24 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (7 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
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
505 Jacks Canyon Road, Sedona, AZ
(480) 935-4300
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
112
Certified beds
Average residents
83
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Haven Health
Operator or chain grouping
Approved since
1984-05-30
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
0.53
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.81
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
1.89
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
3.23
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
1.34
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
2.80
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.47
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.06
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.52
CMS adjusted RN staffing hours
Adjusted total hours
3.17
CMS adjusted total nurse staffing hours
Case-mix index
1.39
Higher values indicate more complex resident acuity
RN turnover
54%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
52%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Program rank
4,603
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
39.31
Composite VBP score used to determine payment impact.
Payment multiplier
0.9923
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
3.44
Baseline 18.88% · Performance 19.84% · Measure score 3.44 · Achievement 3.44 · Improvement 0
Healthcare-associated infections
7.72
Baseline 6.55% · Performance 5.53% · Measure score 7.72 · Achievement 7.72 · Improvement 6.07
Total nurse turnover
4.57
Baseline 72.46% · Performance 48.33% · Measure score 4.57 · Achievement 3.75 · Improvement 4.57
Adjusted total nurse staffing
0
Baseline 3.19 hours · Performance 2.91 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.08% |
10.72%
2.6 pts better
|
No Different than the National Rate · Eligible stays 190 · Observed rate 3.68% · Lower 95% interval 5.49% |
| Discharge to community | 63.87% |
50.57%
13.3 pts better
|
Better than the National Rate · Eligible stays 175 · Observed rate 63.43% · Lower 95% interval 58.56% |
| Medicare spending per beneficiary | 0.98 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 99.15% |
95.27%
3.9 pts better
|
Numerator 117 · Denominator 118 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 118 |
| Discharge self-care score | 81.71% |
53.69%
28 pts better
|
Numerator 67 · Denominator 82 |
| Discharge mobility score | 59.76% |
50.94%
8.8 pts better
|
Numerator 49 · Denominator 82 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 118 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.53% |
7.12%
1.6 pts better
|
No Different than the National Rate · Eligible stays 114 · Observed rate 1.75% · Lower 95% interval 2.93% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 53 |
| Staff flu vaccination coverage | 2.25% |
42%
39.8 pts worse
|
Numerator 2 · Denominator 89 |
| Discharge function score | 75.61% |
56.45%
19.2 pts better
|
Numerator 62 · Denominator 82 |
| Transfer of health information to provider | 98.55% |
95.95%
2.6 pts better
|
Numerator 68 · Denominator 69 |
| Transfer of health information to patient | 95.35% |
96.28%
0.9 pts worse
|
Numerator 41 · Denominator 43 |
| Resident COVID-19 vaccinations up to date | 1.59% |
25.2%
23.6 pts worse
|
Numerator 1 · Denominator 63 |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
97.1%
2.9 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 92.9% |
94.6%
1.7 pts worse
|
95.5%
2.6 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 92.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 11.1% |
2.1%
9 pts worse
|
3.3%
7.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 12.0% · Q3 10.4% · Q4 10.4% · 4Q avg 11.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 8.6% |
4.2%
4.4 pts worse
|
11.4%
2.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 10.0% · Q3 20.7% · Q4 5.7% · 4Q avg 8.6% |
| Percentage of long-stay residents who lose too much weight | 7.6% |
5.3%
2.3 pts worse
|
5.4%
2.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 4.9% · Q3 7.5% · Q4 13.2% · 4Q avg 7.6% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 31.8% |
20.5%
11.3 pts worse
|
19.6%
12.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 39.5% · Q2 26.8% · Q3 25.0% · Q4 36.8% · 4Q avg 31.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 6.1% |
11.8%
5.7 pts better
|
16.7%
10.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.5% · Q2 6.5% · Q3 0.0% · Q4 5.0% · 4Q avg 6.1% · 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% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.4% |
14.5%
0.1 pts better
|
16.3%
1.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 22.5% · Q3 15.2% · 4Q avg 14.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 9.9% |
10.8%
0.9 pts better
|
14.9%
5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.6% · Q2 8.1% · Q3 13.2% · Q4 2.9% · 4Q avg 9.9% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 2.2% · Q3 1.5% · Q4 0.0% · 4Q avg 1.0% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 2.1% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 32.9% |
20.5%
12.4 pts worse
|
19.8%
13.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 30.2% · Q2 36.4% · Q3 27.6% · Q4 37.1% · 4Q avg 32.9% |
| Percentage of long-stay residents with pressure ulcers | 5.9% |
4.8%
1.1 pts worse
|
5.1%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 8.5% · Q3 5.0% · Q4 5.8% · 4Q avg 5.9% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 99.0% |
91.1%
7.9 pts better
|
81.7%
17.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.2% · Q2 99.5% · Q3 99.6% · Q4 97.9% · 4Q avg 99.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.4% |
10.7%
1.3 pts better
|
12.0%
2.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.4% · Observed 9.3% · Expected 11.0% · Used in QM five-star |
| 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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 94.8% |
87.3%
7.5 pts better
|
79.7%
15.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.2% |
24.6%
8.4 pts better
|
23.9%
7.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 15.5% · Expected 22.8% · Used in QM five-star |
Survey summary
Top issue: Freedom from Abuse and Neglect and Exploitation (7 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Top issue: Pharmacy Service (4 deficiencies)
3 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Top issue: Infection Control (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2025-05-15
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-06-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-06-08
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-06-08
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-03-11
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2022-03-11
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2022-03-11
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-03-11
Inspection history
Health
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected 2025-09-19
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-09-19
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-19
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-09-19
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-19
Health
Respond appropriately to all alleged violations.
Corrected 2025-09-19
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-07-01
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-06-27
Health
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2025-05-30
Health
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected 2025-05-30
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-05-30
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2025-05-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-05-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-05-30
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 2025-05-30
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-05-30
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 2025-05-30
Health
Ensure each resident receives an accurate assessment.
Corrected 2025-05-30
Health
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected 2025-05-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-05-30
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-05-30
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-05-30
Health
Provide or obtain dental services for each resident.
Corrected 2025-05-30
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-05-30
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-09-06
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-08-01
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 2024-08-01
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2024-08-01
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-10-12
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 2023-06-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-06-08
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-08
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 2023-06-08
Health
Provide and implement an infection prevention and control program.
Corrected 2022-04-07
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2022-04-07
Health
Provide timely, quality laboratory services/tests to meet the needs of residents.
Corrected 2022-04-07
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-04-07
Health
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected 2022-04-07
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-04-14
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2022-04-07
Health
Perform COVID19 testing on residents and staff.
Corrected 2022-04-07
Health
Post nurse staffing information every day.
Corrected 2022-04-07
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
5% Or Greater Indirect Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Mortgage Interest · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Organization
Operational/Managerial Control · Individual
Nearby options
Cottonwood, AZ
2-star overall rating with 1-star inspections with 24 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
Camp Verde, AZ
3-star overall rating with 2-star inspections with 10 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Flagstaff, AZ
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
Jump out