HAVEN HEALTH PRESCOTT, LLC
864 DOUGHERTY STREET
PRESCOTT, AZ, 86305
9287789667
CCN: 035127
4
Overall4
Health4
Staffing4
QualitySpecial 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
| Name | Role | % |
|---|---|---|
| HAVEN HEALTH GROUP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| ROBERTSON, BRETT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SAMUELIAN, ROBERT | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SAMUELIAN, SPENCER | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| SAMUELIAN, STEPHEN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| WEST, CHRISTIAN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED |
| HAVEN PRESCOTT REAL ESTATE LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| HAVEN HEALTH PROPERTIES LLC | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE |
| ESPINOSA, STEPHANIE | CORPORATE OFFICER | NOT APPLICABLE |
| FRAGOSO, LINDSAY | CORPORATE OFFICER | NOT APPLICABLE |
| LONGHURST, STOCK | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MONTGOMERY, TERRENCE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| MORRIS, HEATHER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ROBERTSON, BRETT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| HEALTH GROUP MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| FRAGOSO, LINDSAY | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| ESPINOSA, STEPHANIE | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SAMUELIAN, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SAMUELIAN, SPENCER | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SAMUELIAN, STEPHEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SEASTRAND, JASON | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WARD, TAYLOR | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| WEST, CHRISTIAN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| GARLAND, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | NOT 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/Day3.68
3.70
RN Hrs/Resident/Day0.54
1.13
LPN Hrs/Resident/Day0.81
0.58
CNA Hrs/Resident/Day2.33
1.99
PT Hrs/Resident/Day0.12
0.07
Data as of 2026-03-01