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

HAVEN HEALTH SKY HARBOR, LLC

PHOENIX, AZ · 120 certified beds · Last Life Safety survey November 13, 2025

CMS Certification Number 035290 · first certified February 2016

Ownership

Operated by HAVEN HEALTH · For profit - Limited Liability company

  • Ownership changed August 1, 2023 (change of ownership)from ALLEGIANT HEALTHCARE OF PHOENIX LLC
29
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
8
Inspection & testing records
Of the citations on file

Position within AZ

29 citations — more than 96% 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 14. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was November 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

Emergency preparedness

10 of the 29 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)

1 physical-environment citation 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 29 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.

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 facility29AZ median8National median11
Citations on file over three years, compared
MeasureCitations
This facility29
Median facility in AZ8
Median facility nationally11

Survey history

Citations at each Life Safety survey
272022-1212024-0512025-11
Citations at each Life Safety survey
Survey dateCitations
December 15, 202227
May 6, 20241
November 13, 20251

Most-cited tags

Most-cited tags at this facility
K-09212E-00301E-00061K-05311K-05111K-02911K-07411E-00041
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0921Ensure that testing and maintenance of electrical equipment is performed.22024-05-06
E-0030List the names and contact information of those in the facility.12022-12-15
E-0006Conduct risk assessment and an All-Hazards approach.12022-12-15
K-0531Have elevators that firefighters can control in the event of a fire.12022-12-15
K-0511Have properly installed electrical wiring and gas equipment.12022-12-15
K-0291Install emergency lighting that can last at least 1 1/2 hours.12022-12-15
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12022-12-15
E-0004Develop and maintain an Emergency Preparedness Program (EP).12022-12-15

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 10
  • Gas, Vacuum, and Electrical Systems Deficiencies 6
  • Smoke Deficiencies 6
  • Egress Deficiencies 3
  • Other 4
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies10
Gas, Vacuum, and Electrical Systems Deficiencies6
Smoke Deficiencies6
Egress Deficiencies3
Services Deficiencies2
Miscellaneous Deficiencies1
Construction Deficiencies1

Every citation on file

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

November 13, 2025 — 1 citation

Citations issued on November 13, 2025
TagWhat the surveyor checksStatus
K-0221Provide rooms that can be unlocked from inside without a key.Deficient, Provider has date of correction (December 16, 2025)

May 6, 2024 — 1 citation

Citations issued on May 6, 2024
TagWhat the surveyor checksStatus
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (May 23, 2024)

December 15, 2022 — 27 citations

Citations issued on December 15, 2022
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (February 8, 2023)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (February 8, 2023)
E-0009Include a process for Emergency Preparedness collaboration.Deficient, Provider has date of correction (February 8, 2023)
E-0015Address subsistence needs for staff and patients.Deficient, Provider has date of correction (February 8, 2023)
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (February 8, 2023)
E-0026Establish roles under a Waiver declared by secretary.Deficient, Provider has date of correction (February 8, 2023)
E-0030List the names and contact information of those in the facility.Deficient, Provider has date of correction (February 8, 2023)
E-0031Provide emergency officials' contact information.Deficient, Provider has date of correction (February 8, 2023)
E-0034Provide a means of sharing information on occupancy/needs.Deficient, Provider has date of correction (February 8, 2023)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (February 8, 2023)
K-0100Meet other general requirements.Deficient, Provider has date of correction (February 8, 2023)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (February 8, 2023)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (February 8, 2023)
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 (February 8, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 8, 2023)
K-0346Follow proper procedures when the fire alarm was out of service for more than 4 hours.Deficient, Provider has date of correction (February 8, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 8, 2023)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (February 8, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (February 8, 2023)
K-0511Have properly installed electrical wiring and gas equipment.Deficient, Provider has date of correction (February 8, 2023)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (February 8, 2023)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (February 8, 2023)
K-0907Ensure medical gas and vacuum systems have documented maintenance programs.Deficient, Provider has date of correction (February 8, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 8, 2023)
K-0920Ensure proper usage of power strips and extension cords.Deficient, Provider has date of correction (February 8, 2023)
K-0921Ensure that testing and maintenance of electrical equipment is performed.Deficient, Provider has date of correction (February 8, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 8, 2023)

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