What is Haven of Douglas's Medicare star rating?

CMS rates Haven of Douglas 4 out of 5 stars overall, with 3 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Haven of Douglas get at its last inspection?

8 health deficiencies at the standard inspection on August 7, 2025. The Arizona average is 6.4.

Has Haven of Douglas been fined?

CMS lists no fines in the last three years.

Does Haven of Douglas accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Haven of Douglas?

CMS lists 29 owners and managers, and links the home to Haven Health. Legal business name: HAVEN OF DOUGLAS LLC.

Haven of Douglas: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on August 7, 2025, inspectors cited 8 health deficiencies (the Arizona average is 6.4, the national average 9.2).

None of its 15 health citations since January 2023 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.33 hours per resident per day, against 3.98 across Arizona and 3.86 nationally. Registered nurses accounted for 0.65 of those hours.

23.1% of nursing staff left within the year CMS measured (Arizona average 45.1%).

CMS links it to Haven Health, an affiliated group of 20 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

301/23

207/24

808/25

108/25

111/25

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

13D

Potential for minimal harm

November 20, 2025Complaint inspection · 1 citation

D

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 20, 2025

Inspectors wroteBased on clinical record reviews, staff interviews, facility documentation, and facility policy, the facility failed to ensure one resident was free from preventable accidents including elopement. This deficient practice could result in life-threatening injuries. Based on clinical record reviews, staff interviews, facility documentation, and facility policy, the facility failed to ensure one resident was free from preventable accidents including elopement. This deficient practice could result in life-threatening injuries.

August 28, 2025Complaint inspection · 1 citation

D

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2025

Inspectors wroteBased on clinical record review, staff interviews, facility documentation, and policy review, the facility failed to protect the rights of one resident (# 2) to be free from abuse by another resident (# 1). The deficient practice could result in other residents being abused. Regarding Resident # 1: Resident # 1 was admitted on [DATE], with diagnoses that included [NAME] Syndrome, adjustment disorder, and major depressive disorder. A care plan dated March 19, 2020, revealed that Resident # 1 exhibited behavior problems, including becoming very angry and agitated when another resident or roommate accidentally sits in his chair or accidentally touches personal items. The care plan also revealed that Resident #1 can become angry or agitated with other male residents who speak to my significant other. [...]

August 7, 2025Standard inspection · 8 citations

E

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 1, 2025

Inspectors wroteBased on observations, staff interviews, and facility policy review, the facility failed to ensure that food items were stored and prepared under sanitary condition; and failed to ensure that expired food items were discarded. The deficient practice could result in unsafe food storage, placing residents at risk for foodborne illnesses.
E

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

F925 · Environmental · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 1, 2025

Inspectors wroteBased on observations, resident and staff interviews and facility policy review, the facility failed to ensure the environment was free from pests. The deficient practice could result in the spread of germs.
D

Keep residents' personal and medical records private and confidential.

F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2025

Inspectors wroteBased on observation, staff interviews, and the facility policy and procedures, the facility failed to ensure that one resident (#56) was afforded privacy during a medical consultation. The deficient practice could result in residents' rights to privacy not being respected.
D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 30, 2025

Inspectors wroteBased on documentation, staff and resident interviews, and the facility policy and procedures, the facility failed to ensure that an allegation of exploitation for one resident (#24) was reported and investigated. The deficient practice could result in continued exploitation of residents.
D

Ensure services provided by the nursing facility meet professional standards of quality.

F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2025

Inspectors wroteBased on documentation, staff interviews, and the facility policy and procedures, the facility failed to ensure that medications were administered as prescribed for one resident (#24). The deficient practice could impact the health and wellbeing of the residents.
D

Provide activities to meet all resident's needs.

F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2025

Inspectors wroteBased on observations, staff interviews and record review, the facility failed to provide an ongoing activity program that provided activities to meet the individual interests and needs to enhance the quality of life for one resident (#12). The deficient practice could result in resident isolation and decreased quality of life.
D

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2025

Inspectors wroteBased on interviews, review of clinical record, and review of facility policy, the facility failed to ensure a physician order was followed for one resident (#1) regarding a laboratory order. The deficient practice could lead to diagnostic testing not being completed and a missed diagnosis.
D

Provide or get specialized rehabilitative services as required for a resident.

F825 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 1, 2025

Inspectors wroteBased on observation, interviews, clinical record review, and review of facility policy and procedure, the facility failed to ensure speech therapy services were provided for one resident (#8) when indicated. The deficient practice could lead to residents not receiving rehabilitative services when indicated to assist in reaching their highest practicable level of function.

July 25, 2024Standard inspection · 2 citations

D

Ensure that residents are fully informed and understand their health status, care and treatments.

F552 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2024

Inspectors wroteBased on clinical record review, facility documentation, interviews, and facility policy, the facility failed to ensure one resident (#23) and/or their representative was informed of the risks and benefits of the flu vaccine, prior to administration. The deficient practice can result in the resident and/or the resident representative not being aware of the benefits and the potential adverse side effects of receiving a vaccination.
D

Provide safe and appropriate respiratory care for a resident when needed.

F695 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) August 30, 2024

Inspectors wroteBased on interviews, clinical record review, and facility policy, the facility failed to ensure that one resident (#12) had an order for oxygen prior to administration. The deficient practice could result in resident receiving oxygen without a physician order.

January 26, 2023Standard inspection · 3 citations

D

Protect a residents' right to refuse some types of non-requested transfers within the nursing home.

F560 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2023

Inspectors wroteBased on record review, staff and resident interviews and policy and procedure, the facility failed to ensure one resident's right to refuse transfer to another room in the facility. The facility census was 49 residents and the sample was 13. The deficient practice could result in residents not being able to exercise their rights.
D

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2023

Inspectors wroteBased on clinical review, staff interviews, facility documentation and policy review, the facility failed to ensure that allegations of abuse for two residents (#18 and #13) were reported immediately to the Administrator and to the state agency within the required time frame. The facility census was 49 residents and the sample was 13. The deficient practice could result in abuse allegations not being reported.
D

Post nurse staffing information every day.

F732 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 20, 2023

Inspectors wroteBased on facility documents and staff interviews and review of facility policy and procedure, the facility failed to ensure that the Daily Staff Postings for nursing staff was accurate for actual hours worked by licensed and unlicensed direct care nursing staff. The deficient practice could result in residents and visitors not being informed of accurate and current staffing information. The facility census was 49 residents and the sample was 13.

Fire safety inspections

9 fire safety citations on file: 3 on July 25, 2024, 6 on January 26, 2023.

Every fire safety citation9 citations

E
Add 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.

K 222 · July 25, 2024 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · July 25, 2024 · Corrected (the home has a date of correction)
E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · July 25, 2024 · Corrected (the home has a date of correction)
E
Install corridor and hallway doors that block smoke.

K 363 · January 26, 2023 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · January 26, 2023 · Corrected (the home has a date of correction)
E
Have simulated fire drills held at unexpected times.

K 712 · January 26, 2023 · Corrected (the home has a date of correction)
E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · January 26, 2023 · Corrected (the home has a date of correction)
D
Conduct testing and exercise requirements.

E 39 · January 26, 2023 · Corrected (the home has a date of correction)
D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

K 321 · January 26, 2023 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Arizona	United States
All nursing staff (RN, LPN and aides)	3.33	3.98	3.86
Registered nurses	0.65	0.70	0.69
All nursing staff on weekends	2.87	3.51	3.42
Nurse aides	2.14
Licensed practical nurses	0.54
Nursing staff turnover (share who left in a year)	23.1%	45.1%	45.8%
Registered nurse turnover	0.0%	43.6%	42.9%
Administrators who left	0

CMS expects 3.36 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.52 on weekdays and 2.87 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.67 in April to June 2025 to 3.33 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.33	0.65	3.52	2.87	0.0%	0 of 90	56
Oct to Dec 2025	3.48	0.64	3.65	3.04	0.0%	0 of 92	54
Jul to Sep 2025	3.84	0.76	4.05	3.29	0.0%	0 of 92	50
Apr to Jun 2025	3.67	0.69	3.88	3.16	0.0%	0 of 91	49
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Arizona, Jan to Mar 2026	3.87	0.63	4.05	3.43	3.3%	0.5% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.

Official wage estimates for Arizona

Job	Median	Middle half	Employed
Arizona, all employers
CNAs (nursing assistants)	$21.53	$18.43 to $22.42	20,320
LPNs and LVNs	$37.05	$32.10 to $39.36	6,530
Registered nurses	$47.84	$39.33 to $52.20	73,150
United States, nursing care facilities
CNAs (nursing assistants)	$20.67	$17.91 to $22.55	534,270
LPNs and LVNs	$33.86	$30.05 to $37.40	188,210
Registered nurses	$41.11	$37.85 to $47.68	142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Arizona	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	4.7	10.7	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.8	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.6	1.2	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.0	2.1	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	0.0	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	8.4	12.8	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	3.6	4.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	1.6	10.7	15.4

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Haven of Douglas's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (52.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

52.7% this home

No different from the national rate

US median of homes 51.5% · Arizona: 74 better, 1 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 28 eligible stays.

Potentially preventable readmissions

9.7% this home

No different from the national rate

US median of homes 10.7% · Arizona: 4 better, 1 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 26 eligible stays.