Inspection Reports for
Haven Health Tucson

This inspection resulted in no citations or deficiency findings. The facility met all applicable Federal, State, and local emergency preparedness requirements.

The complaint involved an allegation by Resident #1's family member that the resident was neglected on November 16, 2025, including being left in urine-soaked sheets, uncovered, with oxygen equipment improperly applied, and poor hygiene. The family member reported the concerns via email on November 17, 2025, but the facility failed to respond appropriately or notify state agencies. Interviews with staff confirmed neglect is considered abuse and should be reported immediately. The Director of Nursing admitted missing the neglect allegation in the email and did not notify authorities as required.

The facility failed to timely report an allegation of neglect for Resident #1 to appropriate state agencies and failed to investigate the allegation. The Director of Nursing admitted missing the neglect allegation in an email and did not notify authorities as required by policy. The resident was found in poor condition as reported by family, and staff interviews confirmed the facility's deficient response.

The complaint investigation was conducted on 10/7/2025, with investigation of intake: 00145334. The complaint investigation was conducted on 10/7/2025, with investigation of intake: 2621404. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

A $500.00 penalty was assessed and paid in full on 5 March 2026.

The facility failed to ensure that physician-ordered intravenous treatment and laboratory tests were administered and reported as ordered for resident #22, resulting in the resident not receiving appropriate treatment and a critical lab value not being communicated to the physician, contributing to the resident's decline and death.

An onsite complaint survey was conducted on April 23, 2025 through April 28, 2025 for intake #00126267. An onsite complaint survey was conducted on April 23, 2025 through April 28, 2025 for intake #AZ00224125. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

An onsite risk-based complaint survey was conducted on April 1, 2025 for the investigation of the following intakes: AZ00156266, AZ00157580, AZ00172168, AZ00175642, AZ00177995, AZ00178352, AZ00180659, and AZ00182055.

This inspection resulted in no citations or deficiency findings.

The recertification survey was conducted in conjunction with the investigation of complaints: AZ00206206, AZ00206205, AZ00206299, AZ00206301, AZ00206512, AZ00206513, AZ00206553, AZ00206555, AZ00207368, AZ00207371, AZ00210706, AZ00210704, AZ00211284, AZ00211636, AZ00211736, AZ00211737, AZ00212405, AZ00212406, AZ00214220, AZ00214221, AZ00216804, AZ00216802, AZ00219393, AZ00219394, AZ00220043, AZ00220050, AZ00220310, AZ00220308.

The inspection identified seven deficiencies related to medication disposal, restraint monitoring, hearing assistance, discharge procedures, medication administration, infection control, and resident weight monitoring. Plans of correction were provided for all deficiencies.

The complaint investigation focused on resident #46's hearing impairment and the facility's failure to provide adequate assistance with hearing aids and communication. The resident expressed anxiety and frustration over malfunctioning hearing aids and difficulty communicating with staff. Staff interviews confirmed inconsistent use of communication aids such as writing messages. The complaint was substantiated with findings of deficient care planning and communication support.

The facility failed to ensure resident #46 received proper assistance with hearing aids and communication. Observations, clinical record reviews, and interviews revealed lack of hearing aid use, inadequate care planning for hearing needs, and insufficient communication accommodations.

The facility failed to ensure that resident #46 received adequate assistance to maintain hearing ability, including lack of hearing aids on the resident's inventory and care plan, insufficient communication accommodations, and inadequate documentation of hearing aid use. The resident expressed frustration with communication difficulties, and staff acknowledged gaps in communication support.

The visit was complaint-related, triggered by concerns about physical restraint monitoring, medication administration errors, hearing aid assistance, discharge procedures, weight monitoring, and infection control practices.

The facility was found deficient in monitoring and evaluation of physical restraints, medication administration practices including improper handling and disposal of medications, failure to assist a resident with hearing aids, discharging a resident with an unnecessary PICC line, failure to weigh a resident on admission, and inadequate infection control practices during medication administration. These deficiencies posed risks of psychosocial harm, medication contamination, ineffective communication, infection, and nutritional issues.

An onsite complaint survey was conducted on October 29, 2024 for the investigation of intake #AZ00217737 and #AZ00216393. Federal comments note investigation of intake #AZ00217736 and #AZ00216391. There were no deficiencies cited.

This inspection resulted in no deficiencies cited.

An onsite investigation of complaint #AZ00215645 was conducted on September 23, 2024 through September 24, 2024. An onsite investigation of complaint #AZ00215644 was conducted on September 23, 2024 through September 24, 2024. No deficiencies were cited.

No deficiencies were cited during this inspection.

The complaint investigation found that the fall risk evaluation did not document a recent fall that resulted in hospital transfer, and that fall mats were used without physician orders. Interviews with staff including CNA, MDS nurse, LPNs, and the Director of Nursing confirmed these findings and noted potential risks of inaccurate documentation and miscommunication.

The facility failed to accurately document a resident's fall risk assessment, omitting a recent fall from the evaluation, and failed to have physician orders in place for fall mats used as fall preventative measures. These deficiencies could result in inaccurate medical records and potential miscommunication among staff.

The facility failed to ensure accurate documentation of fall risk assessments for resident #1, resulting in an inaccurate assessment of the resident's fall history. Additionally, the facility did not have physician orders in place for fall mats used as fall preventative measures, although the mats were present in the resident's room.

An onsite complaint survey was conducted on June 21, 2024 for the investigation of intake #AZ00212085. There were no deficiencies cited.

No deficiencies were cited during this inspection.

The investigation of complaints AZ00204856, AZ00204881, and AZ00205126 was conducted on January 24th, 2024, via closed record review, staff interviews, review of facility documentation and facility policy and procedures, and through the observation of current practice. There were no deficiencies cited. The investigation of complaints AZ00204858, AZ00204882, and AZ00205128 was conducted on January 24th, 2024, via closed record review, staff interviews, review of facility documentation and facility policy and procedures, and through the observation of current practice. There were no deficiencies cited.

The investigation found no deficiencies or citations.

The complaint survey was conducted on December 4, 2023 through December 5, 2023 for the investigation of intake numbers AZ00203549, AZ00202134, AZ00201522, AZ00201479, AZ00201420, AZ00201458, AZ00201454, AZ00203547, AZ00202133, AZ00201520, AZ00201478, AZ00201419, AZ00201457 and AZ00201453. No deficiencies were cited.

No deficiencies were cited during this complaint investigation.

A complaint survey was conducted on September 29, 2023 for the investigation of intake #s: AZ00200706, AZ00198176, AZ00197341, AZ00197269, AZ00194771, AZ00194055, and AZ00192271. There were no deficiencies cited.

No deficiencies were cited during this complaint investigation.

No health deficiencies were found during the inspection.

No health deficiencies were found during the inspection.

A $500.00 penalty was assessed and paid in full on 12 July 2023.

The investigation was complaint-driven, focusing on allegations of inadequate continence care, medication availability issues, failure to accommodate dietary needs, and insufficient infection control practices. The report documents interviews, clinical record reviews, and policy assessments supporting these findings.

The facility was found deficient in providing appropriate catheter care and continence management for one resident, ensuring timely availability of medications for another resident, accommodating dietary preferences and allergies for two residents, and implementing an effective antibiotic stewardship program. Deficiencies included lack of documentation, failure to notify physicians, and inadequate monitoring and follow-up.

The facility was found deficient in providing appropriate catheter care and continence management for one resident, ensuring timely availability and administration of medications for another resident, accommodating dietary preferences and allergies for two residents, and implementing an effective antibiotic stewardship program. Deficiencies included lack of documentation, failure to notify physicians, and failure to follow facility policies and protocols.

The visit was complaint-related, investigating issues including failure to notify residents and representatives about hospital transfers, medication administration errors, incomplete death documentation, infection control signage deficiencies, and COVID-19 notification failures. Substantiation status is not explicitly stated.

The facility was found deficient in timely written notification of hospital transfers to residents and their representatives, administration of unnecessary medications outside ordered parameters, incomplete and inaccurate clinical documentation of a resident's death, lack of posted infection control signage at facility entrances, and failure to notify residents and families of new COVID-19 cases within the required timeframe.