTATE LLCOrganization5% OR GREATER MORTGAGE INTEREST; ADP OF THE SNFsince 04/01/2016
HEALTH GROUP MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/25/2024
DIXON, ERICIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 09/15/2025
FRAGOSO, LINDSAYIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 05/10/2021
LONGHURST, STOCKIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 11/15/2020
MUIR, MARKIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 02/15/2015
MURPHY, NICOLEIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 08/01/2023
ROBERTSON, BRETTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2016
SAMUELIAN, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2016
SAMUELIAN, SPENCERIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2016
SAMUELIAN, STEPHENIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2016
VIJ, NEERAJIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 01/01/2023
WEST, CHRISTIANIndividualOPERATIONAL/MANAGERIAL CONTROL; ADP OF THE SNFsince 04/01/2016

CMS files one row per role, so the 32 rows in the source record cover these 16 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

4 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

$7.2M
Net patient revenuemost recent cost report
-3.8%
Operating marginrevenue minus expenses
$459K
Related-party expense6% of expenses
Who pays — share of resident-days
Medicaid 54%Medicare 11%Other / private 35%

This home reported $459K paid to related parties (affiliated landlords or management companies) in its most recent cost report.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

$408per resident / day
operating cost
$12,413per month
≈ monthly operating cost
$394per day
avg. revenue, all payers

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AZ

Paying with Medicaid

This is a Medicare- and Medicaid-certified nursing home, so it can accept Medicaid for long-term care — like nearly all U.S. nursing homes. The private-pay figures below are what families without Medicaid pay; once a resident qualifies for Medicaid, out-of-pocket cost for covered nursing-home care is typically close to $0 (almost all of their income goes to the home as their share of the cost; they keep a small personal needs allowance — for clothing, haircuts, a phone — and Medicaid pays the rest). The amount of that allowance is set by each state. Confirm Medicaid-bed availability with the home, and see the Arizona Medicaid page.

Typical monthly cost in Arizona
$8,365/mo
Nursing home (semi-private)
$11,437/mo
Nursing home (private)
$6,250/mo
Assisted living

Median private-pay cost, CareScout (Genworth) 2025 Cost of Care Survey — a regional midpoint, not any single community’s rate. Private rooms and higher care levels cost more; ask for a current quote. Project your own in the cost-of-care planner.

Every figure above is reproduced from the CMS Provider Data Catalog (a public record), from the CMS extract processed 2026-08-01 — CMS provider number 035059. CMS refreshes its data monthly, and the star rating rests on the last standard inspection — dated 2026-01-07, which can lag current conditions. Staffing hours are CMS PBJ CY2026Q1 (Jan–Mar 2026). Check this record against the government’s own page for it: this home on Medicare Care Compare ↗ — the authoritative source, and the place to confirm anything here before you act on it. How we present it →

Not a government site. Eldercare Lens is not affiliated with, endorsed by, or authorized by the Centers for Medicare & Medicaid Services (CMS), Medicare, or any government agency. The star ratings, citations, and inspection wording on this page are reproduced from the public CMS record; the plain-English summaries, tiers, and comparisons around them are ours. We do not speak for CMS, and CMS has not reviewed this page. For the official record, go to Medicare Care Compare. How we’re funded →

Are you this operator? If the record here is out of date, or misses what you have since fixed, tell us and we will look: hello@eldercarelens.com. We reproduce the public CMS record and cannot change what it says — corrections to the underlying data go through CMS and your state survey agency — but we will correct anything we have got wrong about it, and we will say so on the page.

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