Above average — CMS composite of the measures below.
The next survey window likely opens around June 2027
Estimate from public CMS data, current as of October 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Haven Health Prescott, Llc during CMS and state inspections, most recent first.
Outdated Daily Nurse Staffing Posting: The facility failed to keep the daily nurse staffing posting current and visible at the beginning of the day. Surveyors found the posting was several days old and reflected an incorrect census, while the ADON stated she did not update it on weekends and the DON acknowledged the posting had not been updated for five days. The facility policy required RN, LPN/LVN, CNA, and NA staffing numbers to be posted daily in a prominent location accessible to residents and visitors.
An unsecured medication cart was observed unattended in the hallway near the nurses' station with no nursing staff present. Multiple staff members, two residents, and a CNA passed by before an LPN found the cart unlocked and secured it. The DON, the assigned LPN, and the Administrator confirmed facility policy required medication carts to remain locked whenever unattended or not in use.
Moldy strawberries were found stored in the walk-in refrigerator, and a Dietary Aide confirmed the fruit looked bad and was moldy. The Dietary Mgr later stated the strawberries should have been discarded, and the Administrator said fruit with discoloration, mold, or other signs of spoilage is expected to be discarded immediately. The facility policy requires food to be stored in accordance with good sanitary practices and spoiled food to be discarded.
Incomplete and Inaccurate Wound Documentation: A resident with a complex right ankle fracture and surgical repair had repeated skin and wound assessments that lacked measurements and detailed descriptors, and the chart contained conflicting entries about sutures, wound location, and wound status. Weekly documentation continued to describe sutures after an ortho note said they were removed, alternated between right and left heel wound locations, and failed to clearly track the resident’s dorsal foot, ankle, and heel wounds. Staff and the DON stated the record did not provide a clear picture of the resident’s wound status.
A resident with significant care needs was not consistently offered or provided showers according to the established schedule, and documentation of bathing care, refusals, and alternative hygiene measures was incomplete or missing. Staff interviews and policy review confirmed that required documentation and care practices were not followed for this resident.
A resident admitted with a diagnosis of bipolar disorder and prescribed antidepressant medication did not receive a timely PASARR Level II assessment, despite the completion of a Level I screening and documentation of mental illness. Staff interviews and facility records confirmed the omission, which could impact the provision of specialized mental health services.
A resident with multiple medical conditions was found with a calcium tablet left at their bedside, despite not being assessed or authorized for self-administration. Staff interviews confirmed that medications should not be left at the bedside without proper orders, and facility policy prohibits this practice unless a physician and care team have approved self-administration.
A resident did not receive a nourishing, palatable, and well-balanced diet that met daily nutritional and special dietary needs, as required.
Surveyors found that opened bags of macaroni noodles, chicken tenders, and French fries in the kitchen storage areas were not labeled or dated and were not stored in sealed containers or zipper bags, contrary to facility policy. Staff and the kitchen manager confirmed that all opened food items should be labeled, dated, and properly stored.
A resident with multiple medical conditions alleged that a male staff member hit her during the night. Several staff, including CNAs and an LPN, were aware of the allegation but did not report it to management or the state agency within the required timeframe, as mandated by facility policy and federal regulations. The incident was only reported after the resident's husband intervened, resulting in a deficiency for failure to follow timely abuse reporting standards.
A resident experienced inadequate bowel care due to the facility's failure to follow standing orders for constipation management. Despite having a physician's order for a bowel care program, the resident went without a documented bowel movement for over five days on two occasions. The resident reported painful bowel movements and dissatisfaction with the treatment, while staff interviews revealed a lack of awareness and documentation regarding the issue. The facility lacked a specific constipation management policy, contributing to the deficiency.
A resident with dementia and behavioral disturbances was scratched by another resident with a history of aggressive behavior, resulting in a skin tear. Despite known risks, the facility failed to prevent this incident, highlighting a deficiency in protecting residents from abuse.
Outdated Daily Nurse Staffing Posting
Penalty
Summary
The facility failed to ensure that current nurse staffing data was accurate and posted at the beginning of the day. On July 19, 2026, at 10:22 AM, surveyors observed the nursing staff posting and found it was dated July 14, 2026, with a resident census of 57, even though the current census was 52. The posting had not been updated for five days, so the required daily staffing information was not current. During interviews, the ADON stated the facility’s process was to update and post daily nursing staffing information each day, but she did not update it on weekends because she was not in the facility. She described checking the schedule with the lead CNA, visually verifying staff present, and reviewing the nursing staffing whiteboard. The DON stated the facility’s process was to update and post nursing staffing information at the beginning of each day, including weekends, and acknowledged the posting had not been updated for five days. The facility policy required daily nurse staffing information to be posted in a prominent location accessible to residents and visitors within two hours of the beginning of each shift.
Unsecured Medication Cart Left Unattended
Penalty
Summary
A medication cart was observed unlocked and unattended in the hallway adjacent to the nurses' station, with no nursing staff present. The cart's drawers faced the hallway and the locking mechanism indicated it was unlocked. While it remained unsecured, multiple staff members, including an LPN assigned to the cart, passed by the cart, and two residents and a CNA also passed it before another LPN approached and locked it. During interviews, the LPN who locked the cart stated it was unsecured when he found it and that he locked it after discovering it unattended. The DON, the LPN assigned to the cart, and the Administrator each confirmed facility policy required medication carts to remain locked whenever unattended or not actively in use. Review of the facility policy stated medication carts must be securely locked at all times when out of the nurse's view and must be locked and parked at the nurses' station or inside the medication room when not in use.
Moldy Strawberries Stored in Walk-In Refrigerator
Penalty
Summary
The facility failed to ensure food items were stored in accordance with professional standards for food service safety when several strawberries in the large walk-in refrigerator were observed to have visible discoloration consistent with mold. During the kitchen observation, a Dietary Aide stated the strawberries looked really bad and confirmed the discoloration was mold, and acknowledged that serving spoiled fruit could result in residents becoming ill. The Dietary Manager later confirmed the strawberries were moldy and should have been discarded, stating that kitchen staff are expected to conduct daily visual inspections of refrigerated food items and dispose of any food showing signs of spoilage or mold. The Administrator also stated the facility's expectation is that any fruit with discoloration, mold, or other signs of spoilage be discarded immediately. The facility policy titled Food Storage states that food items are to be stored, thawed, and prepared in accordance with good sanitary practices and that expired, outdated, or spoiled food products are to be discarded.
Incomplete and Inaccurate Wound Documentation
Penalty
Summary
The facility failed to maintain an accurate and complete medical record for a resident with a complex right lower extremity surgical history and multiple skin issues. The resident was admitted with diagnoses including a ground-level fall with trimalleolar fracture of the right ankle, right ankle fusion, diabetes, coronary artery disease, chronic kidney disease, COPD, and prior CVA with right hemiparesis. Admission and weekly skin assessments documented a coccyx pressure injury, bruising, a rash under the right breast, and surgical wounds on the right lower extremity, but the wound documentation repeatedly lacked measurements and detailed wound descriptions. The record also contained conflicting information about the resident’s surgical wounds. An orthopedic visit note uploaded into the EMR stated that sutures were removed and that the resident could shower, with wound care orders for the surgical site. Despite this, subsequent weekly skin assessments continued to document sutures on the lateral lower leg and heel, along with a small blister to the dorsal foot and lateral ankle. The assessments did not include measurements or further wound descriptions, and the documentation did not consistently reflect the orthopedic findings. As the resident’s condition changed, the documentation remained inconsistent. Later skin and wound notes identified a surgical wound on the left heel even though the surgery was on the right ankle, and the record alternated between describing the heel wound as absent, present, or located on the left heel. One note described the wound as non-healing with increased size, moderate purulent exudate, and odor, while other weekly assessments still failed to document the right dorsal foot blister or lateral ankle blister with measurements or descriptors. Staff interviews confirmed that wound measurements and descriptors were expected, and the DON stated the weekly skin assessments were not accurate or thorough enough to determine whether the wounds were improving or deteriorating.
Failure to Provide and Document Scheduled Showers
Penalty
Summary
The facility failed to ensure that a resident was offered or provided showers according to his scheduled shower days. Clinical record review showed that the resident, who had chronic obstructive pulmonary disease, pneumonia, and generalized muscle weakness, required substantial to maximal assistance with bathing and was cognitively intact. Documentation for several scheduled shower days over a two-month period was either missing or marked as not applicable, with no evidence that showers were offered or provided on those days, nor that make-up showers were given on alternate days. Only one instance was documented where the resident refused a shower and accepted a bed bath instead, but there was no evidence of refusals or alternative care for the other missed dates. Staff interviews confirmed that the expectation was for residents to be offered showers twice weekly per the schedule, and that refusals should be documented in the electronic health record or on shower sheets. However, the facility was unable to provide shower sheets for the relevant period, and the Director of Nursing acknowledged that documentation could be lacking, as shower sheets were only retained for a month. Review of facility policies indicated that all bathing and shower care, including refusals and skin observations, should be documented, but this was not consistently done for the resident in question.
Failure to Complete PASARR Level II Assessment for Resident with Mental Health Diagnosis
Penalty
Summary
The facility failed to ensure that a PASARR Level II assessment was completed in a timely manner for one resident who was admitted with a diagnosis of bipolar disorder, current episode depressed, mild or moderate severity. Documentation showed that the resident's Minimum Data Set (MDS) indicated intact cognitive function and confirmed the diagnosis of bipolar disorder. The resident was prescribed Duloxetine for depression, and the care plan reflected the use of antidepressant medication. Despite these indicators, the PASARR Level II assessment, which is required when a Level I screening suggests a serious mental illness, was not completed as part of the pre-admission process. Interviews with facility staff, including social services and regional clinical operations, confirmed that while the PASARR Level I screening was completed, the Level II evaluation was not initiated or completed for this resident. Facility policy requires verification of a Level I PASARR screening prior to admission to identify serious mental illness or intellectual disability, but does not require a new Level I for readmissions. The lack of a timely PASARR Level II assessment could result in the resident not receiving necessary specialized mental health services, as noted by staff during interviews.
Medication Left at Bedside Without Authorization
Penalty
Summary
A deficiency was identified when a resident was found with a medication, specifically a calcium carbonate tablet, left at their bedside without proper authorization or assessment for self-administration. The resident, who had multiple diagnoses including a fracture, hypertension, COPD, muscle spasm, GERD, depression, atherosclerotic heart disease, and osteoarthritis, was observed lying in bed with a cup containing the tablet on the bedside table. The resident stated that the tablet was difficult to swallow and that staff would often leave it on the table, despite his requests for it to be crushed or given with applesauce. There was no care plan, physician's order, or assessment in place permitting the resident to self-administer medication, nor was there documentation of an interdisciplinary meeting regarding self-administration. Staff interviews confirmed that the medication should not have been left at the bedside. A CNA was unable to identify the contents of the cup and deferred to the nurse, who acknowledged the error and noted the potential for other residents, such as those with dementia, to access the medication. The DON confirmed that facility policy prohibits leaving medications or vitamins at the bedside unless there is a specific self-administration order, and that no residents currently have such orders. Review of facility policy further supported that self-administration is only permitted following appropriate assessment and physician determination.
Failure to Provide Adequate and Appropriate Diet
Penalty
Summary
The facility failed to provide each resident with a nourishing, palatable, well-balanced diet that meets their daily nutritional and special dietary needs. This deficiency was identified based on surveyor findings that residents did not consistently receive meals that were adequate in nutrition, taste, or tailored to their specific dietary requirements.
Improper Labeling and Storage of Opened Food Items
Penalty
Summary
During an initial walk-through of the facility's kitchen storage areas, surveyors observed several food storage violations. Specifically, a half-full bag of macaroni noodles was found on a shelf in the dry storage room without a label or date. Additionally, two opened bags—one containing chicken tenders and the other French fries—were found in the freezer, also lacking labels and dates. These opened bags were not stored in sealed containers or zipper bags as required by facility policy. Staff interviews confirmed that the standard procedure is to label and date all opened food items and store them in sealed containers or zipper bags. The kitchen manager and other staff acknowledged that the observed practices did not comply with the facility's food storage policy, which mandates that opened products be placed in seamless containers with tight-fitting lids, labeled, and dated. The policy also requires that food items be dated when placed on shelves in the storage room. The failure to follow these procedures was confirmed by both the staff present during the survey and the kitchen manager.
Failure to Timely Report Alleged Abuse Incident
Penalty
Summary
The facility failed to ensure that an allegation of abuse involving a staff member and a resident was reported in accordance with professional standards and facility policy. The incident involved a resident with multiple medical diagnoses, including toxic encephalopathy and cirrhosis, who alleged that a male staff member hit her during the night. Documentation shows that the resident made these allegations to staff, requested her husband be called, and subsequently left the facility with her husband. Staff interviews revealed that the allegation was not reported to management or the state agency within the required timeframe. Multiple staff members, including CNAs and an LPN, were aware of the resident's allegations but did not immediately report the incident to supervisors or management as required by facility policy and federal regulations. The LPN acknowledged that the allegation was not reported to the Assistant Director of Nursing (ADON) until several hours after the initial report from the resident, citing workload and a belief that the resident was confused. The ADON and DON both stated that they were unaware of the allegation until the following morning, and the Executive Director confirmed that management was not notified by the night shift staff. Facility policy and federal regulations require that all allegations of abuse be reported immediately, or within two hours if the allegation involves abuse or results in serious bodily injury. The failure to report the allegation in a timely manner was confirmed through clinical record review, staff interviews, and policy review, resulting in a deficiency for not adhering to required reporting standards.
Failure to Provide Adequate Bowel Care
Penalty
Summary
The facility failed to provide necessary bowel care treatment and services for a resident, leading to a deficiency in care. The resident, who was admitted with diagnoses including paroxysmal atrial fibrillation and unspecified dementia, had a physician's order for a routine bowel care program if no bowel movement occurred in three days. Despite this, the resident went without a documented bowel movement for over five days on two separate occasions in July 2024. The facility's standing orders for bowel care were not followed promptly, as evidenced by the delayed administration of Milk of Magnesia and the lack of subsequent interventions when the initial treatment was ineffective. The resident, who was cognitively intact, reported experiencing painful bowel movements only once a week and expressed dissatisfaction with the current treatment. Interviews with facility staff revealed a lack of awareness regarding the resident's constipation issues, and there was no documentation of bowel care offers or refusals. Additionally, the facility did not have a specific policy for constipation management, relying instead on provider orders and change of condition procedures. This lack of adherence to bowel care protocols and inadequate communication among staff contributed to the resident's discomfort and the identified deficiency.
Failure to Prevent Resident-to-Resident Abuse
Penalty
Summary
The facility failed to protect a resident from physical abuse by another resident. Resident #34, who has a diagnosis of unspecified dementia and other behavioral disturbances, was involved in an incident where she was scratched by Resident #3 while in the hallway. Resident #34's care plan noted behavior problems related to medication refusal and hallucinations, and she was assessed to have moderate cognitive impairment. The incident resulted in a small skin tear on Resident #34's left elbow, which was documented by the Director of Nursing and communicated to the resident's family. Resident #3, who has a history of vascular dementia, major depressive disorder, and schizophrenia, was identified as the perpetrator. Her care plan documented a history of combative behavior, including scratching and grabbing, and she was assessed to be severely cognitively impaired. The facility's records show that Resident #3 has a history of aggressive behaviors towards staff and other residents, and her medication regimen has been adjusted multiple times in response to these behaviors. On the day of the incident, a CNA reported that Resident #3 reached out and scratched Resident #34, causing a skin tear. Interviews with staff revealed that Resident #3 is known to grab and scratch during care, and measures such as increased supervision and the use of gloves are employed to prevent harm. The facility's abuse policy defines abuse as the infliction of injury or harm, and the incident involving Resident #3 and Resident #34 falls under this definition. The report highlights the facility's failure to prevent the physical abuse of Resident #34 by Resident #3, despite the known history of aggressive behavior.
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Illustrative
What surveyors actually found near you
We read the 32 citations issued within 25 miles in the last 12 months — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Prescott
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Prescott Village Nursing & Rehabilitation | 1.2 mi | ★★★★★ | 21 | 0 |
| Granite Creek Health & Rehabilitation Center | 1.2 mi | ★★★★★ | 8 | 0 |
| Mountain View Manor | 3.7 mi | ★★★★★ | 1 | 0 |
| Prescott Valley Nursing & Rehabilitation | 9.5 mi | ★★★★★ | 2 | 0 |
| Haven Of Cottonwood | 29 mi | ★★★★★ | 1 | 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 October 2026) and official state health department websites.