Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Haven Of Globe during CMS and state inspections, most recent first.
Multiple residents with severe cognitive impairment were involved in physical altercations with each other, resulting in minor injuries and visible marks. Staff intervened in each case, but the incidents were substantiated by facility investigations, indicating a failure to prevent resident-to-resident abuse.
The facility failed to provide adequate supervision, resulting in multiple resident-to-resident altercations. A resident with severe cognitive impairment was struck by another resident with behavioral issues due to being left unsupervised. In a separate incident, another resident was physically assaulted by a fellow resident, highlighting insufficient monitoring. Staff interviews revealed challenges in supervision due to staffing constraints, despite the facility's policy emphasizing residents' rights to be free from abuse and neglect.
A facility failed to provide adequate supervision, resulting in resident-to-resident altercations. One resident with severe cognitive impairment was struck by another resident with behavioral issues, while another resident was physically assaulted in the dining room. Staff interviews revealed a lack of awareness and insufficient staffing to monitor residents effectively, despite protocols for monitoring those with behavioral issues.
A resident with chronic respiratory conditions was found without oxygen, leading to labored breathing and low oxygen saturation. A CNA in training was responsible for the resident's care but was not certified to administer oxygen. An RN noticed the issue but did not immediately assess the resident. The facility's policies require licensed personnel to administer oxygen, which was not followed, resulting in the resident's critical condition.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to protect four residents from abuse by other residents, resulting in multiple resident-to-resident altercations. All residents involved were severely cognitively impaired, as indicated by their BIMS scores of 99 and diagnoses including dementia with behavioral disturbances, vascular dementia, and major depressive disorder. In one incident, a resident awoke to find a broken shoelace and responded by physically assaulting another resident, who then retaliated. This altercation was witnessed by a staff member who intervened, but not before a minor injury occurred. In another event, a resident accused another of theft and responded by slapping the other resident multiple times, despite staff attempts to de-escalate the situation. No stolen items were found, and the altercation was stopped by staff intervention. A third incident occurred when two residents' wheelchairs became entangled, leading one resident to punch the other in the face before staff could separate them. The assaulted resident was left with visible facial discoloration. Facility investigations substantiated all three incidents, confirming that the residents were not adequately protected from abuse by other residents.
Inadequate Supervision Leads to Resident Altercations
Penalty
Summary
The facility failed to provide adequate supervision for residents, leading to multiple resident-to-resident altercations. Resident #1, who has severe cognitive impairment and a history of behavioral disturbances, was struck by another resident, Resident #2, who also has dementia and behavioral issues. Despite interventions in place to manage their behaviors, both residents were left unsupervised in the dining area, resulting in an altercation where Resident #1 was punched by Resident #2. Staff interviews revealed that the residents were left alone for approximately 20 minutes, and there was a lack of awareness among staff about the incident, indicating insufficient supervision and monitoring. In another incident, Resident #3, who has severe cognitive impairment and is at risk for abuse, was physically assaulted by Resident #4. Resident #4, who also has cognitive impairments, was observed tugging at Resident #3's wheelchair and subsequently punched her multiple times. The incident was witnessed by staff, who intervened to separate the residents. However, the facility's investigation revealed that Resident #4 continued to exhibit aggressive behavior, and there was a lack of effective supervision to prevent such incidents. Interviews with staff, including the CNA and LPN, highlighted challenges in monitoring residents due to staffing constraints. The LPN noted that it was difficult to supervise residents while attending to other duties, and the CNA was unaware of the previous altercations. The Director of Nursing acknowledged the need for supervision to prevent aggression but believed there was sufficient staff, despite evidence to the contrary. The facility's policy emphasizes the right of residents to be free from abuse and neglect, yet the incidents demonstrate a failure to uphold these standards, resulting in a deficiency in resident supervision.
Inadequate Supervision Leads to Resident Altercations
Penalty
Summary
The facility failed to provide adequate supervision to prevent resident-to-resident altercations, as evidenced by incidents involving four residents. Resident #1, who has severe cognitive impairment and a history of behavioral disturbances, was struck by Resident #2, who also has dementia and behavioral issues. Despite interventions in place, such as administering medications and monitoring behaviors, the residents were left unsupervised in the dining area, leading to the altercation. Staff interviews revealed a lack of awareness of the incident and insufficient staffing to monitor residents effectively. In another incident, Resident #3, who has severe cognitive impairment and is at risk for abuse, was physically assaulted by Resident #4. The altercation occurred in the dining room, where Resident #4 was observed tugging at Resident #3's wheelchair and subsequently hitting her. Staff intervened to separate the residents, but the incident highlighted the lack of supervision and monitoring, as Resident #4 was able to approach and assault Resident #3 without immediate intervention. Interviews with staff, including a CNA and the Director of Nursing, indicated that there is a protocol for monitoring residents with behavioral issues, but it was not effectively implemented. Staff reported challenges in supervising residents due to insufficient staffing, particularly when some residents require two-person assistance. The facility's policy emphasizes the importance of resident safety and supervision, yet the incidents demonstrate a failure to adhere to these guidelines, resulting in resident-to-resident altercations.
Failure to Administer Oxygen as Ordered
Penalty
Summary
The facility failed to ensure that oxygen was administered as ordered by the physician for a resident with chronic obstructive pulmonary disease and other respiratory conditions. The resident was supposed to receive oxygen therapy to maintain saturation levels above 90%, as per physician orders. However, during an incident, the resident was found without oxygen, leading to labored breathing and a significant drop in oxygen saturation to 57%. This situation occurred while the resident was being taken to breakfast by a CNA, who was not certified to administer oxygen. The incident involved a CNA who was in training and not certified to handle oxygen administration. The CNA was responsible for ensuring the resident's oxygen was connected, but the resident was found without the nasal cannula connected to the oxygen source. A registered nurse (RN) noticed the resident's condition but did not immediately assess the resident or ensure the oxygen was administered correctly. The resident was eventually taken back to her room, and emergency services were called after her condition was assessed. Interviews with staff revealed a lack of clarity regarding the responsibilities of CNAs and nurses in administering oxygen. The Director of Nursing stated that it was the responsibility of the RN and LPN to ensure oxygen was administered correctly and that CNAs should not administer oxygen. The facility's policies also indicated that only licensed personnel should administer medications, including oxygen, highlighting a failure in following these protocols, which led to the resident's critical condition.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Globe
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Heritage Health Care Center | 0.6 mi | — | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.