Haven Health Sky Harbor, LLC
1880 East Van Buren Street, Phoenix, AZ 85006
Haven Health Sky Harbor, LLC is a nursing home in Phoenix, Arizona. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
CMS star ratings
- 2 of 5CMS overall star rating
- 2 of 5CMS health inspection star rating
- 1 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (602) 253-4570
- Last standard health inspection
- November 13, 2025 (11 months ago)
- Certified beds
- 120
- Residents per day, on average
- 108.6
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Haven Health Sky Harbor LLC
- Chain
- Haven Health
- Takes part in
- Medicare and Medicaid
More health citations than the Arizona average (37 vs 21).
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 8, 2026
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
1 citation
Health inspection on July 29, 2026
CMS lists this as a complaint inspection.
Citation F0552. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that residents are fully informed and understand their health status, care and treatments.
CMS lists it as corrected on September 4, 2026.
1 citation
Health inspection on March 3, 2026
CMS lists this as a complaint inspection.
Citation F0689. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
CMS lists it as corrected on April 16, 2026.
4 citations
Health inspection on November 13, 2025
CMS lists this as a standard inspection and a complaint inspection.
Citation F0550. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on December 5, 2025.
CMS has cited this home for F0550 2 times since 2022.
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on December 5, 2025.
CMS has cited this home for F0842 3 times since 2024.
Citation F0609. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on December 5, 2025.
CMS has cited this home for F0609 2 times since 2025.
Citation F0684. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
CMS lists it as corrected on December 5, 2025.
1 citation
Fire safety inspection on November 13, 2025
CMS lists this as a standard inspection.
Citation K0221. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide rooms that can be unlocked from inside without a key.
CMS lists it as corrected on December 16, 2025.
3 citations
Health inspection on August 12, 2025
CMS lists this as a complaint inspection.
Citation F0607. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS lists it as corrected on September 25, 2025.
Citation F0609. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS lists it as corrected on September 25, 2025.
Citation F0610. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Respond appropriately to all alleged violations.
CMS lists it as corrected on September 25, 2025.
1 citation
Health inspection on March 24, 2025
CMS lists this as a complaint inspection.
Citation F0842. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on April 25, 2025.
1 citation
Health inspection on October 22, 2024
CMS lists this as a complaint inspection.
Citation F0657. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
CMS lists it as corrected on November 6, 2024.
CMS update of September 26, 2024
Changed ownership in the last 12 months
CMS no longer shows a change of ownership in the past 12 months.
CMS update of August 29, 2024
Fine
CMS changed the fine from April 28, 2023 from $67,120 to $43,628.
1 citation
Health inspection on August 1, 2024
CMS lists this as a complaint inspection.
Citation F0622. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
CMS lists it as corrected on August 20, 2024.
CMS update of May 29, 2024
CMS abuse icon
CMS removed its abuse icon from this home.
13 citations
Health inspection on May 6, 2024
CMS lists this as a standard inspection.
Citation F0679. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide activities to meet all resident's needs.
CMS lists it as corrected on July 3, 2024.
Citation F0757. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure each resident’s drug regimen must be free from unnecessary drugs.
CMS lists it as corrected on July 3, 2024.
Citation F0812. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on July 3, 2024.
Citation F0842. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS lists it as corrected on July 3, 2024.
Citation F0867. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
CMS lists it as corrected on July 3, 2024.
Citation F0656. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CMS lists it as corrected on July 3, 2024.
Citation F0676. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
CMS lists it as corrected on July 3, 2024.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on July 3, 2024.
CMS has cited this home for F0677 2 times since 2022.
Citation F0725. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
CMS lists it as corrected on July 3, 2024.
Citation F0727. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
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.
CMS lists it as corrected on July 3, 2024.
Citation F0790. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide routine and 24-hour emergency dental care for each resident.
CMS lists it as corrected on July 3, 2024.
Citation F0804. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
CMS lists it as corrected on July 3, 2024.
Citation F0940. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
CMS lists it as corrected on July 3, 2024.
1 citation
Fire safety inspection on May 6, 2024
CMS lists this as a standard inspection.
Citation K0921. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on May 23, 2024.
CMS has cited this home for K0921 2 times since 2022.
CMS update of April 25, 2024
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
Name
CMS lists a new legal business name for this home.
Ownership
CMS lists this home under a new chain.
Ownership
CMS ownership records list new owners for this home.
1 citation
Health inspection on April 11, 2024
CMS lists this as a complaint inspection.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on June 5, 2024.
CMS has cited this home for F0658 2 times since 2022.
CMS update of March 28, 2024
Changed ownership in the last 12 months
CMS records show a change of ownership in the past 12 months.
1 citation
Health inspection on January 10, 2024
CMS lists this as a complaint inspection.
Citation F0695. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on January 11, 2024.
CMS has cited this home for F0695 2 times since 2022.
10 citations
Health inspection on December 15, 2022
CMS lists this as a standard inspection.
Citation F0758. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
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.
CMS lists it as corrected on February 28, 2023.
Citation F0882. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
CMS lists it as corrected on February 28, 2023.
Citation F0550. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS lists it as corrected on February 28, 2023.
Citation F0658. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure services provided by the nursing facility meet professional standards of quality.
CMS lists it as corrected on February 28, 2023.
Citation F0677. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide care and assistance to perform activities of daily living for any resident who is unable.
CMS lists it as corrected on February 28, 2023.
Citation F0695. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide safe and appropriate respiratory care for a resident when needed.
CMS lists it as corrected on February 28, 2023.
Citation F0759. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medication error rates are not 5 percent or greater.
CMS lists it as corrected on February 28, 2023.
Citation F0942. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
CMS lists it as corrected on February 28, 2023.
Citation F0943. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
CMS lists it as corrected on February 28, 2023.
Citation F0945. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.
CMS lists it as corrected on February 28, 2023.
27 citations
Fire safety inspection on December 15, 2022
CMS lists this as a standard inspection.
Citation K0346. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
CMS lists it as corrected on February 8, 2023.
Citation E0006. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Conduct risk assessment and an All-Hazards approach.
CMS lists it as corrected on February 8, 2023.
Citation E0009. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Include a process for Emergency Preparedness collaboration.
CMS lists it as corrected on February 8, 2023.
Citation E0020. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Establish policies and procedures including evacuation.
CMS lists it as corrected on February 8, 2023.
Citation E0030. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
List the names and contact information of those in the facility.
CMS lists it as corrected on February 8, 2023.
Citation E0039. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Conduct testing and exercise requirements.
CMS lists it as corrected on February 8, 2023.
Citation K0321. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
CMS lists it as corrected on February 8, 2023.
Citation K0324. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Provide properly protected cooking facilities.
CMS lists it as corrected on February 8, 2023.
Citation K0923. Severity E: potential for more than minimal harm, pattern.
The rule CMS cited:
Have proper medical gas storage and administration areas.
CMS lists it as corrected on February 8, 2023.
Citation E0004. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Develop and maintain an Emergency Preparedness Program (EP).
CMS lists it as corrected on February 8, 2023.
Citation E0015. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Address subsistence needs for staff and patients.
CMS lists it as corrected on February 8, 2023.
Citation E0026. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Establish roles under a Waiver declared by secretary.
CMS lists it as corrected on February 8, 2023.
Citation E0031. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide emergency officials' contact information.
CMS lists it as corrected on February 8, 2023.
Citation E0034. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Provide a means of sharing information on occupancy/needs.
CMS lists it as corrected on February 8, 2023.
Citation K0100. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Meet other general requirements.
CMS lists it as corrected on February 8, 2023.
Citation K0211. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Keep aisles, corridors, and exits free of obstruction in case of emergency.
CMS lists it as corrected on February 8, 2023.
Citation K0291. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Install emergency lighting that can last at least 1 1/2 hours.
CMS lists it as corrected on February 8, 2023.
Citation K0353. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Inspect, test, and maintain automatic sprinkler systems.
CMS lists it as corrected on February 8, 2023.
Citation K0355. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Properly select, install, inspect, or maintain portable fire extinguishes.
CMS lists it as corrected on February 8, 2023.
Citation K0372. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
CMS lists it as corrected on February 8, 2023.
Citation K0511. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have properly installed electrical wiring and gas equipment.
CMS lists it as corrected on February 8, 2023.
Citation K0531. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have elevators that firefighters can control in the event of a fire.
CMS lists it as corrected on February 8, 2023.
Citation K0741. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
CMS lists it as corrected on February 8, 2023.
Citation K0907. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure medical gas and vacuum systems have documented maintenance programs.
CMS lists it as corrected on February 8, 2023.
Citation K0918. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have generator or other power source capable of supplying service within 10 seconds.
CMS lists it as corrected on February 8, 2023.
Citation K0920. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure proper usage of power strips and extension cords.
CMS lists it as corrected on February 8, 2023.
Citation K0921. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Ensure that testing and maintenance of electrical equipment is performed.
CMS lists it as corrected on February 8, 2023.
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- SAMUELIAN, SPENCERDirect ownership interest · not applicable · since 08/01/2023
- SEASTRAND, JASONDirect ownership interest · not applicable · since 08/01/2023
- HAVEN HEALTH PROPERTIES LLC5% or greater indirect ownership interest · 8% · since 08/01/2023
- HEALTH GROUP MANAGEMENT LLC5% or greater indirect ownership interest · 8% · since 08/01/2023
- HEALTH GROUP MANAGEMENT LLCOperational/managerial control · not applicable · since 08/01/2023
- FRAGOSO, LINDSAYOperational/managerial control · not applicable · since 08/01/2023
- HILL, SEANOperational/managerial control · not applicable · since 06/16/2026
- KNIGHT, TASHAYOperational/managerial control · not applicable · since 01/14/2025
- NASSER, MOHAMMADOperational/managerial control · not applicable · since 01/13/2025
- ROBERTSON, BRETTOperational/managerial control · not applicable · since 08/01/2023
- SAMUELIAN, ROBERTOperational/managerial control · not applicable · since 08/01/2023
- SAMUELIAN, SPENCEROperational/managerial control · not applicable · since 01/14/2025
- SAMUELIAN, STEPHENOperational/managerial control · not applicable · since 08/01/2023
- SEASTRAND, JASONOperational/managerial control · not applicable · since 08/01/2023
- WEST, CHRISTIANOperational/managerial control · not applicable · since 08/01/2023
Questions
When was Haven Health Sky Harbor, LLC last inspected?
CMS lists November 13, 2025 as the date of its most recent standard health inspection.
How many citations (violations) does Haven Health Sky Harbor, LLC have?
CMS lists 37 health citations since December 15, 2022. CMS also calls these deficiencies.
Has Haven Health Sky Harbor, LLC been fined?
CMS lists no fines for this home in the past three years.
What is the CMS star rating of Haven Health Sky Harbor, LLC?
Its CMS overall star rating is 2 of 5.
Is Haven Health Sky Harbor, LLC a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.