Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around November 2026
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 Sandpointe, Llc during CMS and state inspections, most recent first.
Two residents with severe cognitive impairment and known behavioral issues engaged in a physical altercation in a supervised dining area after a verbal exchange. Staff intervened and assessed both individuals, finding no injuries. The incident occurred despite existing care plans and facility policy intended to prevent abuse.
The facility did not properly hold, secure, or manage a resident's personal money that was deposited with the facility, failing to follow required procedures for safeguarding resident funds.
A resident's belongings or money were wrongfully used due to the facility's failure to provide adequate protection, resulting in unauthorized or inappropriate use.
The facility did not consistently follow its abuse and misappropriation policy for 13 residents, as staff responses to reports of missing money or items varied and not all incidents were reported to authorities as required. Some staff hesitated to report suspected misappropriation due to fear of retaliation, and the process for investigating and reporting was not uniformly applied, leading to unaddressed incidents of potential exploitation.
Staff failed to report suspected misappropriation of resident property for the majority of affected individuals, despite being aware of irregularities in the trust account. Only a few cases were reported to authorities, and required reporting procedures were not consistently followed.
Surveyors found that two residents had medications, including antifungal powder and topical ointments, left at their bedsides without proper labeling or authorization for self-administration. Staff interviews confirmed that facility policy prohibits medications at the bedside unless a resident has been assessed and authorized, which was not the case for these residents.
The facility did not obtain food from approved or satisfactory sources and failed to store, prepare, distribute, and serve food according to professional standards.
The facility did not adequately protect resident-identifiable information or maintain medical records according to professional standards, as observed by surveyors.
The facility did not ensure that residents were protected from physical, mental, sexual abuse, physical punishment, and neglect by anyone, resulting in a failure to maintain a safe and abuse-free environment.
A resident with cognitive impairment physically assaulted her roommate after an inappropriate comment was made about her mother. The incident was witnessed by a CNA who intervened, and no injuries were reported. The facility's policy to protect residents from abuse was not upheld.
A resident with severe cognitive impairment exhibited aggressive behaviors towards others, including physical altercations, but the facility failed to update the care plan with new interventions or report the incidents. Despite multiple incidents, the care plan remained unchanged, and staff had to constantly monitor the resident to prevent further incidents.
Failure to Prevent Resident-to-Resident Physical Abuse
Penalty
Summary
The facility failed to protect two residents with severe cognitive impairment from physical abuse, resulting in a resident-to-resident altercation. One resident, diagnosed with Alzheimer's disease, dementia with agitation, and other mental health conditions, had a documented history of behavioral issues, including inappropriate verbal and physical conduct toward staff and other residents. The other resident, also with dementia and behavioral challenges, had a care plan addressing her tendencies to hit, kick, and yell at others, as well as a history of altercations and aggressive behavior toward both staff and residents. On the day of the incident, both residents were in the dining area when a verbal exchange occurred. The second resident became agitated when the first resident did not respond to her greeting, leading her to physically strike him on the back. The first resident then reacted by punching her in the chest. Staff present in the area intervened to separate the residents, assessed both for injuries, and found none. Multiple staff interviews confirmed the sequence of events, with one nurse directly observing the physical altercation and describing the aggression involved. The facility's own investigation and staff interviews revealed that both residents had known behavioral triggers and histories of aggression, yet the measures in place were insufficient to prevent the altercation. The facility's policy states that residents have the right to be free from abuse, including physical abuse by anyone. Despite this, the incident occurred in a common area under staff supervision, indicating a failure to adequately protect the residents from physical harm as required by policy.
Failure to Properly Manage Resident Personal Funds
Penalty
Summary
The facility failed to properly hold, secure, and manage each resident's personal money that was deposited with the nursing home. This deficiency indicates that the required procedures for safeguarding residents' funds were not followed as specified, resulting in a failure to ensure the proper management of personal monies entrusted to the facility.
Failure to Protect Resident's Belongings or Money
Penalty
Summary
A deficiency was identified regarding the protection of residents from the wrongful use of their belongings or money. The report notes that there was a failure to safeguard a resident's personal property or funds, resulting in unauthorized or inappropriate use. Specific actions or omissions by facility staff led to this breach, directly impacting the resident's rights and property. No additional details about the resident's medical history or condition at the time of the deficiency are provided in the report.
Failure to Implement Abuse and Misappropriation Policy
Penalty
Summary
The facility failed to implement its abuse and misappropriation policy for 13 out of 16 sampled residents, as evidenced by interviews, clinical record reviews, and examination of facility reports and policies. Staff interviews revealed inconsistent practices in responding to resident reports of missing money or items, with some staff checking with the business office or searching resident rooms, and others escalating concerns to management or external authorities. One business office staff member reported noticing irregularities in the resident trust account but did not report them due to fear of retaliation, indicating a breakdown in the reporting process. The facility's policy required the development and implementation of protocols to prevent, identify, and investigate theft, exploitation, or misappropriation of resident property, and to report allegations within federally required timeframes. Despite the existence of these policies, the facility did not ensure consistent adherence, as shown by the limited number of residents reported to the state agency compared to the number affected. Interviews with administrative staff confirmed that not all incidents were reported as required, and that the process for investigating and reporting misappropriation was not uniformly followed. The findings indicate that the facility's failure to fully implement its abuse and misappropriation policy could result in continued misappropriation or exploitation of residents.
Failure to Timely Report Alleged Misappropriation of Resident Property
Penalty
Summary
The facility failed to ensure timely reporting of alleged violations of misappropriation or exploitation for 13 out of 16 residents sampled. Interviews and record reviews revealed that staff became aware of irregularities in the resident trust account but did not report their suspicions due to concerns about retaliation and personal opinions regarding the seriousness of the situation. The business office manager noticed issues with the trust account but did not report them, citing fear of being fired and a belief that such incidents were unlikely to occur. Only three residents were included in the 5-day report to the state agency, despite more residents being affected. Facility policy required the identification, investigation, and reporting of all possible incidents of theft, exploitation, or misappropriation of resident property within federally required timeframes. However, the policy was not followed, as not all allegations were reported to the appropriate authorities, including the state agency, police, Adult Protective Services, and the Ombudsman. Staff interviews confirmed that reporting procedures were known but not consistently implemented, resulting in a failure to report suspected misappropriation for the majority of affected residents.
Medications Left at Bedside Without Authorization or Labeling
Penalty
Summary
Surveyors identified that the facility failed to ensure medications and biologicals were not left at the bedside for two residents. In the first instance, a resident with multiple diagnoses, including pneumonia, respiratory failure, heart failure, and diabetes, was found with a red tube of antifungal powder at the bedside. The resident stated that staff sometimes left the tube near him or on his table. There was no assessment or physician order for the resident to self-administer medication, and the care plan did not address self-administration. Staff interviews confirmed that medications should not be left at the bedside and that the facility policy requires an assessment and specific orders for self-administration, which were not present for this resident. In the second instance, another resident with a history of cerebral palsy, diabetes, and other chronic conditions was observed with an unlabeled medication cup containing a white ointment and a bottle of ketoconazole shampoo with an illegible label at the bedside. The resident believed the cup contained triad cream used for skin treatment. Review of the care plan and physician orders revealed no authorization for self-administration of medications. Staff interviews indicated that medications, including topicals, should not be left at the bedside and that any found should be removed and given to a nurse or medication technician. Further interviews with nursing staff, including a CNA, LPN, CMA, RN, and the DON, consistently indicated that medications at the bedside are not permitted unless the resident has been assessed and authorized to self-administer. The facility's policy requires medications to be secured at all times, and any self-administration must be care planned and reviewed. The presence of unlabeled or unauthorized medications at the bedside did not meet staff expectations or facility policy, as confirmed by multiple staff members during the survey.
Failure to Follow Food Procurement and Handling Standards
Penalty
Summary
The facility failed to procure food from sources that are approved or considered satisfactory and did not store, prepare, distribute, and serve food in accordance with professional standards. This deficiency was identified during the survey process, indicating that the facility did not meet regulatory requirements for food safety and handling. No additional details about specific residents, staff, or events are provided in the report.
Failure to Safeguard Resident Information and Maintain Medical Records
Penalty
Summary
The facility failed to safeguard resident-identifiable information and/or did not maintain medical records for each resident in accordance with accepted professional standards. This deficiency was identified through surveyor observation or record review, indicating that the required protocols for protecting confidential information or ensuring proper documentation of resident medical records were not followed. No additional details regarding specific residents, staff actions, or the condition of residents at the time of the deficiency are provided in the report.
Failure to Protect Residents from Abuse and Neglect
Penalty
Summary
A deficiency was identified regarding the facility's failure to protect each resident from all types of abuse, including physical, mental, sexual abuse, physical punishment, and neglect by any individual. The report notes that residents were not adequately safeguarded from these forms of mistreatment, indicating lapses in the facility's responsibility to ensure a safe and abuse-free environment for all individuals in their care.
Failure to Protect Resident from Abuse by Another Resident
Penalty
Summary
The facility failed to protect a resident from abuse by another resident, resulting in a physical altercation. Resident #1, who is cognitively intact and has a history of type 2 diabetes, major depressive disorder, and partial paralysis, was involved in an incident where she made an inappropriate comment about her roommate's mother. This led to Resident #2, who has partial paralysis, type 2 diabetes, schizoaffective disorder, and major depressive disorder, physically grabbing Resident #1's hair. The incident was witnessed by a Certified Nursing Assistant (CNA), who intervened to separate the residents. Resident #2, who has a moderate cognitive impairment, had no prior documented behavioral issues in her care plan. The altercation was reported to the police and social services, and both residents were assessed for injuries, with none found. Interviews with staff confirmed the sequence of events and highlighted that the facility's policy mandates a commitment to protect residents from abuse, which was not upheld in this instance.
Failure to Protect Resident from Abuse
Penalty
Summary
The facility failed to ensure that a resident was free from abuse, as evidenced by multiple incidents involving Resident #21, who was severely cognitively impaired with a BIMS score of 2. The resident exhibited aggressive behaviors towards other residents, including cursing, lunging, and physical altercations. Despite these incidents, the facility did not update the resident's care plan with new interventions to address these behaviors, nor did they report the incidents as required. The care plan for Resident #21 had not been revised with new interventions since April 15, 2024, despite several documented incidents of aggression. Resident #21 was involved in multiple altercations, including an incident on July 13, 2024, where the resident lunged at another resident, and another on September 4, 2024, where Resident #21 was found choking another resident. In both cases, staff intervened to prevent harm, but no new interventions were added to the care plan, and the incidents were not reported. Additionally, on November 18, 2024, Resident #21 threw a plastic cup and attempted to kick another resident, yet again, no changes were made to the care plan. Interviews with staff revealed that Resident #21 and Resident #6, who are sisters, have a history of altercations, with Resident #21 often becoming aggressive. Staff reported that they had to constantly monitor the residents to prevent incidents, but the care plan did not reflect these necessary interventions. The Director of Nursing acknowledged that the care plan should include triggers and interventions for aggressive behavior but could not explain why the care plan had not been updated. The facility's policy requires that abuse be reported and care plans be revised as conditions change, but these protocols were not followed in this case.
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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 Yuma
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Welbrook Yuma Opco Llc | 0.6 mi | — | 5 | 0 |
| Life Care Center Of Yuma | 0.7 mi | — | 6 | 0 |
| Haven Of Yuma | 0.7 mi | — | 0 | 0 |
| Yuma Nursing Center | 0.7 mi | — | 0 | 0 |
| Arizona State Veteran Home - Yuma | 6.6 mi | — | 0 | 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.