Inspection Reports for
Haven Health Flagstaff

The complaint survey was conducted on April 22-23, 2026, with investigation of intakes: 00166496 and 00165823. There were no deficiencies cited.

This inspection resulted in no deficiencies cited.

The complaint investigation was conducted February 10, 2026, with investigation of intake: 00157040. The federal complaint investigation was conducted February 10, 2026, with investigation of intake: 2725750. There were no deficiencies found.

No deficiencies were found during this complaint investigation.

An offsite follow up survey was conducted on February 05, 2026. There were no deficiencies cited.

Two deficiencies were cited, both related to policies and procedures for health services and pharmacy services. No evidence text was provided for either deficiency.

The complaint investigation was conducted in December 22, 2025, with the investigation of intake: 00152191. The complaint investigation was conducted in December 22, 2025, with the investigation of intake: 2682211.

The inspection found two deficiencies related to medication diversion for two residents. Plans of correction were provided for both deficiencies.

The Risk-based complaint survey was conducted on October 23, 2025 for investigation of intake numbers AZ00154090, AZ00168212, AZ00170545, AZ00179142, AZ00180320, AZ00180405. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

The investigation of complaints 2265859, 00130624, 2265939, 00130053, 2567222, 00136995, 2265943, 00132553, 2265936, 2265937, 265933, 2265934, 2265927, 2265926, 2265918, 2265919, 2265915, 2265916 was conducted on July 31, 2025 through August 1, 2025. There were no deficiencies cited.

This inspection resulted in no deficiencies cited.

An onsite follow up survey was conducted on June 19, 2025. There were no deficiencies cited.

Two deficiencies were cited, both with plans of correction provided. No evidence text was included for either deficiency.

The complaint investigation was conducted on 5/29/2025, with investigation of intake #00131154. The complaint investigation was conducted on 5/29/2025, with investigation of intake #AZ00224571. There were no deficiencies cited.

This inspection resulted in no deficiencies or citations.

A $500.00 penalty was assessed and paid in full on 17 October 2025.

The complaint investigation was conducted 4/29/25 with investigation of intake #00127184. The complaint investigation was conducted 4/29/25 with investigation of intake #: AZ00224215.

Two deficiencies were cited during the complaint investigation. No evidence details were provided for either deficiency.

Two deficiencies were cited, but no evidence was provided for either deficiency. No plan of correction was included in the report.

The complaint involved allegations that a resident was allowed to self-administer medication without proper assessment or physician order, a resident was abused by another resident, the facility failed to report the abuse to law enforcement, food was improperly labeled and stored, and medical records were incomplete and inaccurate. The facility investigation unsubstantiated the abuse allegation but failed to notify law enforcement. Interviews with staff confirmed these issues.

The facility failed to ensure safe self-administration of medication for one resident, failed to protect a resident from abuse by another resident, failed to report abuse allegations to law enforcement, failed to label and date food items properly, and failed to maintain complete and accurate medical records for two residents. The deficiencies posed minimal harm or potential for actual harm to a few residents.

The Recertification survey was conducted 03/11/2025 through 03/14/2025 in conjunction with the investigation of complaints AZ00179508, AZ00180346, AZ00208154, AZ00207082, AZ00206985, AZ00180312, AZ00208673, AZ00186123, AZ00186145, AZ00207505, AZ00206985, AZ00201977, AZ00180221. Federal complaints investigated included AZ00179507, AZ00180345, AZ00208150, AZ00207080, AZ00206985, AZ00180311, AZ00208672, AZ00186123, AZ00186144, AZ00207504, AZ00206985, AZ00201977, AZ00180220.

Six deficiencies were cited during this inspection. No evidence details were provided for any of the deficiencies.

The complaint investigation focused on a physical altercation between two residents on January 28, 2021, which was not properly reported to the state survey agency. The facility also failed to submit a timely 5-day investigation summary. Several staff who witnessed the incident were no longer employed. The investigation included interviews with multiple staff and review of facility policies.

The facility failed to ensure two residents were free from physical abuse and did not submit a timely 5-day written investigation summary regarding the altercation. Additionally, the facility failed to ensure consistent weekly wound care assessments for one resident, potentially risking worsening pressure ulcers.

The complaint survey was conducted on September 27, 2024, investigating intake numbers AZ00212475, AZ00216097, AZ00212474, AZ00212438, and AZ00216095. No deficiencies were cited.

This inspection resulted in no deficiencies cited or citations.

A complaint survey was conducted on August 19, 2024 for the investigation of intake #AZ00214721. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

A complaint survey was conducted on August 18, 2024 through August 19, 2024 for the investigation of intake # AZ00214137. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

An onsite complaint survey was conducted on July 1, 2024 for the investigation of intake #s AZ00212063, AZ00204814, AZ00204809. There were no deficiencies cited. Federal Comments confirm the same complaint intakes and no deficiencies.

No deficiencies were cited during this inspection.

A complaint survey was conducted on December 14, 2023 for the investigation of intake numbers AZ00203761, AZ00189896, and AZ00189616. The investigation included review of clinical records, staff interviews, and facility policies related to allegations of resident abuse.

The inspection found four deficiencies related to failure to thoroughly investigate and report an allegation of resident-to-resident abuse within required timeframes. The facility failed to ensure a resident was free from abuse by another resident and did not provide evidence of timely investigation and reporting to the State Agency.

A complaint survey was conducted on October 25, 2023 for the investigation of intake #AZ00201491, AZ00201500, AZ00201608 and AZ00201889. Federal comments also note investigation of intakes #AZ00201491, AZ00201498, AZ00201606 and AZ00201882 with no deficiencies cited.

No deficiencies were cited during this complaint investigation.

The inspection identified four deficiencies related to emergency preparedness exercises, door maintenance, fire drill documentation, and emergency generator testing. Plans of correction were provided for all deficiencies.

The state compliance survey was conducted 10/02/2023 through 10/05/2023 in conjunction with investigation of complaints AZ00193805, AZ00193794, AZ00194533, AZ00194536, AZ00195903, AZ00195962, AZ00196743, AZ00196879, AZ00199422, AZ00199587, AZ00200338, AZ00201585, AZ00201462. The federal recertification survey was conducted concurrently with investigation of complaints AZ00193804, AZ00193794, AZ00194532, AZ00194535, AZ00195903, AZ00195961, AZ00196743, AZ00196877, AZ00199422, AZ00199586, AZ00200338, AZ00201585, AZ00201462.

The inspection found 11 deficiencies related to failure to update PASRR screenings, failure to report alleged abuse timely, failure to assess resident for medication self-administration, unqualified activities program director, and failure to provide ordered rehabilitation services. Plans of correction were provided for all deficiencies.

The complaint investigation included allegations of improper medication self-administration, failure to report abuse timely, incomplete PASRR referrals, unqualified activities program management, and failure to provide ordered rehabilitation services. The abuse allegation was not substantiated after investigation.

The facility was found deficient in multiple areas including failure to assess a resident for self-administration of medications, failure to timely report and investigate alleged abuse, failure to complete required PASRR Level II referrals and updates, lack of qualified professional directing the activities program, and failure to provide ordered rehabilitation services to a resident.

The facility was found deficient in multiple areas including failure to assess a resident for medication self-administration, failure to timely report and investigate an alleged abuse incident, failure to complete required PASRR Level II referral and update Level I screening for residents, lack of qualified professional directing the activities program, and failure to provide ordered rehabilitation services to a resident.

The complaint survey was conducted on August 1 through 2, 2023 for the investigation of intake numbers AZ00198020, AZ00198007, and AZ00198003. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

The complaint investigation substantiated that the facility failed to timely report an allegation of resident-to-resident abuse, failed to transmit a discharge MDS assessment timely, had inaccuracies in MDS assessments, did not provide activities according to resident preferences, and had sanitation and maintenance deficiencies in the kitchen.

The facility failed to timely report an allegation of resident-to-resident abuse, failed to transmit a discharge MDS assessment within the required timeframe, had inaccuracies in a resident's MDS discharge assessment, did not provide activities according to one resident's preferences due to unresolved TV issues, and had sanitation deficiencies in the kitchen including dishwasher chemical levels, unclean kitchenware, and dusty electrical cords above the tray line.