HAVEN OF PHOENIX
4202 NORTH 20TH AVENUE, PHOENIX, AZ 85015 · CCN 035107
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★☆☆ 3
- Quality measures
- ★★★★★ 5
- Staffing
- ★★☆☆☆ 2
Facility
- Ownership type
- For profit - Limited Liability company
- Certified beds
- 114
- Avg residents/day
- 108.7
- Phone
- 6022643824
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 | 2025-01-24 | 5 | 7.7 | 9.5 | -2.7 better |
| 2 | 2023-09-08 | 8 | 7.2 | 9.8 | +0.8 worse |
| 3 | 2022-07-28 | 6 | 8.6 | 9.3 | -2.6 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 2 |
| Resident assessment and care planning | 2 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 3.27 | 33.7% |
| RN staffing (reported) | 0.42 | 60.0% |
| Total nurse staffing (adjusted) | 3.14 | — |
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 (19)1 actual harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-12-16 · Health · corrected 2026-02-26
Actual harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-01-24 · Health · corrected 2025-02-21
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2025-01-24 · Health · corrected 2025-02-21
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-01-24 · Health · corrected 2025-02-21
Potential for more than minimal harm
- EF0680Ensure the activities program is directed by a qualified professional.2025-01-24 · Health · corrected 2025-02-21
Potential for more than minimal harm
- DF0658Ensure services provided by the nursing facility meet professional standards of quality.2024-09-13 · Health · corrected 2024-10-16
Potential for more than minimal harm
- DF0610Respond appropriately to all alleged violations.2024-08-20 · Health · corrected 2024-10-01
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-08-20 · Health · corrected 2024-10-01
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-09-08 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.2023-09-08 · Health · corrected 2023-11-17
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.2023-09-08 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0813Have a policy regarding use and storage of foods brought to residents by family and other visitors.2023-09-08 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-09-08 · Health · corrected 2023-11-17
Potential for more than minimal harm
- DF0645PASARR screening for Mental disorders or Intellectual Disabilities2022-07-28 · Health · corrected 2022-08-28
Potential for more than minimal harm
- EF0658Ensure services provided by the nursing facility meet professional standards of quality.2022-07-28 · Health · corrected 2022-08-28
Potential for more than minimal harm
- DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-07-28 · Health · corrected 2022-08-28
Potential for more than minimal harm
- DF0759Ensure medication error rates are not 5 percent or greater.2022-07-28 · Health · corrected 2022-08-28
Potential for more than minimal harm
- DF0825Provide or get specialized rehabilitative services as required for a resident.2022-07-28 · Health · corrected 2022-08-28
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2022-07-28 · Health · corrected 2022-08-28
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| HAVEN HEALTH GROUP LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-06-01 |
| ROBERTSON, BRETT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-06-01 |
| SAMUELIAN, ROBERT | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-06-01 |
| SAMUELIAN, SPENCER | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-06-01 |
| SAMUELIAN, STEPHEN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-06-01 |
| WEST, CHRISTIAN | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — | 2016-06-01 |
| HEALTH GROUP MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-11-25 |
| AHMED, BAHALEDIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-06-01 |
| ESPINOSA, STEPHANIE | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-10-14 |
| FRAGOSO, LINDSAY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-05-10 |
| GANDHI, HEMANG | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 |
| GREINER, RUSSELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-16 |
| IVANCICH, CASEY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-08-12 |
| SEASTRAND, JASON | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-06-01 |
| WEST, CHRISTIAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2016-06-01 |
| HAVEN HEALTH PROPERTIES LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2016-06-01 |
| HAVEN PHOENIX REAL ESTATE LLC | Organization | 5% OR GREATER MORTGAGE INTEREST | — | 2016-06-01 |
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.