Cycle 1
Health 2025-07-25 · Fire 2025-07-25
6 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Prescott, AZ
Haven Health Prescott, LLC
4-star overall rating with 4-star inspections with 6 recent health deficiencies
864 Dougherty Street, Prescott, AZ
(928) 778-9667
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
58
Certified beds
Average residents
55
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Haven Health
Operator or chain grouping
Approved since
1986-03-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
20 facilities
Chain averages 3 overall / 2 health / 2 staffing / 5 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
1.13
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.58
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
1.99
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
3.70
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
1.71
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
3.07
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.74
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.07
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
1.05
CMS adjusted RN staffing hours
Adjusted total hours
3.44
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
25%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
38%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
10,680
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
19.51
Composite VBP score used to determine payment impact.
Payment multiplier
0.9822
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 19.13% · Performance 22.93% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 6.49% · Performance 10.63% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
6.15
Baseline 100.00% · Performance 50.00% · Measure score 6.15 · Achievement 3.35 · Improvement 6.15
Adjusted total nurse staffing
1.65
Baseline 3.63 hours · Performance 3.55 hours · Measure score 1.65 · Achievement 1.65 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.1% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 280 · Observed rate 8.21% · Lower 95% interval 7.62% |
| Discharge to community | 55.88% |
50.57%
5.3 pts better
|
No Different than the National Rate · Eligible stays 288 · Observed rate 53.47% · Lower 95% interval 50.57% |
| Medicare spending per beneficiary | 1.09 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 97.76% |
95.27%
2.5 pts better
|
Numerator 262 · Denominator 268 |
| Falls with major injury | 1.12% |
0.77%
0.4 pts worse
|
Numerator 3 · Denominator 268 |
| Discharge self-care score | 42.74% |
53.69%
10.9 pts worse
|
Numerator 50 · Denominator 117 |
| Discharge mobility score | 64.1% |
50.94%
13.2 pts better
|
Numerator 75 · Denominator 117 |
| Pressure ulcers or injuries, new or worsened | 1.87% |
2.29%
0.4 pts better
|
Numerator 5 · Denominator 268 · Adjusted rate 2.08% |
| Healthcare-associated infections requiring hospitalization | 10.63% |
7.12%
3.5 pts worse
|
Worse than the National Rate · Eligible stays 211 · Observed rate 10.9% · Lower 95% interval 7.57% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 101 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 62.39% |
56.45%
5.9 pts better
|
Numerator 73 · Denominator 117 |
| Transfer of health information to provider | 99.08% |
95.95%
3.1 pts better
|
Numerator 108 · Denominator 109 |
| Transfer of health information to patient | 99.29% |
96.28%
3 pts better
|
Numerator 139 · Denominator 140 |
| Resident COVID-19 vaccinations up to date | 0% |
25.2%
25.2 pts worse
|
Numerator 0 · Denominator 146 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.7% |
97.1%
5.4 pts worse
|
93.4%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 88.5% · Q2 91.3% · 4Q avg 91.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 87.5% |
94.6%
7.1 pts worse
|
95.5%
8 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 87.5% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.2% |
2.1%
0.9 pts better
|
3.3%
2.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.6% |
4.2%
1.6 pts better
|
11.4%
8.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 2.6% |
| Percentage of long-stay residents who lose too much weight | 8.5% |
5.3%
3.2 pts worse
|
5.4%
3.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · 4Q avg 8.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 19.0% |
20.5%
1.5 pts better
|
19.6%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.4% · 4Q avg 19.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 9.3% |
11.8%
2.5 pts better
|
16.7%
7.4 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 9.3% · 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% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.2% |
14.5%
6.7 pts worse
|
16.3%
4.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 21.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 18.6% |
10.8%
7.8 pts worse
|
14.9%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · 4Q avg 18.6% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.5% |
0.9%
0.6 pts worse
|
1.0%
0.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 1.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 1.2% |
1.2%
About the same
|
1.7%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 37.4% |
20.5%
16.9 pts worse
|
19.8%
17.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 42.6% · 4Q avg 37.4% |
| Percentage of long-stay residents with pressure ulcers | 1.6% |
4.8%
3.2 pts better
|
5.1%
3.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 0.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 77.3% |
91.1%
13.8 pts worse
|
81.7%
4.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 85.9% · Q2 84.9% · Q3 71.7% · Q4 68.6% · 4Q avg 77.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 21.3% |
10.7%
10.6 pts worse
|
12.0%
9.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 21.3% · Observed 19.9% · Expected 10.4% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7% |
1.1%
0.6 pts worse
|
1.6%
0.1 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 0.8% · Q2 2.1% · Q3 2.6% · Q4 1.1% · 4Q avg 1.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 80.5% |
87.3%
6.8 pts worse
|
79.7%
0.8 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 80.5% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.2% |
24.6%
4.6 pts worse
|
23.9%
5.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.2% · Observed 24.9% · Expected 20.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-08-01 · Fire 2024-08-01
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2022-12-22 · Fire 2022-12-22
8 health deficiencies
Top issue: Resident Rights (3 deficiencies)
2 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2024-08-01
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-09-20
E · Potential for more than minimal harm
2024-08-01
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 2024-09-20
E · Potential for more than minimal harm
2024-08-01
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-09-20
E · Potential for more than minimal harm
2024-08-01
K923 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-09-20
D · Potential for more than minimal harm
2024-08-01
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-09-20
D · Potential for more than minimal harm
2022-12-22
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-02-13
D · Potential for more than minimal harm
2022-12-22
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-13
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-07-25
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 2025-08-27
D · Potential for more than minimal harm
2025-07-25
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-08-27
D · Potential for more than minimal harm
2025-07-25
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-08-27
D · Potential for more than minimal harm
2025-07-25
F800 · Nutrition and Dietary Deficiencies
Health
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
Corrected 2025-08-27
D · Potential for more than minimal harm
2025-07-25
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-08-27
D · Potential for more than minimal harm
2025-04-28
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 2025-05-16
D · Potential for more than minimal harm
2024-08-01
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 2024-08-09
D · Potential for more than minimal harm
2024-08-01
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-09
E · Potential for more than minimal harm
2022-12-22
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 2023-02-09
E · Potential for more than minimal harm
2022-12-22
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-09
D · Potential for more than minimal harm
2022-12-22
F552 · Resident Rights Deficiencies
Health
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected 2023-02-09
D · Potential for more than minimal harm
2022-12-22
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2023-02-09
D · Potential for more than minimal harm
2022-12-22
F625 · Resident Rights Deficiencies
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2023-02-09
D · Potential for more than minimal harm
2022-12-22
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-02-09
D · Potential for more than minimal harm
2022-12-22
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2023-02-09
D · Potential for more than minimal harm
2022-12-22
F728 · Nursing and Physician Services Deficiencies
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2023-02-09
Penalties and ownership
What sits behind the stars
Ownership
Espinosa, Stephanie
Operational/Managerial Control · Individual
Espinosa, Stephanie
Corporate Officer · Individual
Fragoso, Lindsay
Operational/Managerial Control · Individual
Fragoso, Lindsay
Corporate Officer · Individual
Garland, Thomas
Operational/Managerial Control · Individual
Haven Health Group LLC
5% Or Greater Direct Ownership Interest · Organization
Haven Health Properties LLC
5% Or Greater Mortgage Interest · Organization
Haven Prescott Real Estate LLC
5% Or Greater Mortgage Interest · Organization
Health Group Management LLC
Operational/Managerial Control · Organization
Longhurst, Stock
Operational/Managerial Control · Individual
Montgomery, Terrence
Operational/Managerial Control · Individual
Morris, Heather
Operational/Managerial Control · Individual
Robertson, Brett
5% Or Greater Direct Ownership Interest · Individual
Robertson, Brett
Operational/Managerial Control · Individual
Samuelian, Robert
5% Or Greater Direct Ownership Interest · Individual
Samuelian, Robert
Operational/Managerial Control · Individual
Samuelian, Spencer
5% Or Greater Direct Ownership Interest · Individual
Samuelian, Spencer
Operational/Managerial Control · Individual
Samuelian, Stephen
5% Or Greater Direct Ownership Interest · Individual
Samuelian, Stephen
Operational/Managerial Control · Individual
Seastrand, Jason
Operational/Managerial Control · Individual
Ward, Taylor
Operational/Managerial Control · Individual
West, Christian
5% Or Greater Direct Ownership Interest · Individual
West, Christian
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Prescott Village Nursing & Rehabilitation
Prescott, AZ
2-star overall rating with 1-star inspections with $8,278 in total fines with 12 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#2
Granite Creek Health & Rehabilitation Center
Prescott, AZ
2-star overall rating with 1-star inspections with abuse icon flag with 12 recent health deficiencies
#3
Mountain View Manor
Prescott, AZ
1-star overall rating with 1-star inspections with abuse icon flag with 17 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
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