Lake Havasu City, AZ

Havasu Nursing Center

3-star overall rating with 3-star inspections with 5 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

3576 Kearsage Drive, Lake Havasu City, AZ

(928) 453-1500

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

118

Certified beds

Average residents

46

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Circle B Enterprises

Operator or chain grouping

Approved since

1985-02-28

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

29 facilities

Chain averages 2 overall / 3 health / 2 staffing / 2 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.70

Registered nurse staffing · state 0.72 · national 0.68

LPN hours / resident day

0.70

Licensed practical nurse staffing · state 1.04 · national 0.87

Aide hours / resident day

1.90

Nurse aide staffing · state 2.36 · national 2.35

Total nurse hours

3.29

All reported nurse hours · state 4.12 · national 3.89

Licensed hours

1.40

RN + LPN hours · state 1.76 · national 1.54

Weekend hours

2.87

Weekend nurse staffing · state 3.62 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.10 · national 0.07

Adjusted RN hours

0.72

CMS adjusted RN staffing hours

Adjusted total hours

3.42

CMS adjusted total nurse staffing hours

Case-mix index

1.32

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 45% · national 45%

Total nurse turnover

50%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,175

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

33.76

Composite VBP score used to determine payment impact.

Payment multiplier

0.9879

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

4.68

Baseline 24.08% · Performance 20.43% · Measure score 4.68 · Achievement 2.16 · Improvement 4.68

Healthcare-associated infections

4.93

Baseline 9.40% · Performance 7.01% · Measure score 4.93 · Achievement 2.76 · Improvement 4.93

Total nurse turnover

3.90

Baseline 52.00% · Performance 47.73% · Measure score 3.90 · Achievement 3.90 · Improvement 1.07

Adjusted total nurse staffing

0

Baseline 3.49 hours · Performance 3.05 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.68%	10.72% About the same	No Different than the National Rate · Eligible stays 102 · Observed rate 10.78% · Lower 95% interval 7.74%
Discharge to community	62.68%	50.57% 12.1 pts better	No Different than the National Rate · Eligible stays 97 · Observed rate 57.73% · Lower 95% interval 50.07%
Medicare spending per beneficiary	0.9	1.02 0.1 pts better
Drug regimen review with follow-up	8.7%	95.27% 86.6 pts worse	Numerator 6 · Denominator 69
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 68
Discharge self-care score	37.74%	53.69% 15.9 pts worse	Numerator 20 · Denominator 53
Discharge mobility score	49.06%	50.94% 1.9 pts worse	Numerator 26 · Denominator 53
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 67 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	7.01%	7.12% 0.1 pts better	No Different than the National Rate · Eligible stays 72 · Observed rate 6.94% · Lower 95% interval 4.19%
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 66
Staff flu vaccination coverage	10.71%	42% 31.3 pts worse	Numerator 6 · Denominator 56
Discharge function score	47.17%	56.45% 9.3 pts worse	Numerator 25 · Denominator 53
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.
Transfer of health information to patient	98.31%	96.28% 2 pts better	Numerator 58 · Denominator 59
Resident COVID-19 vaccinations up to date	71.19%	25.2% 46 pts better	Numerator 42 · Denominator 59

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	97.1% 2.9 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	94.6% 5.4 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	0.0%	2.1% 2.1 pts better	3.3% 3.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	1.3%	4.2% 2.9 pts better	11.4% 10.1 pts better	Long Stay · 2024Q4-2025Q3 · Q2 0.0% · Q4 0.0% · 4Q avg 1.3%
Percentage of long-stay residents who lose too much weight	0.0%	5.3% 5.3 pts better	5.4% 5.4 pts better	Long Stay · 2024Q4-2025Q3 · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.7%	20.5% 7.8 pts better	19.6% 6.9 pts better	Long Stay · 2024Q4-2025Q3 · Q4 21.7% · 4Q avg 12.7%
Percentage of long-stay residents who received an antipsychotic medication	1.6%	11.8% 10.2 pts better	16.7% 15.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.3% 0.3 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose need for help with daily activities has increased	13.2%	10.8% 2.4 pts worse	14.9% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q4 33.3% · 4Q avg 13.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	5.5%	0.9% 4.6 pts worse	1.0% 4.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q4 2.0% · 4Q avg 5.5% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.0%	1.2% 1.2 pts better	1.7% 1.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.4%	20.5% 0.1 pts better	19.8% 0.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 24.8% · 4Q avg 20.4%
Percentage of long-stay residents with pressure ulcers	12.0%	4.8% 7.2 pts worse	5.1% 6.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q3 19.9% · Q4 10.8% · 4Q avg 12.0% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	91.1% 7.3 pts better	81.7% 16.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.6% · Q2 97.8% · Q3 98.5% · Q4 98.8% · 4Q avg 98.4%
Percentage of short-stay residents who had an outpatient emergency department visit	23.8%	10.7% 13.1 pts worse	12.0% 11.8 pts worse	Short Stay · 20240701-20250630 · Adjusted 23.8% · Observed 22.3% · Expected 10.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.9%	1.1% 0.2 pts better	1.6% 0.7 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.8% · Q3 1.6% · Q4 0.9% · 4Q avg 0.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	96.4%	87.3% 9.1 pts better	79.7% 16.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 96.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	32.3%	24.6% 7.7 pts worse	23.9% 8.4 pts worse	Short Stay · 20240701-20250630 · Adjusted 32.3% · Observed 31.5% · Expected 23.3% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-10 · Fire 2025-04-10

5 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 2 Health 2024-02-01 · Fire 2024-02-01

4 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 3 Health 2022-10-28 · Fire 2022-10-28

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-04-10

K300 · Egress Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2025-05-25

E · Potential for more than minimal harm 2025-04-10

K341 · Smoke Deficiencies

Fire Safety

Install a fire alarm system that can be heard throughout the facility.

Corrected 2025-05-25

E · Potential for more than minimal harm 2025-04-10

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2025-05-12

E · Potential for more than minimal harm 2025-04-10

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-05-25

E · Potential for more than minimal harm 2025-04-10

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-05-25

E · Potential for more than minimal harm 2025-04-10

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-05-25

E · Potential for more than minimal harm 2024-02-01

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-03-04

E · Potential for more than minimal harm 2024-02-01

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-03-04

E · Potential for more than minimal harm 2024-02-01

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-02-01

E29 · Emergency Preparedness Deficiencies

Fire Safety

Develop a communication plan.

Corrected 2024-03-01

D · Potential for more than minimal harm 2024-02-01

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-03-08

D · Potential for more than minimal harm 2024-02-01

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-03-04

D · Potential for more than minimal harm 2022-10-28

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2022-11-28

D · Potential for more than minimal harm 2022-10-28

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-11-28

D · Potential for more than minimal harm 2022-10-28

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-11-28

D · Potential for more than minimal harm 2022-10-28

K521 · Services Deficiencies

Fire Safety

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Corrected 2022-11-28

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-09-04

F628 · Resident Rights Deficiencies

Health

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Corrected 2025-10-03

E · Potential for more than minimal harm 2025-04-10

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-05-25

D · Potential for more than minimal harm 2025-04-10

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-05-25

D · Potential for more than minimal harm 2025-04-10

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-05-25

D · Potential for more than minimal harm 2025-04-10

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2025-05-25

D · Potential for more than minimal harm 2024-02-01

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-03-13

D · Potential for more than minimal harm 2024-02-01

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-03-13

D · Potential for more than minimal harm 2024-02-01

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-03-13

D · Potential for more than minimal harm 2024-02-01

F740 · Quality of Life and Care Deficiencies

Health

Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

Corrected 2024-03-13

D · Potential for more than minimal harm 2023-03-16

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-05-26

D · Potential for more than minimal harm 2022-10-28

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2022-12-05

D · Potential for more than minimal harm 2022-10-28

F644 · Resident Assessment and Care Planning Deficiencies

Health

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Corrected 2022-12-05

D · Potential for more than minimal harm 2022-10-28

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2022-12-05

D · Potential for more than minimal harm 2022-10-28

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2022-12-05

D · Potential for more than minimal harm 2022-10-28

F758 · Pharmacy Service Deficiencies

Health

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

Corrected 2022-12-05

D · Potential for more than minimal harm 2022-10-28

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2022-12-05

Penalties and ownership

What sits behind the stars

Ownership

Circle B Enterprises Holding Company Inc

5% Or Greater Direct Ownership Interest · Organization

100% 29 facilities 1996-09-26

Agh1 LLC

Operational/Managerial Control · Organization

0% 37 facilities 2016-12-02

Beaird, Todd

Corporate Officer · Individual

0% 37 facilities 2022-01-01

Bedell, Donald

Operational/Managerial Control · Individual

0% 37 facilities 1997-09-30

Bedell, Donald

Corporate Director · Individual

0% 37 facilities 1997-09-30

Bedell, Donald

Corporate Officer · Individual

0% 37 facilities 1997-09-30

Kidder, Kenneth

Operational/Managerial Control · Individual

0% 1 facilities 2012-12-01

Ong-Veloso, Angelo

Operational/Managerial Control · Individual

0% 2 facilities 2012-03-01

Sovereign Healthcare Group LLC

Operational/Managerial Control · Organization

0% 37 facilities 2021-04-23

Nearby options

Other facilities in reach

#1

Haven Of Lake Havasu

Lake Havasu City, AZ

2-star overall rating with 2-star inspections with abuse icon flag with $8,018 in total fines with 8 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall: 2 / 5
Health: 2 / 5
Staffing: 1 / 5
Fines: $8,018

#2