HAVEN HEALTH PRESCOTT, LLC

864 DOUGHERTY STREET
PRESCOTT, AZ, 86305
9287789667
CCN: 035127
4
Overall
4
Health
4
Staffing
4
Quality
ChainHAVEN HEALTH
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
OIG Federal Exclusion Matches (1)
This facility's name matches one or more entities on the OIG List of Excluded Individuals/Entities (LEIE). Excluded parties are prohibited from participation in Medicare and Medicaid programs.
APACHE HEALTH LLC
1128a1
Excluded 2024-10-20
Ownership
NameRole%
HAVEN HEALTH GROUP LLC5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
ROBERTSON, BRETT5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
SAMUELIAN, ROBERT5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
SAMUELIAN, SPENCER5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
SAMUELIAN, STEPHEN5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
WEST, CHRISTIAN5% OR GREATER DIRECT OWNERSHIP INTERESTNO PERCENTAGE PROVIDED
HAVEN PRESCOTT REAL ESTATE LLC5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
HAVEN HEALTH PROPERTIES LLC5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE
ESPINOSA, STEPHANIECORPORATE OFFICERNOT APPLICABLE
FRAGOSO, LINDSAYCORPORATE OFFICERNOT APPLICABLE
LONGHURST, STOCKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MONTGOMERY, TERRENCEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MORRIS, HEATHEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROBERTSON, BRETTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HEALTH GROUP MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FRAGOSO, LINDSAYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ESPINOSA, STEPHANIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SAMUELIAN, ROBERTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SAMUELIAN, SPENCEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SAMUELIAN, STEPHENOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SEASTRAND, JASONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WARD, TAYLOROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WEST, CHRISTIANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
GARLAND, THOMASOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (16)
2025-07-25 · Health
D
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
D
F800 · Nutrition and Dietary Deficiencies
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
D
F761 · Pharmacy Service Deficiencies
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.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
2025-04-28 · Health
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
2024-08-01 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2022-12-22 · Health
E
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
E
F758 · Pharmacy Service Deficiencies
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.
D
F728 · Nursing and Physician Services Deficiencies
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F625 · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
D
F552 · Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.70
3.68
RN Hrs/Resident/Day
1.13
0.54
LPN Hrs/Resident/Day
0.58
0.81
CNA Hrs/Resident/Day
1.99
2.33
PT Hrs/Resident/Day
0.07
0.12
Data as of 2026-03-01