Cycle 1
Health 2025-03-06 · Fire 2025-03-06
1 health deficiencies
Top issue: Infection Control (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Pensacola, FL
Havens At Pensacola, The
5-star overall rating with 5-star inspections with 1 recent health deficiencies
1900 Summit Boulevard, Pensacola, FL
(850) 746-0700
Overall
5 / 5
CMS overall stars
Health inspections
5 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
111
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2003-04-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
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
0.66
Registered nurse staffing · state 0.73 · national 0.68
LPN hours / resident day
0.94
Licensed practical nurse staffing · state 0.79 · national 0.87
Aide hours / resident day
2.06
Nurse aide staffing · state 2.34 · national 2.35
Total nurse hours
3.66
All reported nurse hours · state 3.86 · national 3.89
Licensed hours
1.60
RN + LPN hours · state 1.52 · national 1.54
Weekend hours
3.20
Weekend nurse staffing · state 3.51 · national 3.43
Weekend RN hours
0.46
Weekend registered nurse coverage · state 0.53 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.10 · national 0.07
Adjusted RN hours
0.65
CMS adjusted RN staffing hours
Adjusted total hours
3.64
CMS adjusted total nurse staffing hours
Case-mix index
1.38
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 46% · national 45%
Total nurse turnover
51%
Annual nurse turnover · state 42% · national 46%
SNF VBP
Value-based purchasing
Program rank
12,583
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
11.58
Composite VBP score used to determine payment impact.
Payment multiplier
0.9810
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
1.32
Baseline 18.22% · Performance 20.82% · Measure score 1.32 · Achievement 1.32 · Improvement 0
Healthcare-associated infections
0.65
Baseline 5.27% · Performance 7.64% · Measure score 0.65 · Achievement 0.65 · Improvement 0
Total nurse turnover
1.16
Baseline 52.71% · Performance 58.95% · Measure score 1.16 · Achievement 1.16 · Improvement 0
Adjusted total nurse staffing
1.51
Baseline 4.20 hours · Performance 3.51 hours · Measure score 1.51 · Achievement 1.51 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 8.94% |
10.72%
1.8 pts better
|
No Different than the National Rate · Eligible stays 445 · Observed rate 6.74% · Lower 95% interval 6.76% |
| Discharge to community | 59.55% |
50.57%
9 pts better
|
Better than the National Rate · Eligible stays 432 · Observed rate 57.64% · Lower 95% interval 55.16% |
| Medicare spending per beneficiary | 1.07 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 99.31% |
95.27%
4 pts better
|
Numerator 286 · Denominator 288 |
| Falls with major injury | 1.74% |
0.77%
1 pts worse
|
Numerator 5 · Denominator 288 |
| Discharge self-care score | 44.68% |
53.69%
9 pts worse
|
Numerator 63 · Denominator 141 |
| Discharge mobility score | 43.26% |
50.94%
7.7 pts worse
|
Numerator 61 · Denominator 141 |
| Pressure ulcers or injuries, new or worsened | 1.74% |
2.29%
0.6 pts better
|
Numerator 5 · Denominator 288 · Adjusted rate 1.28% |
| Healthcare-associated infections requiring hospitalization | 7.64% |
7.12%
0.5 pts worse
|
No Different than the National Rate · Eligible stays 320 · Observed rate 6.88% · Lower 95% interval 5.23% |
| Staff COVID-19 vaccination coverage | 3.5% |
8.2%
4.7 pts worse
|
Numerator 5 · Denominator 143 |
| Staff flu vaccination coverage | 45.83% |
42%
3.8 pts better
|
Numerator 55 · Denominator 120 |
| Discharge function score | 48.94% |
56.45%
7.5 pts worse
|
Numerator 69 · Denominator 141 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 74 · Denominator 74 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 151 · Denominator 151 |
| Resident COVID-19 vaccinations up to date | 21.48% |
25.2%
3.7 pts worse
|
Numerator 29 · Denominator 135 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.2 |
2.1
0.1 pts worse
|
1.9
0.3 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.2 · Observed 2.3 · Expected 1.9 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.9 |
1.2
0.7 pts worse
|
1.8
0.1 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.8 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 84.6% |
97.8%
13.2 pts worse
|
93.4%
8.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 65.3% · Q2 81.9% · Q3 92.0% · Q4 97.5% · 4Q avg 84.6% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
99.2%
0.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 5.0% |
2.6%
2.4 pts worse
|
3.3%
1.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 4.2% · Q2 1.4% · Q3 8.0% · Q4 6.3% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.8% |
3.7%
1.9 pts better
|
11.4%
9.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 1.5% · Q3 2.9% · Q4 1.3% · 4Q avg 1.8% |
| Percentage of long-stay residents who lose too much weight | 14.3% |
5.9%
8.4 pts worse
|
5.4%
8.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 20.7% · Q2 25.0% · Q3 8.2% · Q4 4.6% · 4Q avg 14.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 10.7% |
15.7%
5 pts better
|
19.6%
8.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 11.9% · Q2 7.9% · Q3 10.8% · Q4 12.3% · 4Q avg 10.7% |
| Percentage of long-stay residents who received an antipsychotic medication | 10.0% |
9.8%
0.2 pts worse
|
16.7%
6.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.7% · Q2 7.3% · Q3 8.6% · Q4 14.3% · 4Q avg 10.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
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 | 9.1% |
11.7%
2.6 pts better
|
16.3%
7.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 11.4% · Q4 4.0% · 4Q avg 9.1% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 7.2% |
9.8%
2.6 pts better
|
14.9%
7.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 8.8% · Q2 8.5% · Q3 6.6% · Q4 5.1% · 4Q avg 7.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.7% |
0.4%
0.3 pts worse
|
1.0%
0.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.9% · Q3 0.0% · Q4 0.7% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
0.8%
0.8 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 | 14.1% |
12.5%
1.6 pts worse
|
19.8%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 19.4% · Q2 15.3% · Q3 16.3% · Q4 6.5% · 4Q avg 14.1% |
| Percentage of long-stay residents with pressure ulcers | 5.0% |
5.1%
0.1 pts better
|
5.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 5.5% · Q3 5.4% · Q4 4.9% · 4Q avg 5.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 86.8% |
94.3%
7.5 pts worse
|
81.7%
5.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 69.5% · Q2 87.2% · Q3 96.1% · Q4 94.1% · 4Q avg 86.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 16.4% |
9.3%
7.1 pts worse
|
12.0%
4.4 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 16.4% · Observed 15.6% · Expected 10.6% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.7% |
1.5%
0.8 pts better
|
1.6%
0.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.7% · Q2 0.7% · Q3 1.4% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.8% |
94.7%
2.1 pts better
|
79.7%
17.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 29.8% |
26.2%
3.6 pts worse
|
23.9%
5.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 29.8% · Observed 29.8% · Expected 23.8% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-12-14 · Fire 2023-12-14
4 health deficiencies
Top issue: Environmental (1 deficiency)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-08-11 · Fire 2022-08-11
0 health deficiencies
No concentrated health issue counts in this cycle.
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-08-11
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-08-17
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-03-06
F883 · Infection Control Deficiencies
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2025-03-31
E · Potential for more than minimal harm
2023-12-14
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2024-02-15
D · Potential for more than minimal harm
2023-12-14
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 2024-02-15
D · Potential for more than minimal harm
2023-12-14
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 2024-02-15
D · Potential for more than minimal harm
2023-12-14
F919 · Environmental Deficiencies
Health
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-02-15
Penalties and ownership
What sits behind the stars
Ownership
Havens SNF Operator Holdco LLC
5% Or Greater Direct Ownership Interest · Organization
B And S Funding LLC
5% Or Greater Indirect Ownership Interest · Organization
Bamberger, Joshua
5% Or Greater Indirect Ownership Interest · Individual
Bamberger, Joshua
Operational/Managerial Control · Individual
Havens Acquisition LLC
5% Or Greater Indirect Ownership Interest · Organization
J & M Holdings Group LLC
5% Or Greater Indirect Ownership Interest · Organization
Jek Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Jek Irrv Tr Ii
5% Or Greater Indirect Ownership Interest · Organization
Labrook Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Mayeaux, Dennis
Operational/Managerial Control · Individual
Mpg Holdings
5% Or Greater Indirect Ownership Interest · Organization
Ncs Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Nmj Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
Nmj Irrv Tr Ii
5% Or Greater Indirect Ownership Interest · Organization
Pointdexter, James
Operational/Managerial Control · Individual
Samba Holdings LLC
5% Or Greater Indirect Ownership Interest · Organization
The Edwin And Miriam Zaghi Joint Revocable Trust
5% Or Greater Indirect Ownership Interest · Organization
Zytman, Shmuel
5% Or Greater Indirect Ownership Interest · Individual
Zytman, Shmuel
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Bayside Health And Rehabilitation Center
Pensacola, FL
5-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
#2
Rosewood Healthcare And Rehabilitation Center
Pensacola, FL
4-star overall rating with 4-star inspections with 2 recent health deficiencies
#3
Life Care Center Of Pensacola
Pensacola, FL
5-star overall rating with 5-star inspections with 1 recent health deficiencies
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