Starfile

Starfile / Arizona

HAVEN OF COTTONWOOD

197 SOUTH WILLARD STREET, COTTONWOOD, AZ 86326 · CCN 035093

Ratings

Overall
★★☆☆☆ 2
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★★ 5
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Limited Liability company
Certified beds
80
Avg residents/day
70.5
Phone
9286345548

Inspection history vs Arizona & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityArizona avgNational avgvs state
12025-05-21247.79.5+16.3 worse
22024-04-1177.29.8-0.2 better
32022-11-17168.69.3+7.4 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation3
Quality of life and care6
Resident assessment and care planning5
Nursing and physician services1
Resident rights4
Nutrition and dietary1
Pharmacy service3
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)2.6657.1%
RN staffing (reported)0.4366.7%
Total nurse staffing (adjusted)2.74

Fines & penalties

Total fines
$0
Number of fines
0
Number of penalties
0
Payment denials
0

Chain

Chain
HAVEN HEALTH
Facilities in chain
20
Chain avg overall
2.70 / 5

Inspection citations (47)

  1. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-08-27 · Health · corrected 2025-11-21

    Potential for more than minimal harm

  2. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-07-01 · Health · corrected 2025-08-11

    Potential for more than minimal harm

  3. DF0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  4. DF0552Ensure that residents are fully informed and understand their health status, care and treatments.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  5. EF0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  6. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  7. EF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  8. EF0610Respond appropriately to all alleged violations.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  9. DF0628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  10. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  11. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  12. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  13. EF0679Provide activities to meet all resident's needs.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  14. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  15. DF0697Provide safe, appropriate pain management for a resident who requires such services.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  16. EF0727Have 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.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  17. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  18. DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  19. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  20. EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  21. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  22. EF0880Provide and implement an infection prevention and control program.2025-05-21 · Health · corrected 2025-07-11

    Potential for more than minimal harm

  23. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-04-03 · Health · corrected 2025-05-16

    Potential for more than minimal harm

  24. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-26 · Health · corrected 2025-04-18

    Potential for more than minimal harm

  25. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-27 · Health · corrected 2025-03-31

    Potential for more than minimal harm

  26. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-12-04 · Health · corrected 2025-01-20

    Potential for more than minimal harm

  27. DF0610Respond appropriately to all alleged violations.2024-05-16 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  28. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-05-16 · Health · corrected 2024-06-21

    Potential for more than minimal harm

  29. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  30. DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  31. EF0880Provide and implement an infection prevention and control program.2024-04-11 · Health · corrected 2024-06-03

    Potential for more than minimal harm

  32. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-03-02 · Health · corrected 2023-05-05

    Potential for more than minimal harm

  33. DF0558Reasonably accommodate the needs and preferences of each resident.2022-11-17 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  34. BF0582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.2022-11-17 · Health · corrected 2023-01-23

    Potential for minimal harm

  35. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-11-17 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  36. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2022-11-17 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  37. DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-11-17 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  38. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-11-17 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  39. DF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2022-11-17 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  40. DF0692Provide enough food/fluids to maintain a resident's health.2022-11-17 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  41. DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-11-17 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  42. DF0742Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.2022-11-17 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  43. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-11-17 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  44. EF0880Provide and implement an infection prevention and control program.2022-11-17 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  45. FF0882Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.2022-11-17 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  46. DF0883Develop and implement policies and procedures for flu and pneumonia vaccinations.2022-11-17 · Health · corrected 2023-01-23

    Potential for more than minimal harm

  47. DF0887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.2022-11-17 · Health · corrected 2023-01-23

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
HAVEN HEALTH GROUP LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2013-02-01
ROBERTSON, BRETTIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST2013-02-01
SAMUELIAN, ROBERTIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST2013-02-01
SAMUELIAN, SPENCERIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST2013-02-01
SAMUELIAN, STEPHENIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST2013-02-01
WEST, CHRISTIANIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST2013-02-01
HEALTH GROUP MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-11-25
ESPINOSA, STEPHANIEIndividualOPERATIONAL/MANAGERIAL CONTROL2024-10-14
FRAGOSO, LINDSAYIndividualOPERATIONAL/MANAGERIAL CONTROL2021-05-10
HAMMER, RONALDIndividualOPERATIONAL/MANAGERIAL CONTROL2024-10-28
LONGHURST, STOCKIndividualOPERATIONAL/MANAGERIAL CONTROL2020-11-15
NIELSEN, CODYIndividualOPERATIONAL/MANAGERIAL CONTROL2024-11-26
SAMUELIAN, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-22
SAMUELIAN, SPENCERIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-22
SAMUELIAN, STEPHENIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-22
SEASTRAND, JASONIndividualOPERATIONAL/MANAGERIAL CONTROL2013-02-01
VIJ, NEERAJIndividualOPERATIONAL/MANAGERIAL CONTROL2021-03-15
WEST, CHRISTIANIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-22
ROBERTSON, BRETTIndividualCORPORATE OFFICER2013-02-01
HAVEN ARIZONA REAL ESTATE, LLCOrganization5% OR GREATER MORTGAGE INTEREST2013-02-01
HAVEN COTTONWOOD REAL ESTATE LLCOrganization5% OR GREATER MORTGAGE INTEREST2013-02-01
HAVEN REAL ESTATE PARTNERS, LLCOrganization5% OR GREATER MORTGAGE INTEREST2013-02-01

Other facilities in COTTONWOOD

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.