Flagstaff, AZ

Haven Of Flagstaff

3-star overall rating with 2-star inspections with abuse icon flag with $13,098 in total fines with 8 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle

800 West University Avenue, Flagstaff, AZ

(928) 779-6931

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

83

Certified beds

Average residents

79

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Haven Health

Operator or chain grouping

Approved since

1984-02-08

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.81

Registered nurse staffing

LPN hours / resident day

0.71

Licensed practical nurse staffing

Aide hours / resident day

1.97

Nurse aide staffing

Weekend hours

3.23

Weekend nurse staffing

RN turnover

47%

Annual RN turnover

Total nurse turnover

46%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.7
1.7
About the same
1.9
0.2 pts better
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 1.5
1.5
About the same
1.8
0.3 pts better
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.4%
97.1%
1.3 pts better
93.4%
5 pts better
Long Stay · 2024Q4-2025Q3
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
Percentage of long-stay residents experiencing one or more falls with major injury 2.6%
2.1%
0.5 pts worse
3.3%
0.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 3.0%
4.2%
1.2 pts better
11.4%
8.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 1.9%
5.3%
3.4 pts better
5.4%
3.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 9.1%
20.5%
11.4 pts better
19.6%
10.5 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 3.8%
11.8%
8 pts better
16.7%
12.9 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 15.5%
14.5%
1 pts worse
16.3%
0.8 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 5.0%
10.8%
5.8 pts better
14.9%
9.9 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.0%
0.9%
0.1 pts worse
1.0%
About the same
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.5%
1.2%
0.7 pts better
1.7%
1.2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 30.3%
20.5%
9.8 pts worse
19.8%
10.5 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 2.7%
4.8%
2.1 pts better
5.1%
2.4 pts better
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.3%
91.1%
4.2 pts better
81.7%
13.6 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 7.7%
10.7%
3 pts better
12.0%
4.3 pts better
Short Stay · 20240701-20250630
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 96.1%
87.3%
8.8 pts better
79.7%
16.4 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 21.4%
24.6%
3.2 pts better
23.9%
2.5 pts better
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-14 · Fire 2025-03-14

8 health deficiencies

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

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2023-10-05 · Fire 2023-10-05

9 health deficiencies

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

4 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2022-08-18 · Fire 2022-08-18

7 health deficiencies

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

2 fire-safety deficiencies

Top issue: Miscellaneous (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-03-14

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-03-14

K372 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-04-22

E · Potential for more than minimal harm 2023-10-05

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2023-11-06

E · Potential for more than minimal harm 2023-10-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-11-06

E · Potential for more than minimal harm 2023-10-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-11-06

D · Potential for more than minimal harm 2023-10-05

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-11-06

D · Potential for more than minimal harm 2022-08-18

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2022-09-19

D · Potential for more than minimal harm 2022-08-18

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-09-19

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-12-22

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2026-01-20

G · Actual harm 2025-04-29

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 2025-05-30

D · Potential for more than minimal harm 2025-03-14

F554 · Resident Rights Deficiencies

Health

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

Corrected 2025-04-09

D · Potential for more than minimal harm 2025-03-14

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 2025-04-09

D · Potential for more than minimal harm 2025-03-14

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2025-04-09

D · Potential for more than minimal harm 2025-03-14

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 2025-04-09

D · Potential for more than minimal harm 2025-03-14

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 2025-04-09

D · Potential for more than minimal harm 2025-03-14

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2025-04-09

D · Potential for more than minimal harm 2024-10-23

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 2024-12-09

D · Potential for more than minimal harm 2024-10-23

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 2024-12-09

D · Potential for more than minimal harm 2024-10-23

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-03-01

D · Potential for more than minimal harm 2023-12-14

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 2024-01-03

D · Potential for more than minimal harm 2023-12-14

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-01-03

E · Potential for more than minimal harm 2023-10-05

F680 · Quality of Life and Care Deficiencies

Health

Ensure the activities program is directed by a qualified professional.

Corrected 2023-11-06

D · Potential for more than minimal harm 2023-10-05

F554 · Resident Rights Deficiencies

Health

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

Corrected 2023-11-06

D · Potential for more than minimal harm 2023-10-05

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 2023-11-06

D · Potential for more than minimal harm 2023-10-05

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 2023-11-06

D · Potential for more than minimal harm 2023-10-05

F645 · Resident Assessment and Care Planning Deficiencies

Health

PASARR screening for Mental disorders or Intellectual Disabilities

Corrected 2023-11-06

D · Potential for more than minimal harm 2023-10-05

F825 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-11-06

E · Potential for more than minimal harm 2022-08-18

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 2022-09-15

D · Potential for more than minimal harm 2022-08-18

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 2022-09-15

D · Potential for more than minimal harm 2022-08-18

F640 · Resident Assessment and Care Planning Deficiencies

Health

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Corrected 2022-09-15

D · Potential for more than minimal harm 2022-08-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2022-09-15

D · Potential for more than minimal harm 2022-08-18

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2022-09-15

Penalties and ownership

What sits behind the stars

$13,098 2025-03-14

Fine

Fine · fine $13,098

Fine

Ownership

Espinosa, Stephanie

Operational/Managerial Control · Individual

0% 31 facilities 2024-10-14
Figueroa-Diaz, Vicente

Operational/Managerial Control · Individual

0% 2 facilities 2021-01-01
Fragoso, Lindsay

Operational/Managerial Control · Individual

0% 31 facilities 2021-05-10
Haven Arizona Real Estate, LLC

5% Or Greater Mortgage Interest · Organization

0% 5 facilities 2013-02-01
Haven Flagstaff Real Estate LLC

5% Or Greater Mortgage Interest · Organization

0% 1 facilities 2013-02-01
Haven Health Group LLC

5% Or Greater Direct Ownership Interest · Organization

0% 19 facilities 2013-02-01
Haven Real Estate Partners, LLC

5% Or Greater Mortgage Interest · Organization

0% 5 facilities 2013-02-01
Health Group Management LLC

Operational/Managerial Control · Organization

0% 31 facilities 2013-02-01
Longhurst, Stock

Operational/Managerial Control · Individual

0% 10 facilities 2020-11-15
Mccullough, Erin

Operational/Managerial Control · Individual

0% 2 facilities 2021-01-01
Miller, Crystal

Operational/Managerial Control · Individual

0% 1 facilities 2023-03-27
Robertson, Brett

5% Or Greater Direct Ownership Interest · Individual

0% 31 facilities 2013-02-01
Robertson, Brett

Operational/Managerial Control · Individual

0% 31 facilities 2013-02-01
Samuelian, Robert

5% Or Greater Direct Ownership Interest · Individual

0% 20 facilities 2013-02-01
Samuelian, Robert

Operational/Managerial Control · Individual

0% 20 facilities 2013-02-01
Samuelian, Spencer

5% Or Greater Direct Ownership Interest · Individual

0% 31 facilities 2013-02-01
Samuelian, Spencer

Operational/Managerial Control · Individual

0% 31 facilities 2025-01-24
Samuelian, Stephen

5% Or Greater Direct Ownership Interest · Individual

0% 20 facilities 2013-02-01
Samuelian, Stephen

Operational/Managerial Control · Individual

0% 20 facilities 2013-02-01
Sciara, Patrick

Operational/Managerial Control · Individual

0% 2 facilities 2021-01-01
Seastrand, Jason

Operational/Managerial Control · Individual

0% 31 facilities 2013-02-01
Smith, Wendy

Operational/Managerial Control · Individual

0% 2 facilities 2015-11-23
Ternion Physician Group, Pllc

Operational/Managerial Control · Organization

0% 2 facilities 2021-01-01
West, Christian

5% Or Greater Direct Ownership Interest · Individual

0% 31 facilities 2013-02-01
West, Christian

Operational/Managerial Control · Individual

0% 31 facilities 2013-02-01

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Haven Of Sedona

Sedona, AZ

2-star overall rating with 1-star inspections with abuse icon flag with 24 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

Overall
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Staffing
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