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 80
Perc of occupied beds 63
Sprinkler status Partial
Last health survey date 05/14/2012
Fire survey date: 05/17/2012
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 AverageHAVEN OF SAFFORD, LLC
Overall staff rating Not Available. 2
2
Registered Nurses only rating Not Available 4
4
Total Number of Residents 88.1 80.00
Total Number of Licensed Nurse Staff Hours per Resident per Day 29.8 hours 1.10 hours
Registered Nurses Hours per Residents per Day 29.0 hours .84 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 29.0 hours .26 hours
Certified Nursing Assistants Hours per Residents per Day 29.0 hours .84 hours
Health Inpections: HAVEN OF SAFFORD, LLC
Inspection Results: 05/14/2012
CorrectedCategoryDeficiencySeverity
06/13/2012Administration DeficienciesKeep accurate, complete and organized clinical records on each resident that meet professional standards. D
06/13/2012Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E
06/13/2012Environmental DeficienciesProvide 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. E
06/13/2012Pharmacy Service DeficienciesMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. E
06/13/2012Quality Care DeficienciesProvide or obtain dental services for each resident. D
06/13/2012Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. E
06/13/2012Nutrition and Dietary DeficienciesPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. E
06/13/2012Pharmacy Service DeficienciesEnsure that residents are safe from serious medication errors. E
06/13/2012Pharmacy Service DeficienciesEnsure 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. E
06/13/2012Quality Care DeficienciesProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. D
06/13/2012Quality Care DeficienciesEnsure residents maintain acceptable nutritional status. D
06/13/2012Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. D
06/13/2012Quality Care DeficienciesEnsure services provided by the nursing facility meet professional standards of quality. D
06/13/2012Resident Rights DeficienciesProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. E
06/13/2012Resident Rights DeficienciesTry to resolve each resident's complaints quickly. D
Inspection Results: 04/14/2011
CorrectedCategoryDeficiencySeverity
06/28/2011Administration DeficienciesKeep accurate, complete and organized clinical records on each resident that meet professional standards. D
06/28/2011Administration DeficienciesGive or get x-rays and other tests in a timely manner to meet the needs of residents. D
06/28/2011Administration DeficienciesGive or get quality laboratory services/tests in a timely manner to meet the needs of residents. D
06/28/2011Environmental DeficienciesMake sure that a working call system is available in each resident's room or bathroom and bathing area. E
06/28/2011Environmental DeficienciesKeep all essential equipment working safely. D
06/28/2011Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. D
06/28/2011Pharmacy Service DeficienciesMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. D
06/28/2011Pharmacy Service DeficienciesProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. D
06/28/2011Quality Care DeficienciesDevelop policies and procedures for influenza and pneumococcal immunizations. D
06/28/2011Pharmacy Service DeficienciesEnsure that residents are safe from serious medication errors. D
06/28/2011Pharmacy Service DeficienciesEnsure 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. D
06/28/2011Quality Care DeficienciesEnsure residents maintain acceptable nutritional status. D
06/28/2011Quality Care DeficienciesEnsure 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. D
06/28/2011Quality Care DeficienciesGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. G
06/28/2011Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. D
06/28/2011Quality Care DeficienciesProvide care by qualified persons according to each resident's written plan of care. D
06/28/2011Resident Assessment DeficienciesAllow residents the right to participate in the planning or revision of care and treatment. D
06/28/2011Resident Assessment DeficienciesProvide doctor's orders for the resident's immediate care at the time the resident was admitted. D
06/28/2011Environmental DeficienciesProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. B
06/28/2011Quality Care DeficienciesProvide activities to meet the interests and needs of each resident. D
06/28/2011Resident Rights DeficienciesProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. D
06/28/2011Resident Rights DeficienciesKeep residents' personal and medical records private and confidential. D
Inspection Results: 12/09/2009
CorrectedCategoryDeficiencySeverity
01/21/2010Administration DeficienciesSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. F
01/21/2010Administration DeficienciesKeep accurate, complete and organized clinical records on each resident that meet professional standards. E
01/21/2010Environmental DeficienciesHave enough backup water supply for essential areas of the nursing home. F
01/21/2010Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F
01/21/2010Environmental DeficienciesKeep all essential equipment working safely. E
01/21/2010Pharmacy Service DeficienciesAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. D
01/21/2010Pharmacy Service DeficienciesProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. E
01/21/2010Quality Care DeficienciesGive or get specialized rehabilitative services per the patient's assessment or plan of care. D
01/21/2010Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. D
01/21/2010Nutrition and Dietary DeficienciesMake sure that special or therapeutic diets are ordered by the attending doctor. F
01/21/2010Nutrition and Dietary DeficienciesMake sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. F
01/21/2010Pharmacy Service DeficienciesEnsure that residents are safe from serious medication errors. E
01/21/2010Pharmacy Service DeficienciesEnsure 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. E
01/21/2010Quality Care DeficienciesProperly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. E
01/21/2010Quality Care DeficienciesGive each resident enough fluids to keep them healthy and prevent dehydration. G
01/21/2010Environmental DeficienciesEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. H
01/21/2010Quality Care DeficienciesEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. D
01/21/2010Quality Care DeficienciesGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. E
01/21/2010Quality Care DeficienciesEnsure that residents receive proper treatment and assistive devices to maintain their vision and hearing. D
01/21/2010Quality Care DeficienciesProvide necessary care and services to maintain or improve the highest well being of each resident. D
01/21/2010Quality Care DeficienciesProvide care by qualified persons according to each resident's written plan of care. D
01/21/2010Resident Assessment DeficienciesEnsure each resident receives an accurate assessment by a qualified health professional. D
01/21/2010Resident Assessment DeficienciesAssure that each residentís assessment is updated at least once every 3 months. D
01/21/2010Quality Care DeficienciesProvide medically-related social services to help each resident achieve the highest possible quality of life. D
01/21/2010Administration DeficienciesEnsure the activities program is directed by a qualified professional. E
01/21/2010Quality Care DeficienciesProvide activities to meet the interests and needs of each resident. D
01/21/2010Mistreatment DeficienciesKeep each resident free from physical restraints, unless needed for medical treatment. F
01/21/2010Resident Rights DeficienciesProvide written records when a resident is transferred or discharged. D
01/21/2010Resident Rights DeficienciesAllow residents to self-administer drugs if determined safe. D

Fire Safety Inpections: HAVEN OF SAFFORD, LLC
Inspection Results: 05/17/2012
CorrectedCategoryDeficiencySeverity
06/08/2012Electrical DeficienciesProperly installed electrical wiring and equipment. E
06/08/2012Electrical DeficienciesWeekly inspections and monthly testing of generators. F
06/08/2012Automatic Sprinkler Systems DeficienciesAutomatic sprinkler systems that have been maintained in working order. E
06/08/2012Hazardous Area DeficienciesSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. E
06/08/2012Smoke Compartmentation and Control DeficienciesWalls that prevent smoke from passing through and would resist fire for at least one hour. D
06/08/2012Corridor Walls and Doors DeficienciesCorridor and hallway doors that block smoke. E
Inspection Results: 04/06/2011
CorrectedCategoryDeficiencySeverity
05/10/2011Hazardous Area DeficienciesSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. E
05/10/2011Automatic Sprinkler Systems DeficienciesAutomatic sprinkler systems that have been maintained in working order. E
05/10/2011Emergency Plans and Fire Drills DeficienciesRecord of quarterly fire drills for each shift under varying conditions. E
05/10/2011Medical Gases and Anesthetizing Areas DeficienciesProper medical gas storage and administration areas. D
05/10/2011Smoke Compartmentation and Control DeficienciesSmoke barrier doors that can resist smoke for at least 20 minutes. E
05/10/2011Corridor Walls and Doors DeficienciesCorridor and hallway doors that block smoke. E
Inspection Results: 12/15/2009
CorrectedCategoryDeficiencySeverity
01/08/2010Electrical DeficienciesProperly installed electrical wiring and equipment. E
01/08/2010Electrical DeficienciesWeekly inspections and monthly testing of generators. F
01/08/2010Emergency Plans and Fire Drills DeficienciesRecord of quarterly fire drills for each shift under varying conditions. F
01/08/2010Hazardous Area DeficienciesSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. E
01/08/2010Smoke Compartmentation and Control DeficienciesSmoke barrier doors that can resist smoke for at least 20 minutes. E
01/08/2010Smoke Compartmentation and Control DeficienciesWalls that prevent smoke from passing through and would resist fire for at least one hour. D
01/08/2010Corridor Walls and Doors DeficienciesCorridor and hallway doors that block smoke. E

Resident Complaints: HAVEN OF SAFFORD, LLC
Date Complaint Substantiated: 04/14/2011
CorrectedCategoryDeficiencySeverity
06/28/20118Administration Deficiencies D
06/28/20116Pharmacy Service Deficiencies D
06/28/20116Pharmacy Service Deficiencies D
06/28/20112Quality Care Deficiencies G
06/28/20112Quality Care Deficiencies D
06/28/20112Quality Care Deficiencies D
06/28/20113Resident Assessment Deficiencies D
06/28/20117Environmental Deficiencies B

Quality Measures: HAVEN OF SAFFORD, LLC
Quality MeasuresNational AverageHAVEN OF SAFFORD, LLC
Overall quality rating Not Available 4
4
Long-Stay Residents
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 97% 94.5%
Percent of long-stay residents who received an antipsychotic medication. 31% 29.5%
Percent of long-stay residents who were physically restrained. 11% 0%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 62% 56%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder. 13% 0.5%
Percent of long-stay residents who have depressive symptoms. 16% 7.2999999999999998%
Percent of long-stay residents experiencing one or more falls with major injury. 12% 0%
Percent of long-stay residents who self-report moderate to severe pain. 22% 18.300000000000001%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine. 99% 94.599999999999994%
Percent of long-stay residents whose need for help with daily activities has increased. 27% 19.300000000000001%
Percent of long-stay high-risk residents with pressure ulcers. 19% 6.2000000000000002%
Percent of long-stay residents who lose too much weight. 16% 4.9000000000000004%
Percent of long-stay residents with a urinary tract infection. 16% 1.6000000000000001%
Short-Stay Residents
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine. 87% 31.699999999999999%
Percent of short-stay residents who self-report moderate to severe pain. 36% 38.200000000000003%
Percent of short-stay residents who newly received an antipsychotic medication. 27% 5.2000000000000002%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 92% 55.399999999999999%
Percent of short-stay residents with Pressure ulcers that are new or worsened. 11% 1.6000000000000001%
Severity Codes Explanation. Note: The higher the letter, the higher the severity.
AIsolated /Potential for minimal harm
BPattern /Potential for minimal harm
CWidespread /Potential for minimal harm
DIsolated /Minimal harm or potential for actual harm
EPattern /Minimal harm or potential for actual harm
FWidespread /Minimal harm or potential for actual harm
GIsolated /Actual harm
HPattern /Actual harm
IWidespread /Actual harm
JIsolated /Immediate jeopardy to resident health or safety
KPattern /Immediate jeopardy to resident health or safety
LWidespread /Immediate jeopardy to resident health or safety

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