Cycle 1
Health 2024-12-20 · Fire 2024-12-20
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.
Tucson, AZ
Haven Of Tucson
2-star overall rating with 2-star inspections with 10 recent health deficiencies
3705 North Swan Road, Tucson, AZ
(520) 299-7088
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
118
Certified beds
Average residents
99
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Haven Health
Operator or chain grouping
Approved since
1988-05-04
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
0.86
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
1.14
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
2.30
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
4.31
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
2.01
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
3.97
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.49
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
0.50
CMS adjusted RN staffing hours
Adjusted total hours
2.47
CMS adjusted total nurse staffing hours
Case-mix index
2.38
Higher values indicate more complex resident acuity
RN turnover
47%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
61%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
4,907
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
38.15
Composite VBP score used to determine payment impact.
Payment multiplier
0.9913
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
9.42
Baseline 16.82% · Performance 17.07% · Measure score 9.42 · Achievement 9.42 · Improvement 0
Healthcare-associated infections
2.38
Baseline 6.10% · Performance 7.12% · Measure score 2.38 · Achievement 2.38 · Improvement 0
Total nurse turnover
3.46
Baseline 33.82% · Performance 49.53% · Measure score 3.46 · Achievement 3.46 · Improvement 0
Adjusted total nurse staffing
0
Baseline 2.93 hours · Performance 2.51 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.85% |
10.72%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 275 · Observed rate 13.09% · Lower 95% interval 8.39% |
| Discharge to community | 62.18% |
50.57%
11.6 pts better
|
Better than the National Rate · Eligible stays 306 · Observed rate 53.92% · Lower 95% interval 55.65% |
| Medicare spending per beneficiary | 1.13 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 257 · Denominator 257 |
| Falls with major injury | 0.78% |
0.77%
About the same
|
Numerator 2 · Denominator 257 |
| Discharge self-care score | 52.48% |
53.69%
1.2 pts worse
|
Numerator 74 · Denominator 141 |
| Discharge mobility score | 48.23% |
50.94%
2.7 pts worse
|
Numerator 68 · Denominator 141 |
| Pressure ulcers or injuries, new or worsened | 0.39% |
2.29%
1.9 pts better
|
Numerator 1 · Denominator 257 · Adjusted rate 0.4% |
| Healthcare-associated infections requiring hospitalization | 7.12% |
7.12%
About the same
|
No Different than the National Rate · Eligible stays 197 · Observed rate 7.61% · Lower 95% interval 4.91% |
| Staff COVID-19 vaccination coverage | 7.05% |
8.2%
1.1 pts worse
|
Numerator 11 · Denominator 156 |
| Staff flu vaccination coverage | 37.18% |
42%
4.8 pts worse
|
Numerator 58 · Denominator 156 |
| Discharge function score | 64.54% |
56.45%
8.1 pts better
|
Numerator 91 · Denominator 141 |
| Transfer of health information to provider | 98.56% |
95.95%
2.6 pts better
|
Numerator 206 · Denominator 209 |
| Transfer of health information to patient | 96% |
96.28%
0.3 pts worse
|
Numerator 24 · Denominator 25 |
| Resident COVID-19 vaccinations up to date | 7.25% |
25.2%
17.9 pts worse
|
Numerator 10 · Denominator 138 |
Quality measures
Resident outcomes and process scores
| 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 | 97.1% |
94.6%
2.5 pts better
|
95.5%
1.6 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.1% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.8% |
2.1%
1.3 pts better
|
3.3%
2.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.9% |
4.2%
1.3 pts better
|
11.4%
8.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q3 8.0% · Q4 0.0% · 4Q avg 2.9% |
| Percentage of long-stay residents who lose too much weight | 22.1% |
5.3%
16.8 pts worse
|
5.4%
16.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 26.9% · Q3 15.2% · Q4 31.4% · 4Q avg 22.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 38.1% |
20.5%
17.6 pts worse
|
19.6%
18.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 36.7% · Q2 32.1% · Q3 39.4% · Q4 42.9% · 4Q avg 38.1% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.6% |
11.8%
3.8 pts worse
|
16.7%
1.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q2 10.0% · Q3 16.0% · Q4 20.0% · 4Q avg 15.6% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 4.7% |
0.3%
4.4 pts worse
|
0.1%
4.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.3% · Q2 3.4% · Q3 9.1% · Q4 2.8% · 4Q avg 4.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.4% |
10.8%
7.4 pts better
|
14.9%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 3.4% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.3% |
0.9%
0.4 pts worse
|
1.0%
0.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q3 0.0% · Q4 0.0% · 4Q avg 1.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 3.2% |
1.2%
2 pts worse
|
1.7%
1.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 0.0% · Q3 3.0% · Q4 5.6% · 4Q avg 3.2% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.9% |
20.5%
7.6 pts better
|
19.8%
6.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q3 15.0% · Q4 8.2% · 4Q avg 12.9% |
| Percentage of long-stay residents with pressure ulcers | 6.5% |
4.8%
1.7 pts worse
|
5.1%
1.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.7% · Q2 3.1% · Q3 10.4% · Q4 7.5% · 4Q avg 6.5% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.5% |
91.1%
7.4 pts better
|
81.7%
16.8 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 98.5% · Q3 97.6% · Q4 97.7% · 4Q avg 98.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 5.4% |
10.7%
5.3 pts better
|
12.0%
6.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 5.4% · Observed 5.9% · Expected 12.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.9% |
1.1%
0.2 pts better
|
1.6%
0.7 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.0% · Q2 0.8% · Q3 1.1% · Q4 0.6% · 4Q avg 0.9% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 95.2% |
87.3%
7.9 pts better
|
79.7%
15.5 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 19.9% |
24.6%
4.7 pts better
|
23.9%
4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 19.9% · Observed 24.7% · Expected 29.6% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-03-02 · Fire 2023-03-02
6 health deficiencies
Top issue: Resident Assessment and Care Planning (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Cycle 3
Health 2022-02-18 · Fire 2022-02-18
5 health deficiencies
Top issue: Infection Control (2 deficiencies)
7 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2023-03-02
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-05-09
E · Potential for more than minimal harm
2022-02-18
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-03-28
E · Potential for more than minimal harm
2022-02-18
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-03-28
E · Potential for more than minimal harm
2022-02-18
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-03-28
E · Potential for more than minimal harm
2022-02-18
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-03-28
D · Potential for more than minimal harm
2022-02-18
E20 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2022-03-28
D · Potential for more than minimal harm
2022-02-18
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 2022-03-28
D · Potential for more than minimal harm
2022-02-18
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-03-28
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-12-01
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 2025-12-30
D · Potential for more than minimal harm
2025-12-01
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2025-12-30
G · Actual harm
2025-08-12
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-09-03
D · Potential for more than minimal harm
2024-12-20
F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-02-07
D · Potential for more than minimal harm
2024-12-20
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-02-07
D · Potential for more than minimal harm
2024-12-20
F685 · Quality of Life and Care Deficiencies
Health
Assist a resident in gaining access to vision and hearing services.
Corrected 2025-02-07
D · Potential for more than minimal harm
2024-12-20
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 2025-02-07
D · Potential for more than minimal harm
2024-12-20
F692 · Quality of Life and Care Deficiencies
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2025-02-07
D · Potential for more than minimal harm
2024-12-20
F761 · Pharmacy Service Deficiencies
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 2025-02-07
D · Potential for more than minimal harm
2024-12-20
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-02-07
D · Potential for more than minimal harm
2024-09-03
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-10-02
D · Potential for more than minimal harm
2024-09-03
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-10-02
G · Actual harm
2023-03-02
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 2023-05-10
E · Potential for more than minimal harm
2023-03-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-05-10
D · Potential for more than minimal harm
2023-03-02
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 2023-05-10
D · Potential for more than minimal harm
2023-03-02
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2023-05-10
E · Potential for more than minimal harm
2022-02-18
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-03-28
D · Potential for more than minimal harm
2022-02-18
F623 · Resident Rights Deficiencies
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-03-28
D · Potential for more than minimal harm
2022-02-18
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2022-03-28
D · Potential for more than minimal harm
2022-02-18
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 2022-03-28
D · Potential for more than minimal harm
2022-02-18
F885 · Infection Control Deficiencies
Health
Report COVID19 data to residents and families.
Corrected 2022-03-28
Penalties and ownership
What sits behind the stars
Ownership
Haven Health Group LLC
5% Or Greater Direct Ownership Interest · Organization
Samuelian, Stephen
5% Or Greater Indirect Ownership Interest · Individual
Samuelian, Spencer
5% Or Greater Indirect Ownership Interest · Individual
Samuelian, Robert
5% Or Greater Indirect Ownership Interest · Individual
Robertson, Brett
5% Or Greater Indirect Ownership Interest · Individual
West, Christian
5% Or Greater Indirect Ownership Interest · Individual
Espinosa, Stephanie
Operational/Managerial Control · Individual
Fragoso, Lindsay
Operational/Managerial Control · Individual
Haven Health Properties LLC
5% Or Greater Mortgage Interest · Organization
Haven Tucson Real Estate LLC
5% Or Greater Mortgage Interest · Organization
Health Group Management LLC
Operational/Managerial Control · Organization
Jatoi, Mansoor
Operational/Managerial Control · Individual
Miles, Andrew
Operational/Managerial Control · Individual
Muir, Mark
Operational/Managerial Control · Individual
Natrajan, Sunil
Operational/Managerial Control · Individual
Robertson, Brett
Operational/Managerial Control · Individual
Samuelian, Robert
Operational/Managerial Control · Individual
Samuelian, Spencer
Operational/Managerial Control · Individual
Samuelian, Stephen
Operational/Managerial Control · Individual
Seastrand, Jason
Operational/Managerial Control · Individual
St. Jacques, Laurie
Operational/Managerial Control · Individual
West, Christian
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
The Center At Tucson
Tucson, AZ
5-star overall rating with 5-star inspections with 3 recent health deficiencies
#2
Villa Maria Post Acute And Rehabilitation
Tucson, AZ
3-star overall rating with 2-star inspections with $8,018 in total fines with 9 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
#3
Foothills Rehabilitation Center
Tucson, AZ
3-star overall rating with 3-star inspections with 5 recent health deficiencies with 21 fire-safety deficiencies in the latest cycle
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