Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

HAVEN OF CAMP VERDE

CAMP VERDE, AZ · 58 certified beds · Last Life Safety survey May 28, 2026

CMS Certification Number 035118 · first certified November 1985

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: Haven of Camp Verde ALF, LLC (86 West Salt Mine Road). Matched by the telephone number the two records share. The records are separate and are never added together.

Ownership

Operated by HAVEN HEALTH · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

9
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within AZ

9 citations — more than 55% of the 140 certified nursing homes in AZ. Compared within AZ rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Slippingmore citations at the latest survey than at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens July 2027 — about 10 months from now. This facility’s last Life Safety survey was May 2026. Facilities in AZ are typically surveyed 14–22 months after the last one (median 18), measured over 143 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 9 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in AZ, and nationally. Surveyors differ markedly between states, so the AZ figure is the meaningful one.

This facility9AZ median8National median11
Citations on file over three years, compared
MeasureCitations
This facility9
Median facility in AZ8
Median facility nationally11

Survey history

Citations at each Life Safety survey
32023-1222025-0142026-05
Citations at each Life Safety survey
Survey dateCitations
December 8, 20233
January 30, 20252
May 28, 20264

Most-cited tags

Most-cited tags at this facility
K-03722K-03632K-03531K-03421K-02111K-03211K-09231
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.22026-05-28
K-0363Install corridor and hallway doors that block smoke.22026-05-28
K-0353Inspect, test, and maintain automatic sprinkler systems.12026-05-28
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.12023-12-08
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-12-08
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12023-12-08
K-0923Have proper medical gas storage and administration areas.12026-05-28

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 7
  • Gas, Vacuum, and Electrical Systems Deficiencies 1
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies7
Gas, Vacuum, and Electrical Systems Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 28, 2026 — 4 citations

Citations issued on May 28, 2026
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 15, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (June 15, 2026)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (June 15, 2026)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (June 15, 2026)

January 30, 2025 — 2 citations

Citations issued on January 30, 2025
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (February 6, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 7, 2025)

December 8, 2023 — 3 citations

Citations issued on December 8, 2023
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (January 17, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (March 15, 2024)
K-0342Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.Deficient, Provider has date of correction (January 17, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.