Inspection Reports for Haven Health Flagstaff
800 W University Ave, Flagstaff, AZ 86001, United States, AZ, 86001
Back to Facility ProfileInspection Report Summary
The most recent inspection on March 19, 2025, cited two deficiencies related to corridor doors and smoke barrier construction during a Life Safety Code recertification survey. Earlier inspections showed a pattern of deficiencies primarily involving abuse reporting, resident abuse prevention, medication services, and policies and procedures for health services. Complaint investigations were conducted frequently, with most complaints found unsubstantiated; no fines, immediate jeopardy findings, or enforcement actions were listed in the available reports. Prior reports also noted issues with emergency preparedness and care planning, but these were not present in the latest survey. The facility’s inspection history shows ongoing challenges with regulatory compliance in several areas, though recent findings suggest some issues have been addressed while others persist.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
10 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
170% worse than Arizona average
Arizona average: 3.7 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Capacity: 83
Deficiencies: 2
Date: Mar 19, 2025
Visit Reason
Life Safety Code recertification survey for Medicare under LSC 2012, Chapter 19. Facility meets standards based on acceptance of plan of correction. Two deficiencies cited related to corridor doors and smoke barrier construction.
Findings
Life Safety Code recertification survey for Medicare under LSC 2012, Chapter 19. Facility meets standards based on acceptance of plan of correction. Two deficiencies cited related to corridor doors and smoke barrier construction.
Deficiencies (2)
Corridor - Doors — Doors protecting corridor openings not properly maintained
Subdivision of Building Spaces - Smoke Barrier Construction — Smoke barriers fire resistance rating
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 6
Date: Mar 14, 2025
Visit Reason
Recertification survey combined with complaint investigations citing 6 deficiencies related to policies, abuse reporting, resident care, medication services, and food service contracts.
Findings
Recertification survey combined with complaint investigations citing 6 deficiencies related to policies, abuse reporting, resident care, medication services, and food service contracts.
Deficiencies (6)
R9-10-403.C — Policies and procedures for physical and behavioral health services
R9-10-403.E — Abuse, neglect, or exploitation reporting
R9-10-410.B — Resident abuse prevention
R9-10-411.A — Medical record maintenance
R9-10-421.A — Medication services policies and procedures
R9-10-423.A — Food establishment contract requirements
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 3
Date: Oct 23, 2024
Visit Reason
Complaint survey citing 3 deficiencies related to abuse reporting, resident abuse prevention, and care planning for pressure ulcers.
Findings
Complaint survey citing 3 deficiencies related to abuse reporting, resident abuse prevention, and care planning for pressure ulcers.
Deficiencies (3)
R9-10-403.F — Abuse, neglect or exploitation reasonable basis and reporting
R9-10-410.B — Resident abuse prevention
R9-10-414.B — Care plan nursing care provision
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 0
Date: Sep 27, 2024
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 0
Date: Aug 19, 2024
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 0
Date: Aug 19, 2024
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 0
Date: Jul 1, 2024
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 4
Date: Dec 14, 2023
Visit Reason
Complaint survey citing 4 deficiencies related to abuse investigations and resident abuse prevention.
Findings
Complaint survey citing 4 deficiencies related to abuse investigations and resident abuse prevention.
Deficiencies (4)
R9-10-403.F — Abuse, neglect or exploitation reasonable basis and reporting
§483.12 — Freedom from abuse, neglect, and exploitation
§483.12(c) — Evidence of investigation of abuse allegations
R9-10-410.B — Resident abuse prevention
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 0
Date: Oct 25, 2023
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
Inspection Report
Capacity: 83
Deficiencies: 4
Date: Oct 6, 2023
Visit Reason
Life Safety Code recertification survey citing 4 deficiencies related to emergency preparedness exercises, corridor doors, fire drills, and emergency generator testing.
Findings
Life Safety Code recertification survey citing 4 deficiencies related to emergency preparedness exercises, corridor doors, fire drills, and emergency generator testing.
Deficiencies (4)
(2) Testing — Emergency plan exercises testing
Corridor - Doors — Doors protecting corridor openings not properly maintained
Fire Drills — Fire drill documentation and conduct
Electrical Systems - Essential Electric System Maintenance and Testing — Emergency generator testing
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 11
Date: Oct 5, 2023
Visit Reason
State compliance survey combined with complaint investigations citing 11 deficiencies related to abuse reporting, medication self-administration, PASRR coordination, activities program qualifications, rehabilitative services, and medication policies.
Findings
State compliance survey combined with complaint investigations citing 11 deficiencies related to abuse reporting, medication self-administration, PASRR coordination, activities program qualifications, rehabilitative services, and medication policies.
Deficiencies (11)
R9-10-403.C — Policies and procedures for physical and behavioral health services
R9-10-403.F — Abuse, neglect or exploitation reasonable basis and reporting
§483.10(c)(7) — Right to self-administer medications
§483.12(c) — Evidence of investigation of abuse allegations
§483.20(e) — Coordination with PASARR program
§483.20(k) — Preadmission Screening for mental disorder and intellectual disability
§483.24(c)(2) — Activities program directed by qualified professional
R9-10-406.I — Qualified individual designation for recreational activities
§483.65 — Specialized rehabilitative services provision
R9-10-413.B — Medical director responsibilities for services
R9-10-421.A — Medication services policies and procedures
Inspection Report
Complaint Investigation
Capacity: 83
Deficiencies: 0
Date: Aug 2, 2023
Visit Reason
Complaint survey with no deficiencies cited.
Findings
Complaint survey with no deficiencies cited.
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