Phoenix, AZ
2-star overall rating with 1-star inspections with $43,628 in total fines with 19 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
1880 East Van Buren Street, Phoenix, AZ
(602) 253-4570
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
120
Certified beds
Average residents
108
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Haven Health
Operator or chain grouping
Approved since
2016-02-03
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
RN hours / resident day
0.61
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.45
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
2.56
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
4.62
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
2.06
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
4.17
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.49
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
0.37
CMS adjusted RN staffing hours
Adjusted total hours
2.85
CMS adjusted total nurse staffing hours
Case-mix index
2.22
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
45%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
9,110
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
24.72
Composite VBP score used to determine payment impact.
Payment multiplier
0.9836
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
2.37
Baseline 20.46% · Performance 20.33% · Measure score 2.37 · Achievement 2.37 · Improvement 0
Healthcare-associated infections
1.21
Baseline 6.06% · Performance 7.47% · Measure score 1.21 · Achievement 1.21 · Improvement 0
Total nurse turnover
6.31
Baseline 65.24% · Performance 37.90% · Measure score 6.31 · Achievement 6.31 · Improvement 6.27
Adjusted total nurse staffing
0
Baseline 3.79 hours · Performance 2.89 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.17% |
10.72%
0.6 pts better
|
No Different than the National Rate · Eligible stays 57 · Observed rate 10.53% · Lower 95% interval 6.75% |
| Discharge to community | 55.98% |
50.57%
5.4 pts better
|
No Different than the National Rate · Eligible stays 52 · Observed rate 48.08% · Lower 95% interval 42.58% |
| Medicare spending per beneficiary | 1.22 |
1.02
0.2 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 128 · Denominator 128 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 128 |
| Discharge self-care score | 72.73% |
53.69%
19 pts better
|
Numerator 56 · Denominator 77 |
| Discharge mobility score | 67.53% |
50.94%
16.6 pts better
|
Numerator 52 · Denominator 77 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 128 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.47% |
7.12%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 51 · Observed rate 9.8% · Lower 95% interval 4.19% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 190 |
| Staff flu vaccination coverage | 30.93% |
42%
11.1 pts worse
|
Numerator 73 · Denominator 236 |
| Discharge function score | 72.73% |
56.45%
16.3 pts better
|
Numerator 56 · Denominator 77 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 93 · Denominator 93 |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | 24.05% |
25.2%
1.1 pts worse
|
Numerator 19 · Denominator 79 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 89.7% |
97.1%
7.4 pts worse
|
93.4%
3.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 90.4% · Q3 85.7% · Q4 85.2% · 4Q avg 89.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.8% |
94.6%
0.8 pts worse
|
95.5%
1.7 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 93.8% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% |
2.1%
1.7 pts better
|
3.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.6% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.9% |
4.2%
2.3 pts better
|
11.4%
9.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 4.7% · 4Q avg 1.9% |
| Percentage of long-stay residents who lose too much weight | 6.7% |
5.3%
1.4 pts worse
|
5.4%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 4.0% · Q3 5.9% · Q4 13.8% · 4Q avg 6.7% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 28.1% |
20.5%
7.6 pts worse
|
19.6%
8.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 33.3% · Q2 22.0% · Q3 25.5% · Q4 31.0% · 4Q avg 28.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.6% |
11.8%
5.2 pts better
|
16.7%
10.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 9.1% · Q3 8.3% · Q4 3.0% · 4Q avg 6.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 4.9% |
0.3%
4.6 pts worse
|
0.1%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.6% · Q2 5.8% · Q3 3.6% · Q4 4.9% · 4Q avg 4.9% |
| Percentage of long-stay residents whose ability to walk independently worsened | 0.0% |
14.5%
14.5 pts better
|
16.3%
16.3 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 0.0% |
10.8%
10.8 pts better
|
14.9%
14.9 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 with a catheter inserted and left in their bladder | 0.4% |
0.9%
0.5 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.9% |
1.2%
0.3 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.8% · Q4 1.6% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.6% |
20.5%
3.1 pts worse
|
19.8%
3.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 13.7% · Q3 33.9% · Q4 25.0% · 4Q avg 23.6% |
| Percentage of long-stay residents with pressure ulcers | 4.3% |
4.8%
0.5 pts better
|
5.1%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 3.5% · Q3 6.3% · Q4 3.8% · 4Q avg 4.3% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.4% |
91.1%
28.7 pts worse
|
81.7%
19.3 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 59.4% · Q2 55.1% · Q3 63.1% · Q4 74.2% · 4Q avg 62.4% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.6% |
10.7%
1.1 pts better
|
12.0%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.6% · Observed 10.9% · Expected 12.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.4% |
1.1%
0.7 pts better
|
1.6%
1.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.4% · Q2 0.3% · Q3 0.4% · Q4 0.4% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 63.0% |
87.3%
24.3 pts worse
|
79.7%
16.7 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 63.0% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 14.9% |
24.6%
9.7 pts better
|
23.9%
9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 14.9% · Observed 18.8% · Expected 30.0% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (4 deficiencies)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
27 fire-safety deficiencies
Top issue: Emergency Preparedness (10 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
18 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (6 deficiencies)
Fire safety
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-05-23
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-02-08
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2023-02-08
Fire Safety
List the names and contact information of those in the facility.
Corrected 2023-02-08
Fire Safety
Conduct testing and exercise requirements.
Corrected 2023-02-08
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2023-02-08
Fire Safety
Include a process for Emergency Preparedness collaboration.
Corrected 2023-02-08
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 2023-02-08
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-02-08
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2023-02-08
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2023-02-08
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2023-02-08
Fire Safety
Provide emergency officials' contact information.
Corrected 2023-02-08
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2023-02-08
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-02-08
Fire Safety
Meet other general requirements.
Corrected 2023-02-08
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-02-08
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-02-08
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-08
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-02-08
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-02-08
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-02-08
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-02-08
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-02-08
Fire Safety
Ensure medical gas and vacuum systems have documented maintenance programs.
Corrected 2023-02-08
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-08
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-02-08
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2023-02-08
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2021-10-29
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2021-10-29
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2021-10-29
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-10-29
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2021-10-29
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2021-10-29
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2021-10-29
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-10-29
Fire Safety
Ensure gas and vacuum systems are inspected and tested as part of a maintenance program.
Corrected 2021-10-29
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2021-10-29
Fire Safety
Meet requirements for the use and maintenance of medical gas equipment.
Corrected 2021-10-29
Fire Safety
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.
Corrected 2021-10-29
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 2021-10-29
Fire Safety
Provide properly protected cooking facilities.
Corrected 2021-10-29
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-10-29
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-10-29
Fire Safety
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2021-10-29
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-10-29
Inspection history
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-12-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-12-05
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-09-25
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-25
Health
Respond appropriately to all alleged violations.
Corrected 2025-09-25
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-25
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 2024-11-06
Health
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected 2024-08-20
Health
Provide activities to meet all resident's needs.
Corrected 2024-07-03
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-07-03
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-07-03
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-07-03
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-07-03
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-07-03
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2024-07-03
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-07-03
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-07-03
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-07-03
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2024-07-03
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-07-03
Health
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Corrected 2024-07-03
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-06-05
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2024-01-11
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-07-14
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 2023-02-28
Health
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Corrected 2023-02-28
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-02-28
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-02-28
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-02-28
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-02-28
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-02-28
Health
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2023-02-28
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2023-02-28
Health
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
Corrected 2023-02-28
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-11-01
Health
Report COVID19 data to residents and families.
Corrected 2021-11-01
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2021-11-01
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2021-11-01
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-11-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-11-01
Health
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Corrected 2021-11-01
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-11-01
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2021-11-01
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2021-11-01
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-11-01
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2021-11-01
Penalties and ownership
Fine · fine $43,628
Fine
5% Or Greater Indirect Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Nearby options
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3-star overall rating with 3-star inspections with 5 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
Phoenix, AZ
1-star overall rating with 1-star inspections with $8,018 in total fines with 11 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle
Phoenix, AZ
4-star overall rating with 3-star inspections with 9 recent health deficiencies
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