19 health deficiencies
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)
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
Staffing
RN hours / resident day
0.61
Registered nurse staffing
LPN hours / resident day
1.45
Licensed practical nurse staffing
Aide hours / resident day
2.56
Nurse aide staffing
Weekend hours
4.17
Weekend nurse staffing
RN turnover
55%
Annual RN turnover
Total nurse turnover
45%
Annual nurse turnover
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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
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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4-star overall rating with 3-star inspections with 9 recent health deficiencies
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