Cycle 1
Health 2023-12-08 · Fire 2023-12-08
12 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Sierra Vista, AZ
Haven Of Sierra Vista, LLC
3-star overall rating with 2-star inspections with 12 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
660 South Coronado Drive, Sierra Vista, AZ
(520) 459-4900
Overall
3 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
100
Certified beds
Average residents
90
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Haven Health
Operator or chain grouping
Approved since
1983-06-22
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
Hours and turnover
RN hours / resident day
0.52
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.01
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
1.88
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
3.42
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
1.54
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
3.06
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.34
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
0.49
CMS adjusted RN staffing hours
Adjusted total hours
3.19
CMS adjusted total nurse staffing hours
Case-mix index
1.47
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,726
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
0
Composite VBP score used to determine payment impact.
Payment multiplier
0.9803
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 17.86% · Performance 21.53% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.42% · Performance 8.92% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
Not reported
This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.
Adjusted total nurse staffing
0
Baseline 3.76 hours · Performance 3.21 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.38% |
10.72%
1.7 pts worse
|
No Different than the National Rate · Eligible stays 186 · Observed rate 12.37% · Lower 95% interval 9.25% |
| Discharge to community | 56.4% |
50.57%
5.8 pts better
|
No Different than the National Rate · Eligible stays 192 · Observed rate 56.77% · Lower 95% interval 49.55% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 97.7% |
95.27%
2.4 pts better
|
Numerator 170 · Denominator 174 |
| Falls with major injury | 0.57% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 174 |
| Discharge self-care score | 72.84% |
53.69%
19.2 pts better
|
Numerator 59 · Denominator 81 |
| Discharge mobility score | 65.43% |
50.94%
14.5 pts better
|
Numerator 53 · Denominator 81 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 174 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.92% |
7.12%
1.8 pts worse
|
No Different than the National Rate · Eligible stays 154 · Observed rate 9.09% · Lower 95% interval 5.56% |
| Staff COVID-19 vaccination coverage | 22.3% |
8.2%
14.1 pts better
|
Numerator 31 · Denominator 139 |
| Staff flu vaccination coverage | Not Available |
42%
|
Numerator Not Available · Denominator Not Available · No data were submitted for this measure. |
| Discharge function score | 65.43% |
56.45%
9 pts better
|
Numerator 53 · Denominator 81 |
| Transfer of health information to provider | 98.44% |
95.95%
2.5 pts better
|
Numerator 63 · Denominator 64 |
| Transfer of health information to patient | 97.73% |
96.28%
1.5 pts better
|
Numerator 86 · Denominator 88 |
| Resident COVID-19 vaccinations up to date | 29.55% |
25.2%
4.4 pts better
|
Numerator 26 · Denominator 88 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.7
0.2 pts worse
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.5 · Expected 2.4 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 2.5 |
1.5
1 pts worse
|
1.8
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.7 · Expected 1.8 · Used in QM five-star |
| 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 | 96.9% |
94.6%
2.3 pts better
|
95.5%
1.4 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 96.9% |
| 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 · Q1 0.0% · Q2 0.0% · Q3 5.4% · Q4 4.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.0% |
4.2%
3.2 pts better
|
11.4%
10.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.0% · Q2 1.8% · Q3 0.0% · Q4 0.0% · 4Q avg 1.0% |
| Percentage of long-stay residents who lose too much weight | 8.0% |
5.3%
2.7 pts worse
|
5.4%
2.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 13.5% · Q3 4.0% · Q4 11.9% · 4Q avg 8.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 12.1% |
20.5%
8.4 pts better
|
19.6%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.4% · Q2 9.6% · Q3 13.7% · Q4 15.3% · 4Q avg 12.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 2.6% |
11.8%
9.2 pts better
|
16.7%
14.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.8% · Q3 0.0% · Q4 4.8% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 1.7% |
0.3%
1.4 pts worse
|
0.1%
1.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 1.8% · Q4 1.6% · 4Q avg 1.7% |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.2% |
14.5%
3.7 pts worse
|
16.3%
1.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 22.0% · Q2 30.7% · Q4 4.4% · 4Q avg 18.2% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 11.2% |
10.8%
0.4 pts worse
|
14.9%
3.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 20.0% · Q3 12.2% · Q4 7.1% · 4Q avg 11.2% · Used in QM five-star |
| 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 · 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 urinary tract infection | 0.9% |
1.2%
0.3 pts better
|
1.7%
0.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 10.5% |
20.5%
10 pts better
|
19.8%
9.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 21.5% · Q2 9.5% · Q3 3.8% · Q4 7.7% · 4Q avg 10.5% |
| Percentage of long-stay residents with pressure ulcers | 4.2% |
4.8%
0.6 pts better
|
5.1%
0.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 3.0% · Q2 5.6% · Q3 2.4% · Q4 5.4% · 4Q avg 4.2% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 96.0% |
91.1%
4.9 pts better
|
81.7%
14.3 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 94.7% · Q2 95.7% · Q3 98.2% · Q4 94.9% · 4Q avg 96.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.1% |
10.7%
2.6 pts better
|
12.0%
3.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.1% · Observed 8.0% · Expected 11.1% · 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 | 94.9% |
87.3%
7.6 pts better
|
79.7%
15.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 94.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 17.3% |
24.6%
7.3 pts better
|
23.9%
6.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 17.3% · Observed 16.8% · Expected 23.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-09-08 · Fire 2022-09-08
4 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2021-05-06 · Fire 2021-05-06
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.
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2023-12-08
E4 · Emergency Preparedness Deficiencies
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2023-12-14
E · Potential for more than minimal harm
2023-12-08
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 2023-12-13
E · Potential for more than minimal harm
2023-12-08
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2023-12-13
E · Potential for more than minimal harm
2023-12-08
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-12-14
D · Potential for more than minimal harm
2022-09-08
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2022-11-07
Inspection history
Recent health citations
E · Potential for more than minimal harm
2025-12-10
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-12-31
D · Potential for more than minimal harm
2025-12-10
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2025-12-31
E · Potential for more than minimal harm
2023-12-08
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-02-19
E · Potential for more than minimal harm
2023-12-08
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 2024-02-19
D · Potential for more than minimal harm
2023-12-08
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 2024-02-19
D · Potential for more than minimal harm
2023-12-08
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2024-02-19
D · Potential for more than minimal harm
2023-12-08
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-02-19
D · Potential for more than minimal harm
2023-12-08
F679 · Quality of Life and Care Deficiencies
Health
Provide activities to meet all resident's needs.
Corrected 2024-02-19
D · Potential for more than minimal harm
2023-12-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-02-19
D · Potential for more than minimal harm
2023-12-08
F867 · Administration Deficiencies
Health
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2024-02-19
D · Potential for more than minimal harm
2023-12-08
F942 · Resident Rights Deficiencies
Health
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
Corrected 2024-02-19
D · Potential for more than minimal harm
2023-12-08
F943 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected 2024-02-19
D · Potential for more than minimal harm
2022-09-08
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-11-01
D · Potential for more than minimal harm
2022-09-08
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2022-11-01
D · Potential for more than minimal harm
2022-09-08
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2022-11-01
D · Potential for more than minimal harm
2022-09-08
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-11-01
E · Potential for more than minimal harm
2021-05-06
F677 · Quality of Life and Care Deficiencies
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-07-02
E · Potential for more than minimal harm
2021-05-06
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 2021-07-02
E · Potential for more than minimal harm
2021-05-06
F725 · Nursing and Physician Services Deficiencies
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 2021-07-02
E · Potential for more than minimal harm
2021-05-06
F740 · Quality of Life and Care Deficiencies
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2021-07-02
E · Potential for more than minimal harm
2021-05-06
F925 · Environmental Deficiencies
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2021-07-02
D · Potential for more than minimal harm
2021-05-06
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2021-07-02
D · Potential for more than minimal harm
2021-05-06
F584 · Resident Rights Deficiencies
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2021-07-02
D · Potential for more than minimal harm
2021-05-06
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2021-07-02
D · Potential for more than minimal harm
2021-05-06
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-07-02
D · Potential for more than minimal harm
2021-05-06
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2021-07-02
Penalties and ownership
What sits behind the stars
Ownership
Aguilar, Karla
Operational/Managerial Control · Individual
Espinosa, Stephanie
Operational/Managerial Control · Individual
Fragoso, Lindsay
Operational/Managerial Control · Individual
Greiner, Russell
Operational/Managerial Control · Individual
Haven Health Group LLC
5% Or Greater Direct Ownership Interest · Organization
Haven Health Properties LLC
5% Or Greater Mortgage Interest · Organization
Haven Sierra Vista Real Estate LLC
5% Or Greater Mortgage Interest · Organization
Health Group Management LLC
Operational/Managerial Control · Organization
Longhurst, Stock
Operational/Managerial Control · Individual
Muir, Mark
Operational/Managerial Control · Individual
Ramon, Deedee
Operational/Managerial Control · Individual
Robertson, Brett
5% Or Greater Direct Ownership Interest · Individual
Robertson, Brett
Operational/Managerial Control · Individual
Samuelian, Robert
5% Or Greater Direct Ownership Interest · Individual
Samuelian, Robert
Operational/Managerial Control · Individual
Samuelian, Spencer
5% Or Greater Direct Ownership Interest · Individual
Samuelian, Spencer
Operational/Managerial Control · Individual
Samuelian, Stephen
5% Or Greater Direct Ownership Interest · Individual
Samuelian, Stephen
Operational/Managerial Control · Individual
Seastrand, Jason
Operational/Managerial Control · Individual
Vandivort, Monica
Operational/Managerial Control · Individual
West, Christian
5% Or Greater Direct Ownership Interest · Individual
West, Christian
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Life Care Center Of Sierra Vista
Sierra Vista, AZ
2-star overall rating with 2-star inspections with abuse icon flag with $55,881 in total fines with 10 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#2
Quiburi Mission Nursing & Rehabilitation
Benson, AZ
4-star overall rating with 3-star inspections with 6 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Haven Of Douglas
Douglas, AZ
5-star overall rating with 3-star inspections with 10 recent health deficiencies
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