HAVEN HEALTH SKY HARBOR, LLC
1880 EAST VAN BUREN STREET, PHOENIX, AZ 85006 · CCN 035290
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★☆☆☆☆ 1
- Quality measures
- ★★★★★ 5
- Staffing
- ★☆☆☆☆ 1
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 120
- Avg residents/day
- 108.1
- Phone
- 6022534570
Inspection history vs Arizona & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | Arizona avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2024-05-06 | 19 | 7.7 | 9.5 | +11.3 worse |
| 2 | 2022-12-15 | 13 | 7.2 | 9.8 | +5.8 worse |
| 3 | 2021-09-23 | 14 | 8.6 | 9.3 | +5.4 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 4 |
| Quality of life and care | 4 |
| Resident assessment and care planning | 4 |
| Nursing and physician services | 2 |
| Nutrition and dietary | 2 |
| Pharmacy service | 1 |
| Administration | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.62 | 44.8% |
| RN staffing (reported) | 0.61 | 55.0% |
| Total nurse staffing (adjusted) | 2.85 | — |
Fines & penalties
- Total fines
- $43,628
- Number of fines
- 1
- Number of penalties
- 1
- Payment denials
- 0
Chain
- Chain
- HAVEN HEALTH
- Facilities in chain
- 20
- Chain avg overall
- 2.70 / 5
Inspection citations (46)1 actual harm
- DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-11-13 · Health · corrected 2025-12-05
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-11-13 · Health · corrected 2025-12-05
Potential for more than minimal harm
- EF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-08-12 · Health · corrected 2025-09-25
Potential for more than minimal harm
- EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-08-12 · Health · corrected 2025-09-25
Potential for more than minimal harm
- EF0610Respond appropriately to all alleged violations.2025-08-12 · Health · corrected 2025-09-25
Potential for more than minimal harm
- DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-24 · Health · corrected 2025-04-25
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2024-10-22 · Health · corrected 2024-11-06
Potential for more than minimal harm
- DF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2024-08-01 · Health · corrected 2024-08-20
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2024-05-06 · Health · corrected 2024-07-03
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2024-05-06 · Health · corrected 2024-07-03
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-05-06 · Health · corrected 2024-07-03
Potential for more than minimal harm
- EF0679Provide activities to meet all resident's needs.2024-05-06 · Health · corrected 2024-07-03
Potential for more than minimal harm
- DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-05-06 · Health · corrected 2024-07-03
Potential for more than minimal harm
- DF0727Have 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.2024-05-06 · Health · corrected 2024-07-03
Potential for more than minimal harm
- EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-05-06 · Health · corrected 2024-07-03
Potential for more than minimal harm
- DF0790Provide routine and 24-hour emergency dental care for each resident.2024-05-06 · Health · corrected 2024-07-03
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2024-05-06 · Health · corrected 2024-07-03
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2024-05-06 · Health · corrected 2024-07-03
Potential for more than minimal harm
- EF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-06 · Health · corrected 2024-07-03
Potential for more than minimal harm
- EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2024-05-06 · Health · corrected 2024-07-03
Potential for more than minimal harm
- DF0940Develop, implement, and/or maintain an effective training program for all new and existing staff members.2024-05-06 · Health · corrected 2024-07-03
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-04-11 · Health · corrected 2024-06-05
Potential for more than minimal harm
- EF0695Provide safe and appropriate respiratory care for a resident when needed.2024-01-10 · Health · corrected 2024-01-11
Potential for more than minimal harm
- GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-04-28 · Health · corrected 2023-07-14
Actual harm
- DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2022-12-15 · Health · corrected 2023-02-28
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-12-15 · Health · corrected 2023-02-28
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-12-15 · Health · corrected 2023-02-28
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-12-15 · Health · corrected 2023-02-28
Potential for more than minimal harm
- EF0758Implement 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.2022-12-15 · Health · corrected 2023-02-28
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-12-15 · Health · corrected 2023-02-28
Potential for more than minimal harm
- EF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2022-12-15 · Health · corrected 2023-02-28
Potential for more than minimal harm
- DF0942Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.2022-12-15 · Health · corrected 2023-02-28
Potential for more than minimal harm
- DF0943Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.2022-12-15 · Health · corrected 2023-02-28
Potential for more than minimal harm
- DF0945Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.2022-12-15 · Health · corrected 2023-02-28
Potential for more than minimal harm
- DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2021-09-23 · Health · corrected 2021-11-01
Potential for more than minimal harm
- DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-09-23 · Health · corrected 2021-11-01
Potential for more than minimal harm
- DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-09-23 · Health · corrected 2021-11-01
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-09-23 · Health · corrected 2021-11-01
Potential for more than minimal harm
- DF0676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.2021-09-23 · Health · corrected 2021-11-01
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-09-23 · Health · corrected 2021-11-01
Potential for more than minimal harm
- DF0685Assist a resident in gaining access to vision and hearing services.2021-09-23 · Health · corrected 2021-11-01
Potential for more than minimal harm
- EF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2021-09-23 · Health · corrected 2021-11-01
Potential for more than minimal harm
- DF0697Provide safe, appropriate pain management for a resident who requires such services.2021-09-23 · Health · corrected 2021-11-01
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2021-09-23 · Health · corrected 2021-11-01
Potential for more than minimal harm
- DF0790Provide routine and 24-hour emergency dental care for each resident.2021-09-23 · Health · corrected 2021-11-01
Potential for more than minimal harm
- EF0885Report COVID19 data to residents and families.2021-09-23 · Health · corrected 2021-11-01
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HEALTH GROUP MANAGEMENT LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2023-08-01 |
| HAVEN HEALTH PROPERTIES LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2023-08-01 |
| SAMUELIAN, ROBERT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-08-01 |
| SAMUELIAN, SPENCER | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-08-01 |
| SAMUELIAN, STEPHEN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-08-01 |
| WEST, CHRISTIAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-08-01 |
| HEALTH GROUP MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-01 |
| BRADY, MITCHELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-14 |
| ESPINOSA, STEPHANIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-14 |
| FRAGOSO, LINDSAY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-14 |
| GREINER, RUSSELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-14 |
| KNIGHT, TASHAY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-14 |
| NASSER, MOHAMMAD | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-13 |
| ROBERTSON, BRETT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-14 |
| SAMUELIAN, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-14 |
| SAMUELIAN, SPENCER | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-14 |
| SAMUELIAN, STEPHEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-14 |
| SEASTRAND, JASON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-14 |
| WEST, CHRISTIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-01-14 |
| ESPINOSA, STEPHANIE | Individual | CORPORATE OFFICER | — | 2024-10-14 |
| FRAGOSO, LINDSAY | Individual | CORPORATE OFFICER | — | 2023-08-01 |
| SEASTRAND, JASON | Individual | CORPORATE OFFICER | — | 2023-08-01 |
| HAVEN HEALTH GROUP LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-08-01 |
| HAVEN SKY HARBOR REAL ESTATE LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2023-08-01 |
| ROBERTSON, BRETT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2023-08-01 |
Other facilities in PHOENIX
| Name | Overall | Beds |
|---|---|---|
| CORONADO HEALTHCARE CENTER | ★★★★★ | 191 |
| ACACIA HEALTH CENTER | ★★★★★ | 78 |
| THE TERRACES OF PHOENIX | ★★★★★ | 64 |
| NORTH MOUNTAIN MEDICAL AND REHABILITATION CENTER | ★★★★★ | 155 |
| NORTHPARK HEALTH AND REHABILITATION OF CASCADIA | ★★★★★ | 54 |
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.