A list of the most recent deficiencies for Haven of Saguaro Valley. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-19 | 2023-11-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-22 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-13 | 2023-06-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-13 | 2023-06-21 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2023-04-13 | 2023-06-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-13 | 2023-06-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-13 | 2023-06-21 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-13 | 2023-06-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-13 | 2023-06-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-21 | 2023-05-17 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-03-21 | 2023-05-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-25 | 2022-05-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-25 | 2022-05-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-25 | 2022-05-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-25 | 2022-05-09 | N |
| Post nurse staffing information every day. | Health | 2022-03-25 | 2022-05-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-25 | 2022-05-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-25 | 2022-05-09 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-03-25 | 2022-05-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-25 | 2022-05-09 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-25 | 2022-04-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-25 | 2022-04-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-25 | 2022-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-12 | 2020-02-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-12 | 2020-02-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-12 | 2020-02-24 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-09-25 | 2019-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-25 | 2019-10-22 | N |
