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 Saguaro Valley during CMS and state inspections, most recent first.
A resident with orthostatic hypotension and hypertension received blood pressure medication outside of physician-ordered parameters, as the MAR showed doses were administered when systolic blood pressure was above the specified threshold. Documentation was inconsistent, with some instances lacking explanatory notes and others marked as administered despite being held, as confirmed by LPN and DON interviews.
A resident with impaired mobility and cognitive impairment did not receive or have documented bowel and bladder care as required by their care plan, with records showing care was only documented once during several shifts. Staff interviews confirmed that undocumented care is considered not provided, and the DON acknowledged inconsistent documentation. Facility policy requires documentation of all care, but evidence was lacking for several periods.
Failure to Administer Blood Pressure Medication per Physician Parameters
Penalty
Summary
The facility failed to ensure that blood pressure medication was administered according to physician-ordered parameters for one resident. The resident had multiple diagnoses, including orthostatic hypotension and hypertension, and was prescribed Midodrine with instructions to hold the medication if systolic blood pressure exceeded 140. Review of the Medication Administration Record (MAR) showed that the medication was marked as administered on several occasions when the resident's systolic blood pressure was above the specified threshold. On some dates, there were no corresponding medication administration notes to explain the deviation, and on other dates, progress notes indicated the medication was held, but the MAR still reflected it as administered. Interviews with nursing staff and the Director of Nursing confirmed that the medication should not have been given when the systolic blood pressure was above 140, and that the MAR documentation did not always accurately reflect whether the medication was administered or held. The facility's policy required medications to be administered in accordance with prescriber orders and for staff to document administration in the electronic MAR after each dose. The failure to follow these procedures resulted in the administration of medication outside of prescribed parameters and inconsistent documentation.
Failure to Provide and Document Bowel and Bladder Care
Penalty
Summary
The facility failed to provide adequate bowel and bladder care for one resident with multiple medical conditions, including impaired mobility, pressure-induced deep tissue damage, and cognitive impairment. The resident's care plan specified the use of disposable briefs to be checked and changed as needed, and documentation was required for each shift. However, a review of facility records showed that bowel and bladder care was only documented once during several day shifts, with significant gaps in documentation on specific dates. Interviews with staff confirmed that if care was not documented, it was considered not to have occurred, and that care should be provided and recorded at least once per shift, if not more frequently. Further review of facility policies indicated that staff are required to document all care provided, including incontinence care, to maintain comfort and skin integrity. The DON acknowledged inconsistencies in the documentation and was unable to find evidence that care was provided during the undocumented periods. The lack of documentation and potential lack of care could result in adverse outcomes for the resident, as noted by staff during interviews.
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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 Tucson
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Pueblo Springs Rehabilitation Center | 1.6 mi | — | 0 | 0 |
| Sandstone Estates Rehab Centre | 1.7 mi | — | 5 | 0 |
| Sabino Canyon Rehabilitation & Care Center | 1.7 mi | — | 3 | 0 |
| Devon Gables Rehabilitation Center | 1.8 mi | — | 0 | 0 |
| Handmaker Home For The Aging | 2.3 mi | — | 12 | 1 |
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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.