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

HAVEN HEALTH GREEN VALLEY, LLC

GREEN VALLEY, AZ · 111 certified beds · Last Life Safety survey May 23, 2024

CMS Certification Number 035073 · first certified January 1981

Ownership

Operated by HAVEN HEALTH · For profit - Limited Liability company

  • Ownership changed February 1, 2023 (change of ownership)from SANTA RITA CARE CENTER LLC
12
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
4
Inspection & testing records
Of the citations on file

Position within AZ

12 citations — more than 71% 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 2 citations; the earlier surveys in the window averaged 5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (July 2025 to March 2026), and past the point by which nine in ten AZ facilities have been surveyed. This facility’s last Life Safety survey was May 2024. 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

Emergency preparedness

1 of the 12 citations on file is 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)

3 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 12 Life Safety citations above. The Physical Environment Index

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

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 facility12AZ median8National median11
Citations on file over three years, compared
MeasureCitations
This facility12
Median facility in AZ8
Median facility nationally11

Survey history

Citations at each Life Safety survey
52021-1052023-0122024-05
Citations at each Life Safety survey
Survey dateCitations
October 28, 20215
January 13, 20235
May 23, 20242

Most-cited tags

Most-cited tags at this facility
K-09202K-03001E-00391K-09231K-07531K-03631K-05111K-02111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0920Ensure proper usage of power strips and extension cords.22023-01-13
K-0300Meet other general requirements that are deficient.12021-10-28
E-0039Conduct testing and exercise requirements.12023-01-13
K-0923Have proper medical gas storage and administration areas.12023-01-13
K-0753Have restrictions on the use of highly flammable decorations.12021-10-28
K-0363Install corridor and hallway doors that block smoke.12021-10-28
K-0511Have properly installed electrical wiring and gas equipment.12023-01-13
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12023-01-13

What the citations cover

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

Every citation on file

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

May 23, 2024 — 2 citations

Citations issued on May 23, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (June 20, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (May 30, 2024)

January 13, 2023 — 5 citations

Citations issued on January 13, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (April 24, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 24, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (April 24, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (April 24, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (April 24, 2023)

October 28, 2021 — 5 citations

Citations issued on October 28, 2021
TagWhat the surveyor checksStatus
K-0300Meet other general requirements that are deficient.Deficient, Provider has date of correction (December 6, 2021)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (December 6, 2021)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (December 6, 2021)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (December 6, 2021)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (December 6, 2021)

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