B85

HAVEN OF PHOENIX

Grade B 85/100 composite score

For profit - Limited Liability company

CMS Star Ratings

Overall
5/5
Health Insp.
4/5
Quality
5/5
Staffing
2/5
RN Staffing
Not rated

Certified Beds

114

Ownership

For profit - Limited Liability company

Total Fines

None

Last Survey

N/A

4202 NORTH 20TH AVENUE, PHOENIX, AZ 85015
6022643824

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.40h
LPN
0.92h
CNA
1.82h
Total
3.14h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

HAVEN HEALTH GROUP LLC

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2016

ROBERTSON, BRETT

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2016

SAMUELIAN, ROBERT

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2016

SAMUELIAN, SPENCER

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2016

SAMUELIAN, STEPHEN

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2016

WEST, CHRISTIAN

Individual5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jun 2016

HEALTH GROUP MANAGEMENT LLC

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Nov 2024

AHMED, BAHALEDIN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2016

ESPINOSA, STEPHANIE

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Oct 2024

FRAGOSO, LINDSAY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2021

GANDHI, HEMANG

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jan 2023

GREINER, RUSSELL

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2023

IVANCICH, CASEY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Aug 2024

SEASTRAND, JASON

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2016

WEST, CHRISTIAN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Jun 2016

HAVEN HEALTH PROPERTIES LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Jun 2016

HAVEN PHOENIX REAL ESTATE LLC

Organization5% OR GREATER MORTGAGE INTERESTSince Jun 2016

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (18)

January 24, 2025Health4 deficiencies
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Feb 21, 2025
0680EMinimal harm, Pattern

Ensure the activities program is directed by a qualified professional.

Quality of Life and Care Deficiencies

Corrected Feb 21, 2025
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 21, 2025
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 21, 2025
September 13, 2024Health1 deficiency
0658DMinimal harm, Isolated

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Oct 16, 2024
August 20, 2024Health2 deficiencies
0610DMinimal harm, Isolated

Respond appropriately to all alleged violations.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 1, 2024
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Oct 1, 2024
September 8, 2023Health5 deficiencies
0804DMinimal harm, Isolated

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Nutrition and Dietary Deficiencies

Corrected Nov 17, 2023
0812EMinimal harm, Pattern

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Nutrition and Dietary Deficiencies

Corrected Nov 17, 2023
0813DMinimal harm, Isolated

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Nutrition and Dietary Deficiencies

Corrected Nov 17, 2023
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Nov 17, 2023
0689DMinimal harm, Isolated

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Quality of Life and Care Deficiencies

Corrected Nov 17, 2023
July 28, 2022Health6 deficiencies
0645DMinimal harm, Isolated

PASARR screening for Mental disorders or Intellectual Disabilities

Resident Assessment and Care Planning Deficiencies

Corrected Aug 28, 2022
0658EMinimal harm, Pattern

Ensure services provided by the nursing facility meet professional standards of quality.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 28, 2022
0677DMinimal harm, Isolated

Provide care and assistance to perform activities of daily living for any resident who is unable.

Quality of Life and Care Deficiencies

Corrected Aug 28, 2022
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Aug 28, 2022
0825DMinimal harm, Isolated

Provide or get specialized rehabilitative services as required for a resident.

Quality of Life and Care Deficiencies

Corrected Aug 28, 2022
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Aug 28, 2022

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Frequently Asked Questions

What is the CareGrader rating for HAVEN OF PHOENIX?

HAVEN OF PHOENIX in PHOENIX, Arizona has a CareGrader grade of B (Good), with a composite score of 84.8 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for HAVEN OF PHOENIX?

HAVEN OF PHOENIX has an overall CMS star rating of 5 out of 5, a health inspection rating of 4/5, and a staffing rating of 2/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does HAVEN OF PHOENIX have?

HAVEN OF PHOENIX has 18 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does HAVEN OF PHOENIX have?

HAVEN OF PHOENIX has 114 certified beds with approximately 108 current residents (95% occupancy). The facility is located at 4202 NORTH 20TH AVENUE, PHOENIX, Arizona 85015. It is a for profit - limited liability company facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.