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

HAVEN OF COTTONWOOD

COTTONWOOD, AZ · 80 certified beds · Last Life Safety survey May 21, 2025

CMS Certification Number 035093 · first certified June 1984

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.

14
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
11
Inspection & testing records
Of the citations on file

Position within AZ

14 citations — more than 76% 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

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

The latest survey found 1 citation; the earlier surveys in the window averaged 6.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window is open now: July 2026 to March 2027. This facility’s last Life Safety survey was May 2025. 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.

Emergency preparedness

3 of the 14 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

6 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 14 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-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • 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 facility14AZ median8National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in AZ8
Median facility nationally11

Survey history

Citations at each Life Safety survey
72022-1162024-0412025-05
Citations at each Life Safety survey
Survey dateCitations
November 17, 20227
April 11, 20246
May 21, 20251

Most-cited tags

Most-cited tags at this facility
K-03633K-07122E-00261E-00391K-07611K-05111K-09181K-03551
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0363Install corridor and hallway doors that block smoke.32025-05-21
K-0712Have simulated fire drills held at unexpected times.22024-04-11
E-0026Establish roles under a Waiver declared by secretary.12024-04-11
E-0039Conduct testing and exercise requirements.12022-11-17
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12022-11-17
K-0511Have properly installed electrical wiring and gas equipment.12024-04-11
K-0918Have generator or other power source capable of supplying service within 10 seconds.12022-11-17
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-04-11

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Miscellaneous Deficiencies 3
  • Emergency Preparedness Deficiencies 3
  • Services Deficiencies 2
  • Other 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Miscellaneous Deficiencies3
Emergency Preparedness Deficiencies3
Services Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies1

Every citation on file

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

May 21, 2025 — 1 citation

Citations issued on May 21, 2025
TagWhat the surveyor checksStatus
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has plan of correction

April 11, 2024 — 6 citations

Citations issued on April 11, 2024
TagWhat the surveyor checksStatus
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (May 19, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (May 19, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (May 19, 2024)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (April 16, 2024)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 16, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (May 19, 2024)

November 17, 2022 — 7 citations

Citations issued on November 17, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (January 23, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (January 23, 2023)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (January 23, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (January 23, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (January 23, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (January 23, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (January 23, 2023)

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