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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-28 | 2023-07-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-15 | 2023-02-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-15 | 2023-02-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-15 | 2023-02-28 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-12-15 | 2023-02-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-15 | 2023-02-28 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-12-15 | 2023-02-28 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2022-12-15 | 2023-02-28 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-12-15 | 2023-02-28 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2022-12-15 | 2023-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-02-28 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2022-08-24 | 2022-09-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-29 | 2022-04-30 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-29 | 2022-04-30 | Y |
| 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 requirements for the use and maintenance of medical gas equipment. | 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 |
| 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 pressure ulcer care and prevent new ulcers from developing. | 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 |
| Provide safe and appropriate respiratory care for a resident when needed. | 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 |
| 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 |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-10 | Not Fixed | Y |