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Health Inspection Summary
Haven Health Sky Harbor, LLC
1880 East Van Buren Street
Phoenix, AZ 85006
(602) 253-4570
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Deficiency Category
Inspection Date:
5/6/24
Complaint Reporting Period:
4/1/24 - 3/31/25
Inspection Date:
12/15/22
Complaint Reporting Period:
4/1/23 - 3/31/24
Inspection Date:
9/23/21
Complaint Reporting Period:
4/1/22 - 3/31/23
Freedom from Abuse, Neglect, and Exploitation Deficiencies020
Quality of Life and Care Deficiencies436
Infection Control Deficiencies021
Resident Assessment and Care Planning Deficiencies414
Nursing and Physician Services Deficiencies200
Resident Rights Deficiencies120
Nutrition and Dietary Deficiencies200
Pharmacy Service Deficiencies121
Environmental Deficiencies000
Administration Deficiencies200

Detailed result for inspection on 5/6/24
Date of last standard health inspection:5/6/24Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/24 - 3/31/25
Date(s) of infection control inspection(s) between 4/1/24 - 3/31/25
No infection control inspections
Total number of Health Deficiencies for this nursing home:16
Average number of Health Deficiencies in Arizona:6.3
Average number of Health Deficiencies in the United States:9.6
Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide routine and 24-hour emergency dental care for each resident.

5/6/247/3/24
2 - Minimal harm or potential for actual harm
Few

Provide care and assistance to perform activities of daily living for any resident who is unable.

5/6/247/3/24
2 - Minimal harm or potential for actual harm
Few

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

5/6/247/3/24
2 - Minimal harm or potential for actual harm
Few

Provide activities to meet all resident's needs.

5/6/247/3/24
2 - Minimal harm or potential for actual harm
Some
Infection Control Deficiencies
No Infection Control Deficiencies were found during this inspection period.
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

10/22/2411/6/24
2 - Minimal harm or potential for actual harm
Few

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

5/6/247/3/24
2 - Minimal harm or potential for actual harm
Few

Ensure services provided by the nursing facility meet professional standards of quality.

4/11/246/5/24
2 - Minimal harm or potential for actual harm
Few

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

5/6/247/3/24
2 - Minimal harm or potential for actual harm
Some
Nursing and Physician Services Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

5/6/247/3/24
2 - Minimal harm or potential for actual harm
Few

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.

5/6/247/3/24
2 - Minimal harm or potential for actual harm
Few
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

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.

8/1/248/20/24
2 - Minimal harm or potential for actual harm
Few
Nutrition and Dietary Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

5/6/247/3/24
2 - Minimal harm or potential for actual harm
Some

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

5/6/247/3/24
2 - Minimal harm or potential for actual harm
Few
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure each resident’s drug regimen must be free from unnecessary drugs.

5/6/247/3/24
2 - Minimal harm or potential for actual harm
Some
Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.
Administration Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

5/6/247/3/24
2 - Minimal harm or potential for actual harm
Some

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

5/6/247/3/24
2 - Minimal harm or potential for actual harm
Few

Detailed result for inspection on 12/15/22
Date of last standard health inspection:12/15/22Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/23 - 3/31/24
Date(s) of infection control inspection(s) between 4/1/23 - 3/31/24
No infection control inspections
Total number of Health Deficiencies for this nursing home:12
Average number of Health Deficiencies in Arizona:7
Average number of Health Deficiencies in the United States:9.4
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

4/28/237/14/23
3 - Actual harm
Few

Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.

12/15/222/28/23
2 - Minimal harm or potential for actual harm
Few
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide safe and appropriate respiratory care for a resident when needed.

1/10/241/11/24
2 - Minimal harm or potential for actual harm
Some

Provide safe and appropriate respiratory care for a resident when needed.

12/15/222/28/23
2 - Minimal harm or potential for actual harm
Few

Provide care and assistance to perform activities of daily living for any resident who is unable.

12/15/222/28/23
2 - Minimal harm or potential for actual harm
Few
Infection Control Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

12/15/222/28/23
2 - Minimal harm or potential for actual harm
Some

Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

12/15/222/28/23
2 - Minimal harm or potential for actual harm
Few
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure services provided by the nursing facility meet professional standards of quality.

12/15/222/28/23
2 - Minimal harm or potential for actual harm
Few
Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

12/15/222/28/23
2 - Minimal harm or potential for actual harm
Few

Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.

12/15/222/28/23
2 - Minimal harm or potential for actual harm
Few
Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure medication error rates are not 5 percent or greater.

12/15/222/28/23
2 - Minimal harm or potential for actual harm
Few

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.

12/15/222/28/23
2 - Minimal harm or potential for actual harm
Some
Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.
Administration Deficiencies
No Administration Deficiencies were found during this inspection period.

Detailed result for inspection on 9/23/21
Date of last standard health inspection:9/23/21Read the full report (PDF)
Date(s) of complaint inspection(s) between 4/1/22 - 3/31/23
Date(s) of infection control inspection(s) between 4/1/22 - 3/31/23
No infection control inspections
Total number of Health Deficiencies for this nursing home:12
Average number of Health Deficiencies in Arizona:8.1
Average number of Health Deficiencies in the United States:8.7
Freedom from Abuse, Neglect, and Exploitation Deficiencies
No Freedom from Abuse, Neglect, and Exploitation Deficiencies were found during this inspection period.
Quality of Life and Care Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

9/23/2111/1/21
2 - Minimal harm or potential for actual harm
Some

Assist a resident in gaining access to vision and hearing services.

9/23/2111/1/21
2 - Minimal harm or potential for actual harm
Few

Provide routine and 24-hour emergency dental care for each resident.

9/23/2111/1/21
2 - Minimal harm or potential for actual harm
Few

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

9/23/2111/1/21
2 - Minimal harm or potential for actual harm
Few

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

9/23/2111/1/21
2 - Minimal harm or potential for actual harm
Few

Provide safe, appropriate pain management for a resident who requires such services.

9/23/2111/1/21
2 - Minimal harm or potential for actual harm
Few
Infection Control Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Report COVID19 data to residents and families.

9/23/2111/1/21
2 - Minimal harm or potential for actual harm
Some
Resident Assessment and Care Planning Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure services provided by the nursing facility meet professional standards of quality.

9/23/2111/1/21
2 - Minimal harm or potential for actual harm
Few

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

9/23/2111/1/21
2 - Minimal harm or potential for actual harm
Few

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

9/23/2111/1/21
2 - Minimal harm or potential for actual harm
Few

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

9/23/2111/1/21
2 - Minimal harm or potential for actual harm
Few
Nursing and Physician Services Deficiencies
No Nursing and Physician Services Deficiencies were found during this inspection period.
Resident Rights Deficiencies
No Resident Rights Deficiencies were found during this inspection period.
Nutrition and Dietary Deficiencies
No Nutrition and Dietary Deficiencies were found during this inspection period.
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Ensure medication error rates are not 5 percent or greater.

9/23/2111/1/21
2 - Minimal harm or potential for actual harm
Few
Environmental Deficiencies
No Environmental Deficiencies were found during this inspection period.
Administration Deficiencies
No Administration Deficiencies were found during this inspection period.
Complaints and facility-reported incidents in the past 3 years
Inspectors determined that the nursing home failed to:Inspection DateDate of Correction
Level of Harm
(Least to most)
Residents Affected
(Few, Some, Many)

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

10/22/2411/6/24
2 - Minimal harm or potential for actual harm
Few

Ensure services provided by the nursing facility meet professional standards of quality.

4/11/246/5/24
2 - Minimal harm or potential for actual harm
Few

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.

8/1/248/20/24
2 - Minimal harm or potential for actual harm
Few

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

4/28/237/14/23
3 - Actual harm
Few

Provide safe and appropriate respiratory care for a resident when needed.

1/10/241/11/24
2 - Minimal harm or potential for actual harm
Some

Provide care and assistance to perform activities of daily living for any resident who is unable.

12/15/222/28/23
2 - Minimal harm or potential for actual harm
Few
Infection control inspection deficiencies in the past 3 years
This nursing home has not had any infection control inspections in the past 3 years.
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