Haven Nursing Center
Nursing Home · Louisiana, LA
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.

Haven Nursing Center

Nursing Home · Louisiana, LA
CMS overall rating Info The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
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Haven Nursing Center accepts Medicare, Medicaid, and private pay.

Overview of Haven Nursing Center

Make every moment of your best years count at Haven Nursing Center, a distinguished community in Columbia, LA offering skilled nursing and rehabilitation. With comprehensive care options, residents receive top-notch care for their unique needs and preferences around the clock. Featuring beautifully furnished and cozy accommodations in a nurturing environment, the community ensures residents are comfortable and safe.

Dedicated to enhancing residents’ cognition and living experiences, a jam-packed calendar of engaging activities and stimulating programs is conducted. Mealtimes foster comfort and satisfy dietary needs with delicious and healthy dining options. The community is a good option for those seeking a variety of care in retirement, especially with its comprehensive options and state-of-the-art amenities.

(318) 649-9800

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▲ 35.1% Above LA avg. ▲ 35.1% Above LA avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▲ 51.5% Above LA avg. ▲ 51.5% Above LA avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 51.0% Below LA avg. ▼ 51.0% Below LA avg.Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 53.1% Above LA avg. ▲ 53.1% Above LA avg.Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to Louisiana state averages

Total nursing care / resident Info This home is ranked 182nd out of 182 homes in Louisiana. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
37m per day
Rank #182 / 182Nurse hours — State benchmarkedThis home is ranked 182nd out of 182 homes in Louisiana. Shows adjusted nurse hours per resident per day benchmarked to the Louisiana average, with a ranking across 182 Louisiana SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility Louisiana avg (3h 49m per day)
vs Louisiana avg
-84%

1 of 1 metrics below state avg

Staff type Hours / Day / Resident vs state avg
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 41m per day ▼ 79% State avg: 3h 15m per day · National avg: 3h 25m per day

Types of Care at Haven Nursing Center

Nursing Home

Capacity and availability

This home usually has availability

Higher occupancy than the Louisiana average: 71.8%
Occupancy rate
75.4% Rank #86 / 189Occupancy rate — State benchmarkedThis home is ranked 86th out of 189 homes in Louisiana. Shows this facility's occupancy rate versus the Louisiana average, with its Statewide rank out of 189. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
189 days
Walk Score
Walk Score: 35 / 100 Rank #195 / 368Walk Score — State benchmarkedThis home is ranked 195th out of 368 homes in Louisiana. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Louisiana SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
BBB Rating
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work

License Details

CMS Certification Number195265

Staffing

Key information about the people who lead and staff this community.

Leadership

ContactBrian Causey, Owner

Contact Haven Nursing Center

Health Inspection History

Inspections since 2023
Total health inspections 4

Louisiana average 6.5


Last Health inspection on May 2025

Total health citations
19 Rank #59 / 187Health citations — State benchmarkedThis home is ranked 59th out of 187 homes in Louisiana. Shows this facility's total health deficiency citations benchmarked to the Louisiana State average, with a ranking across all 187 LA SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Louisiana average 25.7

Citations per inspection
4.75 Rank #140 / 187Citations per inspection — State benchmarkedThis home is ranked 140th out of 187 homes in Louisiana. Shows average deficiency citations per CMS inspection for this facility versus the Louisiana mean across 187 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Louisiana average 3.95


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

17 of 19 citations resulted from standard inspections; and 2 of 19 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical health citations
0
100% better than Louisiana average

Louisiana average: 1.1


Serious health citations
0
100% better than Louisiana average

Louisiana average: 0.5

0 critical citations Louisiana average: 1.1

0 serious citations Louisiana average: 0.5

19 moderate citations Louisiana average: 23.7

0 minor citations Louisiana average: 0.4
Citations history (last 3 years)
Administration moderate citation May 07, 2025
Corrected

Pharmacy moderate citation May 07, 2025
Corrected

Quality of Care moderate citation May 07, 2025
Corrected

Quality of Care moderate citation May 07, 2025
Corrected

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 189
Employees 99
Contractors 90
Staff to resident ratio 2.42:1
62% better than Louisiana average
Louisiana average ratio: 1.50:1 Louisiana average ratio: 1.50:1See full Louisiana ranking
Avg staff/day 42
Average shift 9.1 hours
11% better than Louisiana average
Louisiana average: 8.2 hours Louisiana average shift: 8.2 hoursSee full Louisiana ranking
Total staff hours (quarter) 35,231

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff 11
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours

This role is partially covered by contractors.

Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff 53
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.8 hours

This role is partially covered by contractors.

Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff 109
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.6 hours

This role is partially covered by contractors.

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

9.8%

3,458 contractor hours this quarter

Certified Nursing Assistant: 53 Licensed Practical Nurse: 31 Registered Nurse: 5 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant 56 53 109 20,694 92 100% 9.6
Licensed Practical Nurse 22 31 53 7,950 92 100% 9.8
RN Director of Nursing 2 0 2 933 65 71% 8.3
Registered Nurse 6 5 11 922 90 98% 7.6
Respiratory Therapy Technician 2 0 2 787 64 70% 7.1
Physical Therapy Aide 2 0 2 724 64 70% 6.1
Physical Therapy Assistant 3 0 3 642 63 68% 7.4
Nurse Practitioner 1 0 1 464 58 63% 8
Administrator 1 0 1 456 57 62% 8
Clinical Nurse Specialist 1 0 1 456 57 62% 8
Qualified Social Worker 1 0 1 430 62 67% 6.9
Dietitian 1 0 1 421 54 59% 7.8
Speech Language Pathologist 1 0 1 333 60 65% 5.6
Occupational Therapy Assistant 0 1 1 21 6 7% 3.5
109 Certified Nursing Assistant
% of Days 100%
53 Licensed Practical Nurse
% of Days 100%
2 RN Director of Nursing
% of Days 71%
11 Registered Nurse
% of Days 98%
2 Respiratory Therapy Technician
% of Days 70%
2 Physical Therapy Aide
% of Days 70%
3 Physical Therapy Assistant
% of Days 68%
1 Nurse Practitioner
% of Days 63%
1 Administrator
% of Days 62%
1 Clinical Nurse Specialist
% of Days 62%
1 Qualified Social Worker
% of Days 67%
1 Dietitian
% of Days 59%
1 Speech Language Pathologist
% of Days 65%
1 Occupational Therapy Assistant
% of Days 7%

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 10.3
12% better than Louisiana average

Louisiana average: 11.7

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 21.2
In line with Louisiana average

Louisiana average: 20.4

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 14.7%
29% better than Louisiana average

Louisiana average: 20.5%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 16.1%
31% better than Louisiana average

Louisiana average: 23.5%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 32.8%
92% worse than Louisiana average

Louisiana average: 17.1%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 4.5%
30% worse than Louisiana average

Louisiana average: 3.5%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 9.4%
48% worse than Louisiana average

Louisiana average: 6.4%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.4%
86% better than Louisiana average

Louisiana average: 2.7%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 7.0%
36% worse than Louisiana average

Louisiana average: 5.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than Louisiana average

Louisiana average: 1.6%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 20.3%
In line with Louisiana average

Louisiana average: 20.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
9% better than Louisiana average

Louisiana average: 91.5%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
5% better than Louisiana average

Louisiana average: 94.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 99.2%
20% better than Louisiana average

Louisiana average: 82.5%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.6%
81% better than Louisiana average

Louisiana average: 3.1%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 95.2%
25% better than Louisiana average

Louisiana average: 76.2%

Breakdown by payment type

Medicare

55% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

40% of new residents, often for short stays.

Typical stay 2 - 3 months

Medicaid

5% of new residents, often for long-term daily care.

Typical stay 8 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 78
Medicare
10
12.8% of residents
Medicaid
56
71.8% of residents
Private pay or other
12
15.4% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Privately-owned community
Operated by a business corporation.
Home revenue
$9.5M
Operating loss
-$326.3K
Privately-owned community Operated by a business corporation.
Home revenue
$9.5M Rank #96 / 186Revenue — State benchmarkedThis home is ranked 96th out of 186 homes in Louisiana. Shows this facility's annual revenue compared to the Louisiana SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$326.3K
Payroll costs Info The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations. Rank #69 / 186Payroll — State benchmarkedThis home is ranked 69th out of 186 homes in Louisiana. Shows total annual staff payroll benchmarked to the Louisiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.2M
54.6% of revenue Rank #58 / 186Payroll % — State benchmarkedThis home is ranked 58th out of 186 homes in Louisiana. Shows payroll as a percentage of revenue versus the Louisiana average. Well-run Louisiana SNFs typically land around 54–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.7M
Total costs $9.9M

What does this home offer?

Building type icon
Building type icon

Building Type: Single-story

Dining services icon
Dining services icon

Dining Services

Housekeeping icon
Housekeeping icon

Housekeeping Services

Social and recreational activities icon
Social and recreational activities icon

Social and Recreational Activities

On-site medical care and health services icon
On-site medical care and health services icon

On-site Medical Care and Health Services

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Places of interest near Haven Nursing Center

Address 1.0 miles from city center Info Estimated distance in miles from Columbia's city center to Haven Nursing Center's address, calculated via Google Maps.

Calculate Travel Distance to Haven Nursing Center

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Address

Financial Assistance for
Nursing Home in Louisiana

Haven Nursing Center is located in Columbia, Louisiana.
Here are the financial assistance programs available to residents in Louisiana.

Get Financial aid guidance

Community Choices Waiver

Louisiana Medicaid Community Choices

Age 65+ or 21+ with disability
General Louisiana resident, Medicaid- eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
LA

High demand in urban areas.

Benefits
In-home care (5-7 hours/day) Respite (240 hours/year) Home modifications Transitional support

Louisiana Elderly and Disabled Adults Program

LA EDA Program

Age 60+
General Louisiana resident, at risk of nursing home.
Income Limits ~$1,800/month varies
Asset Limits $5,000 individual
LA

Limited funding; rural focus.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Transportation (~5 trips/month)

Long Term-Personal Care Services (LT-PCS)

Louisiana Medicaid Long Term-Personal Care Services

Age 65+ or disabled
General Louisiana resident, Medicaid-eligible, needs ADL assistance.
Income Limits (2025) $943/month (individual), $1,415/month (couple).
Asset Limits $2,000 (individual), $3,000 (couple).
LA

Medically Needy Spend-Down option available.

Benefits
ADL/IADL assistance (20-32 hours/week, varies by need)

Program of All-Inclusive Care for the Elderly (PACE)

Louisiana PACE

Age 55+
General Louisiana resident, Medicare/Medicaid-eligible, nursing home-level care need, safe community living possible.
Income Limits (2025) No strict limit; Medicaid portion $2,901/month max.
Asset Limits $2,000 (individual) for Medicaid; none for Medicare-only.
LA

Limited centers (e.g., Baton Rouge, Lafayette).

Benefits
Adult day care Medical care Personal care Transportation Drugs Respite

Adult Day Health Care (ADHC) Waiver

Louisiana Medicaid Adult Day Health Care Waiver

Age 65+ or 22-64 with disabilities
General Louisiana resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) $2,901/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
LA

Includes transitional support from nursing homes.

Benefits
Adult day care (up to 8 hours/day, 5 days/week) Personal care Respite Transitional aid

Aged, Blind, and Disabled (ABD) Medicaid

Louisiana Medicaid Aged, Blind, and Disabled Program

Age 65+
General blind, or disabled, Louisiana resident, Medicaid-eligible.
Income Limits (2025) $943/month (individual), $1,415/month (couple).
Asset Limits $2,000 (individual), $3,000 (couple).
LA

Medically Needy Spend-Down available.

Benefits
Personal care Adult day care Limited in-home supports

Louisiana Elderly Protective Services (EPS)

Louisiana Governor’s Office of Elderly Affairs - Elderly Protective Services

Age 60+
General Louisiana resident, experiencing abuse/neglect/exploitation.
Income Limits (2025) No strict limit; prioritizes low-income.
Asset Limits None specified.
LA

Focus on urban and rural elder abuse cases.

Benefits
Emergency care Temporary housing Legal aid Care coordination (varies by case)

Senior Rx Program

Louisiana Senior Rx (Prescription Assistance)

Age 65+
General Louisiana resident, no/low prescription coverage.
Income Limits (2025) Varies by linked program; ~$30,000/year suggested.
Asset Limits None specified.
LA

Bridges gaps in Medicare Part D coverage.

Benefits
Prescription cost reduction (up to 50% discounts) Application assistance

Veterans Aid and Attendance (A&A) Benefit

Louisiana VA Aid and Attendance (Federal/State Coordination)

Age
General Wartime veteran or spouse, age 65+ or disabled, needs ADL help, Louisiana resident.
Income Limits (2025) Net income minus medical expenses < $1,984/month individual with A&A
Asset Limits ~$155,356 2025 net worth limit
LA

High veteran population in rural areas.

Benefits
Cash benefit ($1,478-$2,471/month individual, varies by status) for care costs

Compare Nursing Home around Louisiana

The information below is reported by the Louisiana Department of Health, Health Standards Section.

5 facilities compared · CMS & LA Dept. of Health data

Filter by care type
High Hope Care Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Sulphur 101 91.1% +27% 3.47 -27% -16% $0 8 2.0 - 92 A+ 0 Elizabeth Broussard $9.6M $4.1M 42.6% 195601
Grand Cove Nursing & Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

HC

Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

Lake Charles 109 79.3% +10% 3.56 +94% -14% $29.0k 21 3.5 2 85 A+ 36 Tracy Beebe $8.2M $5.2M 64.2% 195376
Haven Nursing Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Columbia 99 75.4% +5% 0.62 +24% -85% $0 19 4.8 - 77 A+ 35 Avery Causey $9.5M $5.2M 54.6% 195265
White Oak Post Acute Care
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

Baton Rouge (Eastgate) 176 52.3% -27% 3.94 -53% -5% $606.5k 90 6.4 8 81 A+ 53 Keira Juge $8.6M $4.3M 49.5% 195488
Holly Hill Nursing & Rehabilitation Center
NH

Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).

MC

Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.

RC

Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.

Sulphur (Kingston Road) 200 35.5% -51% 3.82 -36% -8% $62.0k 56 3.5 1 85 A+ 44 Carol Fellows $8.9M $4.0M 44.2% 195431

Frequently Asked Questions about Haven Nursing Center

Is Haven Nursing Center in a walkable area?

Haven Nursing Center has a walk score of 35. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Haven Nursing Center?

Haven Nursing Center's occupancy is 75.4%.

What is the address of Haven Nursing Center?

Haven Nursing Center is located at 7726 US Hwy. 165, Columbia, LA 71418.

What is the phone number of Haven Nursing Center?

(318) 649-9800 will put you in contact with the team at Haven Nursing Center.

Is Haven Nursing Center Medicare or Medicaid certified?

Yes — Haven Nursing Center is a CMS-certified provider of Medicare and Medicaid.

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