Inspection Reports for Haven Health Saguaro Valley

AZ

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Inspection Report Summary

The most recent inspection on May 27, 2025, found deficiencies related to corridor doors not meeting fire safety standards. Earlier inspections showed a pattern of deficiencies involving abuse prevention, infection control, care planning, medication management, and safety hazards. Complaint investigations included substantiated abuse-related citations as well as issues with policies and infection control, while most other complaints were unsubstantiated. Enforcement actions such as fines or license suspensions were not listed in the available reports. The facility’s inspection history shows ongoing challenges in several areas without a clear trend of consistent improvement or worsening.

Deficiencies (last 3 years)

Deficiencies (over 3 years) 6.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

70% worse than Arizona average
Arizona average: 3.7 deficiencies/year

Deficiencies per year

8 6 4 2 0
2023
2024
2025

Census

Latest occupancy rate 77% occupied

Based on a May 2025 inspection.

Census over time

81 90 99 108 117 Mar 2023 Aug 2023 Oct 2023 Jun 2024 Dec 2024 Mar 2025 May 2025

Inspection Report

Census: 86 Capacity: 112 Deficiencies: 1 Date: May 27, 2025

Visit Reason
Life Safety Code Survey found noncompliance with corridor door requirements and fire safety standards.

Findings
Life Safety Code Survey found noncompliance with corridor door requirements and fire safety standards.

Deficiencies (1)
Corridor - Doors Doors protecting corridor openings in other than required enclosures of vertical openings, exits, or hazardous areas resist the passage of smoke or fire

Inspection Report

Complaint Investigation
Census: 86 Capacity: 112 Deficiencies: 1 Date: Mar 11, 2025

Visit Reason
Complaint survey citing abuse-related deficiency.

Complaint Details
Investigation of intakes AZ00212850 and SF00115515
Findings
Complaint survey citing abuse-related deficiency.

Deficiencies (1)
R9-10-410.B. An administrator shall ensure that: R9-10-410.B.3.a. Abuse

Inspection Report

Complaint Investigation
Census: 86 Capacity: 112 Deficiencies: 0 Date: Jan 29, 2025

Visit Reason
Complaint survey with no deficiencies cited.

Complaint Details
Investigation of intakes AZ00221683 and AZ00221765
Findings
Complaint survey with no deficiencies cited.

Inspection Report

Complaint Investigation
Census: 86 Capacity: 112 Deficiencies: 0 Date: Dec 16, 2024

Visit Reason
Complaint survey with no deficiencies cited.

Complaint Details
Investigation of intakes AZ00219762, AZ00212917, AZ00212898
Findings
Complaint survey with no deficiencies cited.

Inspection Report

Complaint Investigation
Census: 86 Capacity: 112 Deficiencies: 0 Date: Sep 9, 2024

Visit Reason
Complaint survey with no deficiencies cited.

Complaint Details
Investigation of intake AZ00215652
Findings
Complaint survey with no deficiencies cited.

Inspection Report

Complaint Investigation
Census: 86 Capacity: 112 Deficiencies: 0 Date: Jun 19, 2024

Visit Reason
Complaint survey with no deficiencies cited.

Complaint Details
Investigation of intakes AZ00211933, AZ00211807, AZ00206737, AZ00206552
Findings
Complaint survey with no deficiencies cited.

Inspection Report

Complaint Investigation
Census: 86 Capacity: 112 Deficiencies: 0 Date: Nov 2, 2023

Visit Reason
Complaint survey with no deficiencies cited.

Complaint Details
Investigation of intakes AZ00199598, AZ00202192, AZ00202650, AZ00202642
Findings
Complaint survey with no deficiencies cited.

Inspection Report

Complaint Investigation
Census: 86 Capacity: 112 Deficiencies: 4 Date: Oct 19, 2023

Visit Reason
Complaint survey citing deficiencies related to abuse, infection control, and policies.

Complaint Details
Investigation of multiple intakes including AZ00201796, AZ00195578, AZ00195723, AZ00195862, AZ00195918, AZ00197633, AZ00198821, AZ00199575, AZ00201331, AZ00201362
Findings
Complaint survey citing deficiencies related to abuse, infection control, and policies.

Deficiencies (4)
R9-10-403.C. Policies and procedures for physical health services and behavioral health services
§483.12 Freedom from Abuse, Neglect, and Exploitation
§483.80 Infection Control The facility must establish and maintain an infection prevention and control program
R9-10-410.B. An administrator shall ensure that: R9-10-410.B.3.a. Abuse

Inspection Report

Complaint Investigation
Census: 86 Capacity: 112 Deficiencies: 0 Date: Sep 26, 2023

Visit Reason
Complaint survey with no deficiencies cited.

Complaint Details
Investigation of intake AZ00200588
Findings
Complaint survey with no deficiencies cited.

Inspection Report

Complaint Investigation
Census: 86 Capacity: 112 Deficiencies: 0 Date: Aug 7, 2023

Visit Reason
Complaint survey with no deficiencies cited.

Complaint Details
Investigation of complaint AZ00198475
Findings
Complaint survey with no deficiencies cited.

Inspection Report

Complaint Investigation
Census: 86 Capacity: 112 Deficiencies: 8 Date: Apr 13, 2023

Visit Reason
State compliance survey citing multiple deficiencies including notification failures, accident hazards, medication issues, and nursing services.

Complaint Details
Investigation of intakes AZ00185508, AZ00187353, AZ00188034, AZ00188867, AZ00188900, AZ00189158
Findings
State compliance survey citing multiple deficiencies including notification failures, accident hazards, medication issues, and nursing services.

Deficiencies (8)
§483.10(g)(14) Notification of Changes. Facility must notify responsible parties of changes
§483.25(d) Accidents. Facility must ensure resident environment is free of accident hazards
§483.35(b) Registered nurse services required
§483.45(d) Unnecessary Drugs-General. Resident's drug regimen must be free from unnecessary drugs
§483.45(g) Labeling of Drugs and Biologicals Drugs and biologicals must be labeled properly
R9-10-412.B. Director of nursing must ensure timely notification and no unnecessary drug administration
R9-10-421.D. Medication storage policies and procedures
R9-10-425.A. Nursing care institution premises and equipment must be free from hazards

Inspection Report

Census: 86 Capacity: 112 Deficiencies: 2 Date: Apr 13, 2023

Visit Reason
Life Safety Code recertification survey found deficiencies related to corridor doors and exposed wiring.

Findings
Life Safety Code recertification survey found deficiencies related to corridor doors and exposed wiring.

Deficiencies (2)
Corridor - Doors Doors protecting corridor openings in other than required enclosures of vertical openings, exits, or hazardous areas resist the passage of smoke or fire
Utilities - Gas and Electric Equipment must comply with NFPA 54 and electrical wiring standards

Inspection Report

Complaint Investigation
Census: 86 Capacity: 112 Deficiencies: 3 Date: Mar 21, 2023

Visit Reason
Complaint investigation citing deficiencies related to skin integrity, incontinence care, and care planning.

Complaint Details
Investigation of complaint #AZ00192311
Findings
Complaint investigation citing deficiencies related to skin integrity, incontinence care, and care planning.

Deficiencies (3)
§483.25(b) Skin Integrity §483.25(b)(1) Pressure ulcers prevention and care
§483.25(e) Incontinence care and services
R9-10-414.B. Care plan must ensure nursing care institution services

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