Haven Of Sierra Vista, LLC

Location & what’s nearby

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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

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.

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.

56.4% 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 192 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 69.0% 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 84 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 0.27 therapist hours per resident per day in 2026Q1 — more than 39% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 14% 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.

Staffing

How full it usually is: this home is certified for 100 beds and averages 89.7 residents a day — about 90% occupied, or roughly 10 beds typically open. It runs fairly full. 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 3.09 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.43 is below the 0.55-hour RN benchmark and nurse-aide staffing of 1.69 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 2.84 hrs/resident/day on weekends vs 3.20 on weekdays — 11% thinner on weekends. RN hours go from 0.47 to 0.32 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 47% is about the same as the national median of 45%.

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

Deficiencies are fewer than at the previous inspection — improving. 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.

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.

17 citations, most serious first. The 10 most serious are shown; the remaining 7 are one tap away and print in full.

• Potential for harm · Fcited before2025-12-10 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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

  Based on observation, interviews, review of facility documentation and policies, the facility failed to ensure the dishwasher was operating at appropriate temperatures according to manufacturer's instructions. The deficient practice could increase the risk of residents consuming food that come into contact with non-sanitized food ware. The facility's census was 88. Findings include:An initial kitchen observation was conducted on December 7, 2025 at 10:47 A.M. of the dish machine temperature log. The temperature log had an entry for December 7, 2025 that indicated the temperature of the wash was 120 degrees and the rinse was 120 degrees. It also indicated PPM (parts per million) was 100. The log was initialed by Dietary Aide/Staff #93.An observation of the dish machine was conducted on December 7, 2025 at 11:15 A.M. The temperature of the dish machine was checked with Cook/Staff #44. Staff #44 indicated the temperature of the dish machine was 106 degrees. He stated that he was going to run the machine a few times and would recheck the temperature.A second observation of the dish…

  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
• Potential for harm · E2025-12-10 · tag F0804 — failed to serve food at safe, palatable temperature — pattern
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  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, interviews, and review of the facility's policies and procedures, the facility failed to ensure resident meals were served at appropriate temperatures. The sample size was five residents. The facility census was 88. The deficient practice could lead to residents receiving meals at unsafe temperatures which increases the risk of foodborne illnesses.Findings include:A complaint was received through the State Agency (SA) portal on November 25, 2025 at 2:37 pm alleging that food was served cold and was too spicy.Related to Resident #77-Resident #77 was admitted to the facility on [DATE] with diagnoses that includes pyothorax (infected pus pocket in the chest cavity) with fistula, pneumonia, and major depressive disorder.Review of the admission MDS, dated [DATE] revealed a BIMS score of 14 which indicated the resident is cognitively intact.An interview was conducted on December 7, 2025 with Resident #77 at 3:12 P.M. He shared that the food is cold and sometimes it was unidentifiable.Related 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-12-10 · 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 interviews, review of clinical records and facility policies and procedures, the facility failed to ensure two out of two sampled resident's (#10 and #81) medications were protected from diversion by one staff (#201). The deficient practice could result in residents not receiving prescribed medications, placing them at risk for unmanaged pain, withdrawal symptoms or other adverse outcomes.Findings include:Related to Resident #10-Resident #10 was admitted to the facility on [DATE] with diagnoses of malignant neoplasm of vulva, rheumatoid arthritis, and chronic pain syndrome.Review of the change of condition Minimum Data Set (MDS), dated [DATE] revealed Resident #10 had a Brief Interview for Mental Status (BIMS) score of 15 which indicated she was cognitively intact. The MDS also revealed that she was receiving hospice care.Review of the physician's orders revealed an order for Oxycodone HCI (an Opioid analgesics) oral tablet 5 mg (milligrams) which was to be given to Resident #10 every 4 hours as needed…

  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 · E2023-12-08 · tag F0658 — failed to meet professional standards of care — pattern
  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 the facility policy and procedures, the facility failed to ensure that adequate documentation for one resident's (#40) nutritional intake was completed. The deficient practice could result in nutritional deficiencies not being monitored. Findings include: Resident #40 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included unspecified protein-calorie malnutrition, iron deficiency, chronic obstructive pulmonary disease, and acute kidney failure. Review of the care plan dated October 10, 2023 revealed that the resident is at risk for nutritional and hydration problems as evidenced by a low mini nutritional assessment (MNA) score of 6: malnourished. Interventions included fortified cereal, Med Pass nutritional shake two times daily, and to encourage intake. A mini nutritional assessment (MNA) dated October 11, 2023 revealed the resident's height was 68 inches and weight was 142 lbs and had a moderate decrease in food intake…

  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 · Ecited before2023-12-08 · tag F0812 — failed to store, cook, and serve food safely — pattern
  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

  Based on observations, staff interviews, and policy reviews, the facility failed to ensure a sanitary kitchen with regards to peeling paint over the tray line counter. The deficient practice could increase the risk of foodborne illness. Findings include: An observation was conducted of the kitchen on December 6, 2023 at 12:13 p.m. During this observation, peeling ceiling paint was noticed above the tray line counter. A follow-up observation was conducted on December 6, 2023 at 3:00 p.m. It was observed that the cracked and peeling ceiling paint spanned the length of the 3 vents on top of the tray line counter. An interview with the Nutrition Services Manager (staff #55) was conducted on December 6, 2023 at 2:55 p.m. Staff #55 stated that there are plans for a kitchen renovation. He said that the facility knows about the cracked/peeling ceiling paint in the kitchen but no action has been taken. He stated that the facility has assessed but nothing has been done. Staff #55 stated that it does bother him and that the crack/peeling ceiling paint is around the 3 vents. He said that…

  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
• Potential for harm · D2023-12-08 · 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 clinical record review, facility documentation, staff interviews, and policies and procedures, the facility failed to ensure one resident (#166) was free from resident to resident abuse, which resulted in physical harm as evidenced by a 5 x 4 cm bruise on the resident's right wrist. The deficient practice could result in other residents being abused. Findings include: -Regarding Resident #166 Resident #166 (alleged victim) was admitted to the facility on [DATE] with diagnoses that included chronic kidney disease, anxiety disorder, major depressive disorder, and schizoaffective disorder. A neurological care plan initiated on July 13, 2019 indicated that the resident has an alteration in neurological status related to dementia. Goals included: resident will be able to communicate daily needs, and will maintain optimal status and quality of life within limitations imposed by neurological deficits. Interventions included give medications as ordered, monitor/document for side effects and effectiveness,…

  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 before2023-12-08 · tag F0645 — isolated
  PASARR screening for Mental disorders or Intellectual Disabilities
  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 reviews, staff interviews and facility policy and procedures, the facility failed to ensure that a Preadmission Screening and Resident Review (PASRR) level I was completed accurately and a level II was sent to the state for determination for one resident (#2). The deficient practice could result in specialized services not being identified and provided to residents. Findings include: Resident #2 was initially admitted to the facility on [DATE] and was re-admitted on [DATE] with diagnoses that included acute stress reaction, and suicidal ideations. A cognition care plan revised on November 7, 2019 revealed that the resident has impaired cognitive function or impaired thought process. Interventions indicated to use residents name and identify yourself at each interaction. Review of a medication care plan revised on November 4, 2019 revealed that the resident is on psychotropic medications related to schizoaffective disorder. Interventions included administer medications as ordered,…

  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 · D2023-12-08 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  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, clinical record review, interviews, and policy review, the facility failed to ensure one resident (#23) received the necessary services to maintain good bathing and grooming hygiene. This deficient practice could result in bathing and grooming needs not being met. Findings include: Resident #23 was admitted on [DATE] with diagnosis including Parkinson's Disease, unspecified dementia, psychotic disturbance, mood disturbance, anxiety, arthritis, major depressive disorder, muscle weakness and need for assistance with personal care. A review of the MDS (minimum data set) dated November 07, 2023 revealed a BIMS (brief interview of mental status) of 5 and further noting that for personal hygiene the resident requires one-person physical assistance. A review of the care plan for resident #23 revealed that the resident is at risk for functional selfcare deficits and that facility staff is to communicate the resident and or family regarding the resident's needs. A observation was conducted 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2023-12-08 · tag F0679 — failed to provide activities — isolated
  Provide activities to meet all resident's needs.
  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 documentation, staff and resident interviews, and the facility policy and process, the facility failed to ensure one resident (#40) had access to activities. The deficient practice could impact the psychosocial well-being of residents. Findings include: Resident #40 was admitted to the facility on [DATE] with diagnoses that included a displaced intertrochanteric fracture of the left femur, chronic obstructive pulmonary disease, dependence on oxygen, major depressive disorder and an anxiety disorder. The activities care plan dated October 10, 2023 stated that the resident enjoys being in his room watching TV and looking outside his window getting sunlight and included one intervention to offer a variety of activity types and locations. Note: resident #40 shares a room and his roommate's bed is located on the side of the room where the window is located. The minimum data set (MDS) dated [DATE] included a brief interview for mental status score of 14 indicating the resident was cognitively intact. Review…

  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 · D2023-12-08 · 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 clinical documentation, staff interviews, and the facility policy and process, the facility failed to complete baseline vital assessments upon one resident's (#116) admission. The deficient practice result in a change of condition not being recognized. Findings include: Resident #116 was admitted to the facility on [DATE] with diagnoses that included displaced intertrochanteric fracture of the left femur, hypothyroidism, and depression. The admission evaluation dated May 26, 2023 at 3:25 p.m. did not include vitals. An admission summary progress note dated May 26, 2023 at 7:38 p.m. revealed that the resident arrived at the facility around 1:30 p.m. The resident was admitted for a displaced intertrochanteric fracture of the left femur, subsequent encounter for a closed fracture with routine healing. The resident's weight was 158 pounds. Review of the weights and vitals summary revealed that the resident's blood pressure was 129/68 and temperature was 97.6 F. at 4:00 p.m. A health status progress note…

  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.

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 →

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

CMS files one row per role, so the 41 rows in the source record cover these 18 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.

This home reported $541K 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

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