Cycle 1
Health 2023-06-23 · Fire 2023-06-23
4 health deficiencies
Top issue: Nursing and Physician Services (1 deficiency)
5 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Yuma, AZ
Haven Of Yuma
2-star overall rating with 1-star inspections with $9,302 in total fines with 4 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
2470 South Arizona Avenue, Yuma, AZ
(928) 344-8541
Overall
2 / 5
CMS overall stars
Health inspections
1 / 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
120
Certified beds
Average residents
101
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Haven Health
Operator or chain grouping
Approved since
1989-10-20
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
0.57
Registered nurse staffing · state 0.72 · national 0.68
LPN hours / resident day
0.64
Licensed practical nurse staffing · state 1.04 · national 0.87
Aide hours / resident day
2.37
Nurse aide staffing · state 2.36 · national 2.35
Total nurse hours
3.58
All reported nurse hours · state 4.12 · national 3.89
Licensed hours
1.20
RN + LPN hours · state 1.76 · national 1.54
Weekend hours
3.08
Weekend nurse staffing · state 3.62 · national 3.43
Weekend RN hours
0.43
Weekend registered nurse coverage · state 0.51 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.54
CMS adjusted RN staffing hours
Adjusted total hours
3.40
CMS adjusted total nurse staffing hours
Case-mix index
1.44
Higher values indicate more complex resident acuity
RN turnover
21%
Annual RN turnover · state 45% · national 45%
Total nurse turnover
36%
Annual nurse turnover · state 48% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,256
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
13.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9812
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 23.46% · Performance 25.73% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 7.00% · Performance 8.58% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
5.27
Baseline 42.70% · Performance 42.16% · Measure score 5.27 · Achievement 5.27 · Improvement 0
Adjusted total nurse staffing
0
Baseline 3.46 hours · Performance 3.17 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.83% |
10.72%
0.1 pts worse
|
No Different than the National Rate · Eligible stays 185 · Observed rate 10.81% · Lower 95% interval 8.04% |
| Discharge to community | 53.39% |
50.57%
2.8 pts better
|
No Different than the National Rate · Eligible stays 185 · Observed rate 48.11% · Lower 95% interval 44.95% |
| Medicare spending per beneficiary | 1.04 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 100% |
95.27%
4.7 pts better
|
Numerator 169 · Denominator 169 |
| Falls with major injury | 0.59% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 169 |
| Discharge self-care score | 69.88% |
53.69%
16.2 pts better
|
Numerator 58 · Denominator 83 |
| Discharge mobility score | 65.06% |
50.94%
14.1 pts better
|
Numerator 54 · Denominator 83 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 169 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.58% |
7.12%
1.5 pts worse
|
No Different than the National Rate · Eligible stays 125 · Observed rate 9.6% · Lower 95% interval 5.61% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 170 |
| Staff flu vaccination coverage | 24.32% |
42%
17.7 pts worse
|
Numerator 45 · Denominator 185 |
| Discharge function score | 65.06% |
56.45%
8.6 pts better
|
Numerator 54 · Denominator 83 |
| Transfer of health information to provider | 96.3% |
95.95%
0.3 pts better
|
Numerator 104 · Denominator 108 |
| Transfer of health information to patient | 87.23% |
96.28%
9 pts worse
|
Numerator 41 · Denominator 47 |
| Resident COVID-19 vaccinations up to date | 18.63% |
25.2%
6.6 pts worse
|
Numerator 19 · Denominator 102 |
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 | 91.0% |
94.6%
3.6 pts worse
|
95.5%
4.5 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 91.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.4% |
2.1%
1.7 pts better
|
3.3%
2.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.5% · 4Q avg 0.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 4.7% |
4.2%
0.5 pts worse
|
11.4%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 8.3% · Q3 3.6% · Q4 1.7% · 4Q avg 4.7% |
| Percentage of long-stay residents who lose too much weight | 7.2% |
5.3%
1.9 pts worse
|
5.4%
1.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.7% · Q2 9.6% · Q3 5.1% · Q4 6.8% · 4Q avg 7.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 18.9% |
20.5%
1.6 pts better
|
19.6%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 22.6% · Q2 15.1% · Q3 16.9% · Q4 21.0% · 4Q avg 18.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 5.6% |
11.8%
6.2 pts better
|
16.7%
11.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 5.6% · Q3 7.1% · Q4 4.3% · 4Q avg 5.6% · 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 | 8.8% |
14.5%
5.7 pts better
|
16.3%
7.5 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 8.8% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.7% |
10.8%
6.1 pts better
|
14.9%
10.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 6.0% · Q3 7.1% · Q4 1.7% · 4Q avg 4.7% · 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 | 0.0% |
1.2%
1.2 pts better
|
1.7%
1.7 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 new or worsened bowel or bladder incontinence | 18.6% |
20.5%
1.9 pts better
|
19.8%
1.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 20.5% · Q2 21.7% · Q3 16.4% · Q4 16.6% · 4Q avg 18.6% |
| Percentage of long-stay residents with pressure ulcers | 1.1% |
4.8%
3.7 pts better
|
5.1%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 1.2% · Q3 1.2% · Q4 0.0% · 4Q avg 1.1% · 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 93.5% · Q2 94.9% · Q3 99.4% · Q4 96.9% · 4Q avg 96.0% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.9% |
10.7%
2.2 pts worse
|
12.0%
0.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.9% · Observed 13.5% · Expected 11.7% · 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 | 90.7% |
87.3%
3.4 pts better
|
79.7%
11 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 90.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 31.2% |
24.6%
6.6 pts worse
|
23.9%
7.3 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 31.2% · Observed 34.6% · Expected 26.5% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2022-04-21 · Fire 2022-04-21
6 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2019-10-09 · Fire 2019-10-09
7 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
5 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2023-06-23
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 2023-08-09
E · Potential for more than minimal harm
2023-06-23
K363 · Smoke Deficiencies
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-08-09
D · Potential for more than minimal harm
2023-06-23
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 2023-08-09
D · Potential for more than minimal harm
2023-06-23
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-08-09
D · Potential for more than minimal harm
2023-06-23
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-08-09
D · Potential for more than minimal harm
2022-04-21
K342 · Smoke Deficiencies
Fire Safety
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Corrected 2022-05-23
D · Potential for more than minimal harm
2022-04-21
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-05-23
D · Potential for more than minimal harm
2022-04-21
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-05-23
D · Potential for more than minimal harm
2022-04-21
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-05-23
E · Potential for more than minimal harm
2019-10-09
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-12-13
E · Potential for more than minimal harm
2019-10-09
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2019-12-13
D · Potential for more than minimal harm
2019-10-09
K291 · Egress Deficiencies
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2019-12-13
D · Potential for more than minimal harm
2019-10-09
K353 · Smoke Deficiencies
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2019-12-13
D · Potential for more than minimal harm
2019-10-09
K511 · Services Deficiencies
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2019-12-13
Inspection history
Recent health citations
K · Immediate jeopardy
2023-06-23
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 2023-08-04
E · Potential for more than minimal harm
2023-06-23
F727 · Nursing and Physician Services Deficiencies
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2023-07-18
D · Potential for more than minimal harm
2023-06-23
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-07-14
D · Potential for more than minimal harm
2023-06-23
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 2023-06-23
D · Potential for more than minimal harm
2023-04-27
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-12
D · Potential for more than minimal harm
2022-04-21
F645 · Resident Assessment and Care Planning Deficiencies
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2022-06-01
D · Potential for more than minimal harm
2022-04-21
F660 · Resident Assessment and Care Planning Deficiencies
Health
Plan the resident's discharge to meet the resident's goals and needs.
Corrected 2022-06-01
D · Potential for more than minimal harm
2022-04-21
F680 · Quality of Life and Care Deficiencies
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2022-06-01
D · Potential for more than minimal harm
2022-04-21
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2022-06-01
D · Potential for more than minimal harm
2022-04-21
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2022-06-01
D · Potential for more than minimal harm
2022-04-21
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-06-01
E · Potential for more than minimal harm
2019-10-09
F757 · Pharmacy Service Deficiencies
Health
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected 2019-12-04
E · Potential for more than minimal harm
2019-10-09
F758 · Pharmacy Service Deficiencies
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 2019-12-04
D · Potential for more than minimal harm
2019-10-09
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 2019-12-04
D · Potential for more than minimal harm
2019-10-09
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2019-12-04
D · Potential for more than minimal harm
2019-10-09
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2019-12-04
D · Potential for more than minimal harm
2019-10-09
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 2019-12-04
Penalties and ownership
What sits behind the stars
$9,302
2023-06-23
Fine
Fine · fine $9,302
Fine
Ownership
El Amin, Mohemed
Operational/Managerial Control · Individual
Espinosa, Stephanie
Operational/Managerial Control · Individual
Espinosa, Stephanie
Corporate Officer · Individual
Fonseca, Brandon
Operational/Managerial Control · Individual
Fragoso, Lindsay
Operational/Managerial Control · Individual
Fragoso, Lindsay
Corporate Officer · Individual
Globe-Yuma Real Estate Partners
5% Or Greater Mortgage Interest · Organization
Haven Health Group Globe Yuma LLC
5% Or Greater Mortgage Interest · Organization
Haven Health Group LLC
5% Or Greater Direct Ownership Interest · Organization
Health Group Management LLC
Operational/Managerial Control · Organization
Loveless, Samuel
Operational/Managerial Control · Individual
Muir, Mark
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
Saxman, Trevor
Operational/Managerial Control · Individual
Seastrand, Jason
5% Or Greater Direct Ownership Interest · Individual
Seastrand, Jason
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
Haven Of Sandpointe, LLC
Yuma, AZ
3-star overall rating with 2-star inspections with abuse icon flag with 10 recent health deficiencies
#2
Life Care Center Of Yuma
Yuma, AZ
2-star overall rating with 2-star inspections with 14 recent health deficiencies with 18 fire-safety deficiencies in the latest cycle
#3
Yuma Nursing Center
Yuma, AZ
4-star overall rating with 4-star inspections with 1 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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