A list of the most recent deficiencies for Haven of Flagstaff. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-05 | 2023-11-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-05 | 2023-11-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-05 | 2023-11-06 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-10-05 | 2023-11-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-05 | 2023-11-06 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-10-05 | 2023-11-06 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-18 | 2022-09-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-18 | 2022-09-19 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-08-18 | 2022-09-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-18 | 2022-09-15 | N |
| Provide activities to meet all resident's needs. | Health | 2022-08-18 | 2022-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-18 | 2022-09-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-18 | 2022-09-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-23 | 2020-11-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-10-23 | 2020-11-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-23 | 2020-11-27 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2020-10-26 | 2020-11-23 | N |
| 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 | 2020-10-26 | 2020-11-23 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2020-10-26 | 2020-11-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-10-26 | 2020-11-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-10-26 | 2020-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-26 | 2020-11-23 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-10-26 | 2020-11-23 | N |
