HAVEN OF DOUGLAS

1400 NORTH SAN ANTONIO AVENUE
DOUGLAS, AZ, 85607
4809354300
CCN: 035180
5
Overall
3
Health
5
Staffing
5
Quality
ChainHAVEN HEALTH→
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
HAVEN HEALTH GROUP LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%
ROBERTSON, BRETT5% OR GREATER INDIRECT OWNERSHIP INTEREST8%
SAMUELIAN, ROBERT5% OR GREATER INDIRECT OWNERSHIP INTEREST20%
SAMUELIAN, SPENCER5% OR GREATER INDIRECT OWNERSHIP INTEREST25%
SAMUELIAN, STEPHEN5% OR GREATER INDIRECT OWNERSHIP INTEREST37%
WEST, CHRISTIAN5% OR GREATER INDIRECT OWNERSHIP INTEREST6%
HEALTH GROUP MANAGEMENT LLCOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
BRAKE, ADAMOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ESPINOSA, STEPHANIEOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
FRAGOSO, LINDSAYOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
MUIR, MARKOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
NELSON, NINAOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
PATEL, PARAGOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
ROBERTSON, BRETTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SAMUELIAN, ROBERTOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SAMUELIAN, SPENCEROPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
SEASTRAND, JASONOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
WEST, CHRISTIANOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (15)
2025-11-20 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-08-28 · Health
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.
2025-08-07 · Health
E
F925 · Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
D
F825 · Quality of Life and Care Deficiencies
Provide or get specialized rehabilitative services as required for a resident.
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.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
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.
D
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2024-07-25 · Health
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F552 · Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
2023-01-26 · Health
D
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
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.
D
F560 · Resident Rights Deficiencies
Protect a residents' right to refuse some types of non-requested transfers within the nursing home.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
3.84
3.68
RN Hrs/Resident/Day
0.76
0.54
LPN Hrs/Resident/Day
0.62
0.81
CNA Hrs/Resident/Day
2.46
2.33
PT Hrs/Resident/Day
0.03
0.12
Data as of 2026-03-01