Douglas, AZ

Haven Of Douglas

5-star overall rating with 3-star inspections with 10 recent health deficiencies

1400 North San Antonio Avenue, Douglas, AZ

(480) 935-4300

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

50

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Haven Health

Operator or chain grouping

Approved since

1988-11-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.76

Registered nurse staffing

LPN hours / resident day

0.62

Licensed practical nurse staffing

Aide hours / resident day

2.46

Nurse aide staffing

Weekend hours

3.29

Weekend nurse staffing

RN turnover

14%

Annual RN turnover

Total nurse turnover

30%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	97.6%	97.1% 0.5 pts better	93.4% 4.2 pts better	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	1.2%	2.1% 0.9 pts better	3.3% 2.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms	0.6%	4.2% 3.6 pts better	11.4% 10.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight	0.6%	5.3% 4.7 pts better	5.4% 4.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication	19.1%	20.5% 1.4 pts better	19.6% 0.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication	0.0%	11.8% 11.8 pts better	16.7% 16.7 pts better	Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents whose ability to walk independently worsened	13.8%	14.5% 0.7 pts better	16.3% 2.5 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased	6.2%	10.8% 4.6 pts better	14.9% 8.7 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	0.9% 0.9 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection	0.6%	1.2% 0.6 pts better	1.7% 1.1 pts better	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.3%	20.5% 3.8 pts worse	19.8% 4.5 pts worse	Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers	1.3%	4.8% 3.5 pts better	5.1% 3.8 pts better	Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	82.3%	91.1% 8.8 pts worse	81.7% 0.6 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.1% 1.1 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	77.4%	87.3% 9.9 pts worse	79.7% 2.3 pts worse	Short Stay · 2024Q3-2025Q2

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-08-07 · Fire 2025-08-07

10 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-07-25 · Fire 2024-07-25

2 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

3 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-01-26 · Fire 2023-01-26

3 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-07-25

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 2024-08-30

E · Potential for more than minimal harm 2024-07-25

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2024-09-04

E · Potential for more than minimal harm 2024-07-25

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-09-04

E · Potential for more than minimal harm 2023-01-26

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-03-20

E · Potential for more than minimal harm 2023-01-26

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-20

E · Potential for more than minimal harm 2023-01-26

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-03-20

E · Potential for more than minimal harm 2023-01-26

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2023-03-20

D · Potential for more than minimal harm 2023-01-26

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-03-20

D · Potential for more than minimal harm 2023-01-26

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 2023-03-20

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-11-20

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-12-20

D · Potential for more than minimal harm 2025-08-28

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 2025-09-25

E · Potential for more than minimal harm 2025-08-07

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 2025-10-01

E · Potential for more than minimal harm 2025-08-07

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-08-07

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-08-07

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 2025-09-30

D · Potential for more than minimal harm 2025-08-07

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-08-07

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-08-07

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-10-01

D · Potential for more than minimal harm 2025-08-07

F825 · Quality of Life and Care Deficiencies

Health

Provide or get specialized rehabilitative services as required for a resident.

Corrected 2025-10-01

D · Potential for more than minimal harm 2024-07-25

F552 · Resident Rights Deficiencies

Health

Ensure that residents are fully informed and understand their health status, care and treatments.

Corrected 2024-08-30

D · Potential for more than minimal harm 2024-07-25

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-08-30

D · Potential for more than minimal harm 2023-01-26

F560 · Resident Rights Deficiencies

Health

Protect a residents' right to refuse some types of non-requested transfers within the nursing home.

Corrected 2023-03-20

D · Potential for more than minimal harm 2023-01-26

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 2023-03-20

D · Potential for more than minimal harm 2023-01-26

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2023-03-20

Penalties and ownership

What sits behind the stars

Ownership

Haven Health Group LLC

5% Or Greater Direct Ownership Interest · Organization

100% 19 facilities 2013-02-01

Samuelian, Stephen

5% Or Greater Indirect Ownership Interest · Individual

37% 20 facilities 2013-02-01

Samuelian, Spencer

5% Or Greater Indirect Ownership Interest · Individual

25% 31 facilities 2013-02-01

Samuelian, Robert

5% Or Greater Indirect Ownership Interest · Individual

20% 20 facilities 2013-02-01

Robertson, Brett

5% Or Greater Indirect Ownership Interest · Individual

8% 31 facilities 2013-02-01

West, Christian

5% Or Greater Indirect Ownership Interest · Individual

6% 31 facilities 2013-02-01

Brake, Adam