Unclaimed

Haven Health Sky Harbor, Llc

1880 East Van Buren Street, Phoenix, AZ 85006
6022534570
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Overall CMS Rating

2.0/5

vs State Average: 3.5 stars

1.0/5

Health Inspections

vs State Average: 2.8/5

1.0/5

Staffing Level

vs State Average: 3/5

5.0/5

Quality Measures

vs State Average: 4.6/5

1 penalties in last 3 years
Penalties
vs State Average: 0.5 penalties

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Ratings Deep Dive

Score
1.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
1 Penalties in last 3 years
1 Fines issued
Citation Date Description Severity
Nov 13, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. D
Nov 13, 2025 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E
Aug 12, 2025 Develop and implement policies and procedures to prevent abuse, neglect, and theft. E
Aug 12, 2025 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. E
Aug 12, 2025 Respond appropriately to all alleged violations. E
Score
1.0
State Average
3.0
National Average
2.9
0.6 RN Hours / Resident / Day
4.6 Total Nurse Hours / Resident / Day
55.0% RN Turnover Rate
Score
5.0
State Average
4.6
National Average
3.6
5.0 Long-Stay QM Rating
5.0 Short-Stay QM Rating
108.1 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
5% OR GREATER DIRECT OWNERSHIP INTEREST HAVEN HEALTH GROUP LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST ROBERTSON, BRETT
5% OR GREATER DIRECT OWNERSHIP INTEREST SAMUELIAN, ROBERT
5% OR GREATER DIRECT OWNERSHIP INTEREST SAMUELIAN, SPENCER
5% OR GREATER DIRECT OWNERSHIP INTEREST SAMUELIAN, STEPHEN
5% OR GREATER DIRECT OWNERSHIP INTEREST WEST, CHRISTIAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST HAVEN HEALTH PROPERTIES LLC
5% OR GREATER INDIRECT OWNERSHIP INTEREST HEALTH GROUP MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL HEALTH GROUP MANAGEMENT LLC
OPERATIONAL/MANAGERIAL CONTROL BRADY, MITCHELL
Recent Penalties
Date Type Fine
Apr 28, 2023 Fine $43,628

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