Inspection Reports for
Haven Health Sky Harbor

An onsite complaint survey was conducted on February 9, 2026 through February 10, 2026 for the following Intakes: 00155026; 00156565; & 00156690. There were no deficiencies cited.

This inspection resulted in no deficiencies cited.

The investigation of Complaints 2687513, 00153182, and 00145698, was conducted on December 26, 2025. The Federal Comments mention complaints 2687513, 2692183, and 2624857 with no deficiencies cited.

This inspection found no deficiencies.

The recertification survey was conducted September 21 through September 23, 2025, along with investigation of complaint intakes including 00144717, 00129060, 02257492, 00142940, 2592233, 00141487, 00141264, 2257207, 00133974, 00133747, 2257514, 2257511, 2257463, 2257459, 2257457, 2257455, 2257453, 2257452, 2257427, 2257425, 2257370, 2257408, 2257373, 2257399, 2257397, 2257400, 2257389, 2257375, 2257362, 00145342, 2623229, and 2623239. Federal comments included additional complaint intakes 2616281, 2257522, 2615743, 2257492, 2605303, 2593779, 2592233, 2257521, 2257207, 2257513, 2257511, 2257462, 2257458, 2257457, 2257454, 02257453, 2257451, 2257426, 2257425, 2257369, 2257407, 2257373, 2257398, 2257397, 2257400, 2257388, 2257374, 2257361, 2620767, 2623229, and 2623239.

The inspection found seven deficiencies related to medication administration, resident dignity during meal service, timely reporting of abuse allegations, and maintenance of complete medical records necessary for investigations.

The inspection found one deficiency related to the maintenance of patient sleeping room doors, which could allow heat or smoke transfer and pose harm to patients and staff.

The complaint involved an allegation by Resident #100 that a CNA held a dirty brief close to her face, causing emotional abuse. The allegation was reported late to mandated entities, contrary to facility policy requiring reporting within 2 hours. The investigation included interviews with staff and the resident, review of time punch reports, and facility policies. The alleged perpetrator was suspended pending investigation. The allegation was ultimately unsubstantiated, and no psychosocial harm was found.

The facility failed to report the allegation of abuse to mandated entities within 2 hours as required. The investigation found that the alleged perpetrator CNA was suspended, and post-incident monitoring showed no psychosocial harm to the resident. The allegation was ultimately unable to be substantiated. Additionally, the facility failed to maintain complete medical records necessary to investigate cases of seven residents, which posed a potential risk to resident care.

The investigation of complaints #00141609, 2257413, 2257406, 2257411 was conducted on September 5, 2025. The investigation of Complaints 2594405, 2257413, 2257406, 2257410 was conducted on September 5, 2025. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

An onsite complaint investigation for complaint # 2580435, 00138601, 2581225, 00138679, 2586864, 00140767 was conducted on August 11, 2025 through August 12, 2025. There were deficiencies cited. An onsite investigation of complaint # 2580435, 2581225, 2586864 was conducted on August 11, 2025 through August 12, 2025. There were deficiencies cited.

The inspection found six deficiencies related to failure to implement and follow abuse policies and procedures, including timely reporting and investigation of abuse allegations for two residents. The deficiencies could place residents at risk for further abuse.

The complaint survey was conducted on May 5, 2025 for the following complaint #'s AZ00224396 and AZ00224390. There were no deficiencies cited

This inspection resulted in no deficiencies cited.

An onsite complaint survey was conducted on April 30, 2025 for the investigation of intake #00127675. An onsite complaint survey was conducted on April 30, 2025 for the investigation of intake #AZ00224302. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

The facility failed to maintain accurate documentation surrounding the deaths of two residents, including missing vital signs and incomplete records of the circumstances of death. The facility was unable to locate documentation for Resident #6's death in both electronic and paper records.

A complaint survey was conducted on March 20, 2025 to March 24, 2025 for the investigation of intake # SF00123180. A complaint survey was conducted on March 20, 2025 to March 24, 2025 for the investigation of intake # AZ00223857.

One deficiency was cited related to medical record maintenance. No evidence text was provided for the deficiency.

The complaint investigation was conducted on March 11, 2025, with investigation of complaints: 00116552, 00116537. The complaint investigation was conducted on March 11, 2025, with investigation of complaints: AZ00223612, AZ00223613. There were no deficiencies cited.

This inspection resulted in no deficiencies or citations.

The complaint survey was conducted 1/15/25 with investigation of complaints: AZ00221835, AZ00221917, AZ00221916, AZ00221963, AZ0222043, and AZ00222042. There were no deficiencies.

This inspection resulted in no deficiencies.

A complaint survey was conducted on January 10, 2025 for the investigation of intake #AZ00221313, AZ00221371, AZ00221373. There were no deficiencies cited.

This inspection resulted in no deficiencies or citations.

A complaint survey was conducted on January 2, 2025 for the investigation of intake # AZ00221051, AZ00220803, AZ00220689 and AZ00221411. No deficiencies were cited.

No deficiencies were found during this complaint investigation.

A complaint survey was conducted on December 12, 2024 for the investigation of intakes #AZ00219673, AZ00212344. No deficiencies were cited. Federal comments also noted investigation of intakes #AZ00212344, AZ00219672 with no deficiencies cited.

No deficiencies were cited during this complaint investigation.

A complaint survey was conducted on November 19, 2024 for the investigation of intakes #AZ00218944; #AZ00218841. Federal comments also reference intakes #AZ00218940; #AZ00218841. There were no deficiencies cited.

This inspection resulted in no deficiencies or citations.

A complaint survey was conducted on November 13, 2024 for the investigation of intake #AZ00218344; #AZ00218463. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

The complaint survey was conducted October 29, 2024 for the investigation of intakes #AZ00216771 and #AZ00216770. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

The complaint survey was conducted on October 22, 2024 with complaint numbers AZ00217107, AZ00217522, AZ00217188, AZ00217519, AZ00217283, and AZ00217187. Deficiencies were cited related to care plan updates for resident #22.

The inspection found two deficiencies related to failure to update a resident's care plan according to their preferences following a complaint investigation. The facility did not revise the care plan to include requested changes for resident #22 despite investigation notes stating otherwise.

A complaint survey was conducted on October 8, 2024 for the investigation of intake #AZ00216796 and intake #AZ00216794. There were no deficiencies cited.

This inspection resulted in no deficiencies or citations.

An onsite complaint survey was conducted on September 24, 2024 for the investigation of intake # AZ00216348, AZ00216090, AZ00215579. There were no deficiencies cited. Federal comments also note an onsite complaint survey for intake # AZ00216347, AZ00216090, AZ00215576 with no deficiencies cited.

This inspection resulted in no deficiencies cited.

The investigation of complaint AZ00214198 and AZ00214270 was conducted on August 8, 2024. There were no deficiencies found.

No deficiencies were found during this complaint investigation.

An onsite complaint survey was conducted on August 1, 2024 for the investigation of intake #s: AZ00213882 and AZ00213931. Federal comments also referenced intake #s: AZ00213879 and AZ00213931.

The inspection found two deficiencies related to the facility's failure to ensure a safe and appropriate transfer of one resident. The facility did not meet federal requirements for transfer documentation and safe transfer procedures.

An onsite complaint survey was conducted on July 30, 2024 for the investigation of intake # AZ00213699 and AZ00213493. Federal comments also note investigation of intake # AZ00213697 and AZ00213490. There were no deficiencies cited.

This inspection resulted in no deficiencies cited or citations.

The complaint survey was conducted on July 17, 2024 for the investigation of intake #s: AZ00212702, AZ00212703, AZ00213219, AZ00212701, AZ00212703 and AZ00213219. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

The complaint investigation focused on resident #48's communication deficits and the facility's failure to provide appropriate ASL-tactile interpretation services, resulting in isolation and unmet needs. Additional complaints included inadequate meal assistance, lack of activities, staffing documentation issues, improper medication administration, dental care deficiencies, food safety concerns, and incomplete clinical documentation. The investigation included interviews with family, staff, and service providers, as well as review of policies and records.

The facility failed to develop and implement a complete care plan addressing resident #48's communication needs, including the use of ASL-tactile interpreters. Staff lacked training in tactile sign language, resulting in poor communication and care. The facility also failed to provide timely meal assistance, maintain adequate staffing records, ensure proper medication administration, provide dental care, maintain food safety standards, and accurately document resident care. The quality assurance program did not adequately address these issues.

The facility failed to adequately address the communication needs of a resident (#48) who is deaf and blind and uses ASL-tactile, resulting in lack of appropriate interpreter services and staff training. There were deficiencies in providing assistance with meals, ensuring food was served warm and palatable, maintaining sanitary kitchen conditions, and ensuring accurate clinical documentation. Staffing records were incomplete, and the facility failed to ensure a registered nurse worked 8 consecutive hours daily. Pain medication administration outside ordered parameters was identified and addressed through QAPI. Dental care was not consistently provided or scheduled. Activities were insufficiently documented and did not meet resident needs.

The State compliance survey was conducted 4/29/2024 through 5/6/2024, in conjunction with the investigation of intake #s: AZ00203480 and AZ00199182. The recertification survey was conducted 4/29/2024 through 5/6/2024, in conjunction with the investigation of intake #s: AZ00203479 and AZ00199181.

The inspection identified 20 deficiencies including failures in quality assurance action plans, comprehensive care planning for communication deficits, staff training in communication skills, assistance with meals, provision of dental services, food safety, and accurate clinical documentation. The facility also failed to ensure sufficient nursing staff documentation and RN coverage.

The inspection found one deficiency related to failure to provide records of electrical equipment tests, repairs, and modifications. The facility met standards based on acceptance of a plan of correction.

An onsite complaint survey was conducted on April 11, 2024 for the investigation of intake numbers AZ00208350, AZ00206490, AZ00203611 and AZ00203650. Federal comments referenced intakes AZ00208349, AZ00206490, AZ00203611 and AZ00203649.

The inspection found two deficiencies related to failure to ensure medications were administered as ordered for one resident. The facility did not consistently document or communicate medication availability and administration issues.

A complaint survey was conducted on February 8, 2024 for the investigation of intake #s AZ00205726, AZ00205709, AZ00204142, AZ00204133. Federal comments note investigation of intake #s AZ00205724, AZ00205709, AZ00204141, AZ00204133. There were no deficiencies cited.

This inspection resulted in no deficiencies or citations.

The investigation of complaints AZ00204790 and AZ00204993 was conducted on 1/10/24. The following deficiencies were cited. Federal comments also referenced investigation of complaints AZ00204790 and AZ00204992 on 1/10/24.

The inspection found two deficiencies related to inadequate oxygen supply for six residents, which resulted in emergent hospital transfers. The facility failed to maintain adequate respiratory care consistent with professional standards and resident care plans.

The facility failed to ensure adequate oxygen supply for six residents, resulting in an emergent situation where residents were transported to hospitals. Oxygen supply monitoring was inadequate prior to the incident, and there was no log tracking oxygen tank usage before 1/2/2024. The facility has since implemented a log and emergency preparedness training.

The inspection found one deficiency related to incomplete COVID-19 reporting to the CDC's National Healthcare Safety Network during a required seven-day period.

A complaint survey was conducted on November 1, 2023 for the investigation of intake #s: AZ00202507, AZ00202198, and AZ00195183. Federal comments also note investigation of intake #s: AZ00202506, AZ00202197, and AZ00195181. There were no deficiencies cited.

This inspection resulted in no deficiencies or citations.

The investigation of complaint AZ00198526 was conducted on August 11, 2023. The investigation of complaint AZ00198522 was conducted on August 11, 2023. There were no deficiencies found.

No deficiencies were found during this complaint investigation.

A $500.00 penalty was assessed and paid in full on 24 August 2023.

The complaint investigation was substantiated. Resident #1 reported sexual abuse by a visitor (spouse of another resident) on April 22, 2023. The visitor was found in the resident's room with pants down. The resident reported the visitor raped her. The facility investigation and medical examination confirmed minor genital injuries consistent with the assault.

The facility failed to protect resident #1 from sexual abuse by a visitor who was the spouse of another resident. The investigation revealed the visitor was found on top of resident #1 in her room, and the resident reported being raped. Multiple staff interviews and medical examinations confirmed the incident. The facility lacked adequate visitor monitoring and had non-functioning video cameras.

The visit was complaint-related, triggered by allegations of failure to maintain resident dignity, medication errors, infection control deficiencies, inadequate care, and lack of staff training. Substantiation status is not explicitly stated.

The facility was found deficient in multiple areas including failure to maintain resident dignity, medication administration errors, improper infection control practices, failure to provide timely continence care, inadequate respiratory care, lack of monitoring psychotropic medication side effects, and insufficient staff training on resident rights, abuse prevention, dementia care, and infection control.

The facility was found deficient in multiple areas including failure to maintain resident dignity related to catheter privacy, medication administration errors, improper respiratory care, failure to provide timely continence care, inadequate monitoring of psychotropic medications, lack of infection preventionist training, and incomplete staff training on resident rights, abuse prevention, and infection control.

The facility was found deficient in multiple areas including incomplete and untimely Minimum Data Set (MDS) assessments, incomplete baseline and comprehensive care plans, medication administration errors, inadequate pressure ulcer care, failure to provide routine dental care, failure to notify residents and families of COVID-19 positive staff, and failure to ensure residents received scheduled showers and vision care.

The facility was found deficient in multiple areas including incomplete and overdue MDS assessments, failure to develop baseline and comprehensive care plans addressing psychotropic medications, splinting devices, and IV antibiotic use, medication administration errors, inadequate pressure ulcer care and documentation, failure to provide routine dental care, failure to notify residents and families of COVID-19 positive staff, and failure to ensure residents received scheduled showers and vision care assistance.