General Information: HAVEN OF SAFFORD, LLC
Nursing home name HAVEN OF SAFFORD, LLC
Address1933 PEPPERTREE DRIVE
SAFFORD, AZ 85546
Phone number (928) 428-4910
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 128
Total number of residents 79
Perc of occupied beds 61
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints10
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: HAVEN OF SAFFORD, LLC
Overall rating 1
1
Nursing Home Staffing 2
2
Registered Nurses only 4
4
Health Inspections 1
1
Quality Measures 4
4
Nursing Home Staffing Info: HAVEN OF SAFFORD, LLC
National AverageArizona AverageHAVEN OF SAFFORD, LLC
Overall staff rating NA NA 2
2
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 79
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.56 hours 2.66 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.94 hours 0.69 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.03 hours 0.6 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.91 hours 0.09 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.62 hours 1.97 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.16 hours 0.06 hours
Health Survey: HAVEN OF SAFFORD, LLC
Heath Survey Summary on 2013-08-01
Total Number of Health Deficiencies 16
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-05-14
Total Number of Health Deficiencies 15
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2011-04-14
Total Number of Health Deficiencies 22
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Health Survey Details: HAVEN OF SAFFORD, LLC
Inspection Results: 08/01/2013
Corrected Deficiency Scope and Severity
09/09/2013 Ensure that residents are fully informed and understand their health status, care and treatments. Isolated/Minimal harm or potential for actual harm
09/09/2013 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Pattern/Minimal harm or potential for actual harm
09/09/2013 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Pattern/Minimal harm or potential for actual harm
09/09/2013 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
09/09/2013 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
09/09/2013 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
09/09/2013 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
09/09/2013 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
09/09/2013 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
09/09/2013 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
09/09/2013 Ensure residents maintain acceptable nutritional status. Pattern/Minimal harm or potential for actual harm
09/09/2013 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
09/09/2013 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
09/09/2013 Keep all essential equipment working safely. Pattern/Minimal harm or potential for actual harm
09/09/2013 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
09/09/2013 Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. Pattern/Minimal harm or potential for actual harm
Inspection Results: 05/14/2012
Corrected Deficiency Scope and Severity
06/13/2012 Provide or obtain dental services for each resident. Isolated/Minimal harm or potential for actual harm
06/13/2012 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
06/13/2012 Try to resolve each resident's complaints quickly. Isolated/Minimal harm or potential for actual harm
06/13/2012 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
06/13/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
06/13/2012 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
06/13/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
06/13/2012 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Pattern/Minimal harm or potential for actual harm
06/13/2012 Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Pattern/Minimal harm or potential for actual harm
06/13/2012 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Pattern/Minimal harm or potential for actual harm
06/13/2012 Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. Isolated/Minimal harm or potential for actual harm
06/13/2012 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
06/13/2012 Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. Pattern/Minimal harm or potential for actual harm
06/13/2012 Ensure that residents are safe from serious medication errors. Pattern/Minimal harm or potential for actual harm
06/13/2012 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Pattern/Minimal harm or potential for actual harm
Inspection Results: 04/14/2011
Corrected Deficiency Scope and Severity
06/28/2011 Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Isolated/Minimal harm or potential for actual harm
06/28/2011 Keep residents' personal and medical records private and confidential. Isolated/Minimal harm or potential for actual harm
06/28/2011 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
06/28/2011 Allow residents the right to participate in the planning or revision of care and treatment. Isolated/Minimal harm or potential for actual harm
06/28/2011 Provide activities to meet the interests and needs of each resident. Isolated/Minimal harm or potential for actual harm
06/28/2011 Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. Pattern/Potential for minimal harm
06/28/2011 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
06/28/2011 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
06/28/2011 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Actual harm
06/28/2011 Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Isolated/Minimal harm or potential for actual harm
06/28/2011 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
06/28/2011 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
06/28/2011 Ensure that residents are safe from serious medication errors. Isolated/Minimal harm or potential for actual harm
06/28/2011 Develop policies and procedures for influenza and pneumococcal immunizations. Isolated/Minimal harm or potential for actual harm
06/28/2011 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
06/28/2011 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
06/28/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
06/28/2011 Keep all essential equipment working safely. Isolated/Minimal harm or potential for actual harm
06/28/2011 Make sure that a working call system is available in each resident's room or bathroom and bathing area. Pattern/Minimal harm or potential for actual harm
06/28/2011 Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated/Minimal harm or potential for actual harm
06/28/2011 Give or get x-rays and other tests in a timely manner to meet the needs of residents. Isolated/Minimal harm or potential for actual harm
06/28/2011 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: HAVEN OF SAFFORD, LLC
Fire Safety Survey Summary on 2013-08-06
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-05-17
Total Number of Fire SafetyDeficiencies 6
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-04-06
Total Number of Fire SafetyDeficiencies 6
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey: HAVEN OF SAFFORD, LLC
Fire Safety Survey Results: 08/06/2013
Corrected Deficiency Severity
09/12/2013 Corridor and hallway doors that block smoke. Isolated/Minimal harm or potential for actual harm
09/12/2013 Smoke barrier doors that can resist smoke for at least 20 minutes. Isolated/Minimal harm or potential for actual harm
09/12/2013 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Isolated/Minimal harm or potential for actual harm
09/12/2013 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
09/12/2013 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 05/17/2012
Corrected Deficiency Severity
06/08/2012 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
06/08/2012 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
06/08/2012 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm
06/08/2012 Walls that prevent smoke from passing through and would resist fire for at least one hour. Isolated/Minimal harm or potential for actual harm
06/08/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
06/08/2012 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 04/06/2011
Corrected Deficiency Severity
05/10/2011 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
05/10/2011 Smoke barrier doors that can resist smoke for at least 20 minutes. Pattern/Minimal harm or potential for actual harm
05/10/2011 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
05/10/2011 Record of quarterly fire drills for each shift under varying conditions. Pattern/Minimal harm or potential for actual harm
05/10/2011 Automatic sprinkler systems that have been maintained in working order. Pattern/Minimal harm or potential for actual harm
05/10/2011 Proper medical gas storage and administration areas. Isolated/Minimal harm or potential for actual harm

Resident Complaints: HAVEN OF SAFFORD, LLC
Date Complaint Substantiated: 03/21/2014
CorrectedCategoryDeficiencySeverity
04/07/2014Post nurse staffing information/data on a daily basis. B
04/07/2014Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. D

Quality Measures: HAVEN OF SAFFORD, LLC
Quality Measures National Average Arizona Average HAVEN OF SAFFORD, LLC
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 15.3% 17.1%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 10.7% 21.8%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.1% 3.4%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 6.7% 15.2%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 51.5% 48.3%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 4.5% 1.0%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.2% 1.0%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 4.0% 2.2%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.7% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 2.7% 2.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 95.0% 96.8%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.9% 95.3%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 20.3% 25.1%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 23.7% 50.5%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 0.7% 0.3%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 89.9% 59.2%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 88.9% 65.7%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.0% 0.0%

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