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 Phoenix during CMS and state inspections, most recent first.
A resident with a history of fall risk and dependence on hemodialysis was injured during van transport when the driver failed to properly secure the wheelchair and resident, and accelerated onto an expressway. The unsecured resident tipped back, striking her head, shoulders, and knees, resulting in a scalp hematoma and a fractured vertebra. Staff interviews and documentation confirmed that required safety procedures for securing residents were not followed.
A resident with serious health conditions was not provided with necessary oxygen therapy, leading to a critical situation where the resident was found unresponsive. Staff delayed calling 911 and performed CPR inaccurately, resulting in the resident's death. Interviews revealed inconsistent vital sign monitoring and poor emergency response coordination.
A facility failed to report an allegation of abuse to the state survey agency and did not complete a timely investigation. A resident with cognitive impairments reported being inappropriately touched by another resident. Despite the report, the facility did not notify the state agency, believing the incident was a delusion. The DON confirmed that such allegations should be reported within two hours, but the facility's policy was not followed, leading to a deficiency.
The facility failed to provide adequate supervision, leading to incidents involving inappropriate behavior and altercations among residents. A resident with dementia and a history of inappropriate advances was involved in multiple incidents, including a physical altercation in a congested hallway and inappropriate touching in the dining room. Another resident with behavioral issues was involved in the altercation, and a third resident with cognitive impairment was inappropriately touched. The lack of supervision and documentation contributed to an unsafe environment.
Failure to Properly Secure Resident During Transport Results in Injury
Penalty
Summary
A deficiency occurred when a facility failed to ensure the safety of a resident during transport by not properly securing the resident in a wheelchair-accessible van and failing to maintain a safe speed. The resident, who had a history of generalized weakness, was at risk for falls and was dependent on hemodialysis. The care plan for this resident included interventions for fall risk and anticoagulant therapy, but these were not effectively implemented during the transport event. During the incident, the van driver accelerated onto an expressway, causing the unsecured resident to tip back in her wheelchair and strike her head, shoulders, and knees against the van lift rails. Documentation and interviews revealed that the driver did not properly use the required straps and seat belt to secure the resident and wheelchair, as outlined in facility policy and training. The driver admitted uncertainty about the use of the straps and acknowledged that the resident was not strapped down properly at the time of the incident. As a result of the incident, the resident sustained a scalp hematoma, pain in both shoulders and knees, and was later found to have a fractured vertebra. The facility's investigation confirmed that all van equipment was functioning properly and that the driver had previously received safety training. Staff interviews corroborated that the driver failed to follow established procedures for securing residents during transport, directly leading to the resident's injuries.
Failure to Provide Adequate Emergency Response and Oxygen Therapy
Penalty
Summary
The facility failed to ensure that care was provided according to professional standards for a resident with multiple serious health conditions, including acute chronic heart failure and severe sepsis. The resident had orders for oxygen therapy to maintain oxygen saturation above 90%, but the care plan did not include a plan for oxygen therapy. Documentation revealed that the resident's oxygen saturation was critically low at 77% on a specific date, yet there was no record of oxygen therapy being administered as ordered. This lack of adherence to the prescribed care plan contributed to the resident's deteriorating condition. On the day of the incident, the resident was found unresponsive by a CNA during routine checks. The CNA initiated CPR but did not provide breaths due to the lack of a mouthpiece. The LPN was called to assist, but there was a delay in calling 911, with staff waiting 15 minutes before making the call. When the EMTs arrived, they found the staff performing CPR inaccurately, with improper use of the bag-valve-mask and no oropharyngeal airway in place. The EMTs noted that the resident's blood sugar was critically low, and despite their efforts, the resident was pronounced dead shortly after their arrival. Interviews with staff revealed a lack of consistent vital sign monitoring during the night shift and confusion regarding CPR procedures. The CNA stated that vitals were typically checked only during the day and evening shifts, and there was no clear protocol for handling emergencies during the night. Additionally, there was a lack of communication and coordination among staff during the emergency, with some staff not using radios and others not returning to assist after calling 911. The facility's policy on emergency procedures was not followed, contributing to the inadequate response to the resident's critical condition.
Failure to Report and Investigate Allegation of Abuse
Penalty
Summary
The facility failed to report an allegation of abuse to the state survey agency and did not complete and submit a 5-day written investigation in a timely manner. This deficiency was identified when Resident #17, who has impaired cognitive function, reported being touched inappropriately by another resident, Resident #8, who also has cognitive impairments. The incident was reported to the Assistant Director of Nursing, who conducted an interview with Resident #17, leading to the identification of Resident #8 as the alleged perpetrator. Despite this, the facility did not report the incident to the state agency as required. The Administrator in Training admitted that the facility did not report the allegation, as they believed the incident was a result of Resident #17's delusional phase. The Director of Nursing confirmed that such allegations should be reported within two hours of awareness. The facility's policy mandates that abuse allegations be reported to several entities, including the state survey agency, but this protocol was not followed. The failure to report and investigate the allegation as per regulatory requirements constitutes a deficiency in the facility's handling of the situation.
Inadequate Supervision and Safety Hazards in LTC Facility
Penalty
Summary
The facility failed to provide adequate supervision and ensure a safe environment for residents, leading to multiple incidents involving inappropriate behavior and physical altercations. Resident #26, who has a history of dementia and inappropriate sexual advances, was involved in several incidents. On one occasion, he made sexual advances towards a staff member, and on another, he was involved in a physical altercation with Resident #5 in a congested hallway. The hallway was obstructed by a medication cart and an empty wheelchair, which contributed to the altercation. Resident #26 was also reported to have inappropriately touched Resident #3 in the dining room, an incident that was not documented in the progress notes. Resident #5, who has a history of behavioral problems and is on opiate medication for chronic pain, was involved in the altercation with Resident #26. She reportedly struck Resident #26 in the chest after he attempted to pass her in the hallway. Interviews revealed that Resident #5 has expressed dislike for Resident #26 and has a history of mumbling about hating people and wanting to hit them. Despite these behavioral issues, there was no evidence of adequate supervision or intervention to prevent the altercation. Resident #3, who has moderate cognitive impairment, was inappropriately touched by Resident #26 in the dining room. The incident involved Resident #26 tickling Resident #3, who expressed discomfort and asked him to stop. Although a CNA intervened, the incident was not initially documented in the progress notes. Interviews with staff and residents highlighted a lack of supervision and failure to address Resident #26's inappropriate behavior, contributing to an unsafe environment for the residents involved.
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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 Phoenix
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| The Rehabilitation Center At The Palazzo | 2.2 mi | — | 1 | 0 |
| Beatitudes Campus | 2.9 mi | — | 0 | 0 |
| Camelback Post Acute Care And Rehabilitation | 2.9 mi | — | 1 | 0 |
| Maryland Gardens Post Acute | 2.9 mi | — | 0 | 0 |
| Desert Terrace Healthcare Center | 4.3 mi | — | 7 | 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.