Inspection Reports for Haven Health Sky Harbor
1880 E Van Buren St, Phoenix, AZ 85006, United States, AZ, 85006
Back to Facility ProfileDeficiencies per Year
28
21
14
7
0
Unclassified
Inspection Report
Complaint Investigation
Census: 120
Capacity: 120
Deficiencies: 27
Apr 30, 2025
Visit Reason
State-compiled facility profile showing 27 inspections from 2022-2025 with complaint investigations and deficiency history.
Findings
Across multiple complaint investigations and annual compliance surveys, the facility was found to have deficiencies related to care planning, communication, medication administration, staffing documentation, dental services, food safety, and life safety code compliance. Several inspections cited no deficiencies.
Complaint Details
Multiple complaint investigations conducted between 2023 and 2025 with intake numbers including #00127675, SF00123180, AZ00224302, AZ00221835, AZ00221917, AZ00221916, AZ00221963, AZ0222043, AZ00222042, AZ00221313, AZ00221371, AZ00221373, AZ00221051, AZ00220803, AZ00220689, AZ00221411, AZ00219673, AZ00212344, AZ00218944, AZ00218841, AZ00218344, AZ00218463, AZ00216771, AZ00217107, AZ00217522, AZ00217188, AZ00213882, AZ00213931, AZ00213699, AZ00213493, AZ00212702, AZ00212703, AZ00213219, AZ00208350, AZ00206490, AZ00203611, AZ00203650, AZ00205726, AZ00205709, AZ00204142, AZ00204133, AZ00194336, AZ00194462, AZ00194384, AZ00194459, AZ00184836, AZ00184864, AZ00186302, AZ00183950, AZ00188522, AZ00188565, AZ00184279, AZ00178687, AZ00185490, AZ00187165, AZ00181095, AZ00188516, AZ00188550, AZ00202507, AZ00202198, AZ00195183, AZ00204790, AZ00204993, AZ00202506, AZ00202197, AZ00195181, AZ00198526.
Deficiencies (27)
| Description |
|---|
| R9-10-411.A. An administrator shall ensure that: R9-10-411.A.1. A medical record is established and maintained for each resident according to A.R.S. Title 12, Chapter 13, Article 7.1; |
| R9-10-414.B. An administrator shall ensure that a care plan for a resident: R9-10-414.B.2. Is reviewed and revised based on any change to the resident's comprehensive assessment; |
| §483.15(c) Transfer and discharge- Facility requirements and documentation to ensure safe and appropriate transfer of resident. |
| R9-10-408.C. Except for a transfer of a resident due to an emergency, an administrator shall ensure that documentation in the resident's medical record includes communication with receiving health care institution. |
| R9-10-404. An administrator shall ensure that a plan is established, documented, and implemented for an ongoing quality management program including identification and evaluation of incidents. |
| §483.21(b) Comprehensive Care Plans - Facility failed to develop and implement a comprehensive person-centered care plan for resident #48 addressing communication deficits and needs. |
| R9-10-406.H. An administrator shall ensure that a plan to provide in-service education specific to the duties of a personnel member is developed, documented and implemented; related to communication skills for resident #48. |
| §483.24(a) Care and services to ensure resident's abilities in activities of daily living do not diminish, including communication. |
| §483.24(a)(2) A resident who is unable to carry out activities of daily living receives necessary services to maintain good nutrition, grooming, and personal and oral hygiene. |
| §483.24(c) Activities - Facility failed to provide ongoing program of activities to support residents physical, mental, and psychosocial well-being for residents #48 and #37. |
| §483.35(a) Sufficient Staff - Facility failed to provide documentation of nursing and non-nursing staff working hours. |
| §483.35(b) Registered nurse - Facility failed to ensure a registered nurse worked at least 8 consecutive hours per day. |
| §483.45(d) Unnecessary Drugs-General - Facility failed to ensure pain medications were administered as ordered for resident #68. |
| §483.55 Dental services - Facility failed to ensure dental needs were met for resident #14. |
| §483.60(d) Food and drink - Facility failed to ensure resident #48's food was served warm and palatable. |
| §483.60(i) Food safety requirements - Facility failed to maintain a clean and sanitary environment in the kitchen and discarded unsafe food items. |
| §483.20(f)(5) Resident-identifiable information and §483.70(i) Medical records - Facility failed to ensure electronic health record for resident #48 was complete and accurate. |
| §483.75(c) Program feedback, data systems and monitoring - Facility failed to ensure QAA committee developed and implemented action plans on identified problems related to PRN pain medication administration. |
| §483.95 Training Requirements - Facility failed to ensure staff were trained in communication skills needed to communicate with resident #48. |
| R9-10-412.B. A director of nursing shall ensure that an unnecessary drug is not administered to a resident (related to pain medication for resident #68). |
| R9-10-413.B. A medical director shall ensure dental services are provided or assisted in obtaining for residents (related to resident #14). |
| R9-10-414.B. An administrator shall ensure that a care plan for a resident is developed, documented, and implemented within seven calendar days after completing the resident's comprehensive assessment (related to resident #48 communication deficits). |
| R9-10-414.B. An administrator shall ensure that a care plan ensures that a resident is provided nursing care institution services that assist the resident in maintaining the highest practicable well-being (related to resident #48 meal assistance). |
| R9-10-423.B. A registered dietitian or director of food services shall ensure that tableware, utensils, equipment, and food-contact surfaces are clean and in good repair. |
| Electrical Equipment - Testing and Maintenance Requirements - Facility failed to provide record of electrical equipment tests, repairs, and modifications as required by NFPA 99 and Life Safety Code. |
| §483.21(b)(3) Comprehensive Care Plans - Facility failed to ensure medications were administered as ordered for resident #400. |
| R9-10-421.B. An administrator shall ensure that a medication administered to a resident is administered in compliance with an order (related to resident #400). |
Report Facts
Inspections on page: 27
Total deficiencies: 28
Complaint inspections: 25
Facility capacity: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| MITCHELL BRADY | Administrator | Named as facility administrator in facility information |
| Director of Nursing | Director of Nursing (DON) | Named in multiple deficiency findings related to care planning, medication administration, and staff training |
| Assistant Director of Nursing | Assistant Director of Nursing (ADON) | Named in deficiency findings related to care planning and staff training |
| Vice President of Clinical Operations | Vice President of Clinical Operations | Named in deficiency findings related to pain medication administration and quality assurance |
| Operations Manager | Operations Manager | Named in interviews related to staffing and quality assurance |
| Acting Administrator | Acting Administrator | Named in interviews related to quality assurance and meal assistance |
| Care Coordinator | Care Coordinator | Named in dental services deficiency |
| Unit Coordinator/Unit Secretary | Unit Coordinator/Unit Secretary | Named in dental services deficiency |
| Dietary Manager | Dietary Manager | Named in food safety deficiency |
| Staff #666 | Receptionist/Scheduler of language access company | Named in communication services deficiency |
| Staff #8989 | Program Coordinator of Non-Profit Interpretation Service | Named in communication services deficiency |
| Staff #8607 | Activities Manager | Named in communication and activities deficiencies |
| Staff #2753 | Restorative Nursing Assistant | Named in communication deficiency interviews |
| Staff #7901 | Certified Nursing Assistant | Named in communication and meal assistance deficiencies |
| Staff #4901 | Certified Nursing Assistant | Named in communication and meal assistance deficiencies |
| Staff #4558 | Director of Nursing | Named in multiple interviews and deficiency findings |
| Staff #2908 | Vice President of Clinical Operations | Named in interviews related to pain medication administration |
| Staff #3911 | Acting Administrator | Named in interviews related to quality assurance and meal assistance |
| Staff #30 | Licensed Practical Nurse | Named in medication administration deficiency |
| Staff #40 | Licensed Practical Nurse | Named in medication administration deficiency |
| Staff #10 | Pharmacy Consultant | Named in medication administration deficiency |
| Staff #20 | Pharmacy Director | Named in medication administration deficiency |
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