Deficiency Records for Haven Health Sky Harbor, LLC
Updated as of January 01, 2022
This is not the most recent data for Haven Health Sky Harbor, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Haven Health Sky Harbor, LLC. 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-09-23 | 2021-11-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-23 | 2021-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-23 | 2021-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-23 | 2021-11-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-09-23 | 2021-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-23 | 2021-11-01 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-09-23 | 2021-11-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-23 | 2021-11-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-09-23 | 2021-11-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-23 | 2021-11-01 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-09-23 | 2021-11-01 | N |
| Report COVID19 data to residents and families. | Health | 2021-09-23 | 2021-11-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-06-04 | 2021-07-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-06-04 | 2021-07-15 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-04 | 2021-07-15 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-06-04 | 2021-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-04 | 2021-07-15 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-04 | 2021-07-15 | Y |
| 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 | 2021-06-04 | 2021-07-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-14 | 2021-06-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-14 | 2021-06-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-14 | 2021-06-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-05-14 | 2021-06-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-14 | 2021-06-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-16 | 2021-05-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-16 | 2021-05-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-01-27 | 2021-02-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-01-27 | 2021-02-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-01-27 | 2021-02-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-07-06 | 2020-11-13 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-07-06 | 2020-11-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-07-06 | 2020-11-13 | Y |
| 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 | 2020-07-06 | 2020-11-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-07-06 | 2020-09-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-07-06 | 2020-09-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-07-06 | 2020-09-07 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-07-06 | 2020-09-07 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-07-06 | 2020-09-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-07-06 | 2020-09-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-07-06 | 2020-09-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-07-06 | 2020-09-07 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2019-06-14 | 2019-08-29 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-06-14 | 2019-08-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-14 | 2019-08-05 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-06-14 | 2019-08-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-06-14 | 2019-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-14 | 2019-08-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-14 | 2019-08-05 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-14 | 2019-08-05 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-14 | 2019-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-14 | 2019-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-14 | 2019-07-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-14 | 2019-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-14 | 2019-07-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-14 | 2019-07-26 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-03-23 | 2018-05-14 | 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 | 2018-03-23 | 2018-05-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-03-23 | 2018-05-14 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-03-23 | 2018-05-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-03-23 | 2018-05-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-03-23 | 2018-05-14 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-23 | 2018-05-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-23 | 2018-05-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-23 | 2018-05-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-23 | 2018-05-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-23 | 2018-05-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-23 | 2018-05-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-03-23 | 2018-05-14 | 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 | 2018-03-23 | 2018-05-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-03-23 | 2018-05-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-03-23 | 2018-05-10 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-03-23 | 2018-05-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-03-23 | 2018-05-10 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-03-23 | 2018-05-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-03-23 | 2018-05-10 | N |
| Develop a communication plan. | Fire Safety | 2018-03-23 | 2018-05-10 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-03-23 | 2018-05-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-23 | 2018-05-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-03-23 | 2018-05-10 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-03-23 | 2018-05-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-23 | 2018-05-10 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2018-03-23 | 2018-05-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-23 | 2018-05-10 | N |
