Haven of Safford

Inspectors wroteBased on resident and staff interviews, facility documentation, staffing records, and policy review, the facility failed to ensure sufficient nursing staff were available to provide care and services to meet residents' needs. The deficient practice could result in delayed or unmet care needs for residents requiring staff assistance.

Inspectors wroteBased on clinical record review, staff interviews, facility documentation, and review of applicable policies and procedures, the facility failed to ensure two of five sampled resident's (Resident #75 and Resident #52) right to be free from physical abuse by another resident (Resident #43 and Resident #6). The deficient practice had the potential to result in additional incidents of abuse and failure to take appropriate measures to protect the residents.

Inspectors wroteBased on record review, resident interview, staff interview and facility policy and procedures the facility failed to ensure the facility policy for abuse was followed for 1 of 5 sampled residents. The deficient practice could result in allegations of abuse not being accurately identified, reported, investigated, and addressed, thereby placing residents at risk for further abuse, physical harm, pain, mental anguish, or emotional distress.

Inspectors wroteBased on clinical record reviews, facility documentation, resident, family, and staff interviews, and policy review, the facility failed to protect the rights of two residents (#10) and (#20) to be free from abuse by another Resident (#50). This deficient practice could result in further incidents of resident to resident abuse.

Inspectors wroteBased on clinical record reviews, facility documentation, resident, family, and staff interviews, and policy review, the facility failed to protect the rights of a resident (#10) to be free from misappropriation from staff. This deficient practice could result in further incidents of staff to resident abuse. Findings Include: -Resident #10 was admitted to the facility on [DATE], with diagnosis that include hemiplegia, cerebral vascular accident, dementia, urinary tract infection, diabetes mellitus type 2, and sepsis. Review of the Quarterly Minimum Data Set (MDS) assessment dated November December 8, 2025 revealed a Brief Interview for Mental Status (BIMS) score of 10 which indicated the resident had moderate cognitive impairment. [...]

Inspectors wroteBased on record review, observations, interviews, and review of the facility's policies and procedures the facility failed to implement their abuse prohibition policy when there was an allegation of sexual abuse of one resident (#5). The deficient practice could lead to residents not being protected from abuse.

Inspectors wroteBased on record review, interviews, and review of the facility's policies and procedures the facility failed to report an allegation of sexual abuse of one resident (#5). The deficient practice could lead to residents not being protected from abuse.

Inspectors wroteBased on record review, observations, interviews, and review of the facility's policies and procedures, the facility failed to thoroughly investigate allegations of abuse for one resident (#5) and take steps to correct it. The deficient practice could lead to residents being subjected to continued abuse.

Inspectors wroteBased on observations, interviews, facility documentation, and policy, the facility failed to ensure that safeguards and systems were in place to ensure accurate reconciliation and accounting for all controlled substances for one of three medication carts sampled. The deficient practice could result in inventory loss and potential diversion. A medication cart observation was conducted on December 9, 2025, at 10:24 a.m. with Licensed Practical Nurse (LPN/Staff # 46). Photographic images were obtained, with Staff # 46 present, of the Progressive Care Units (PCU) Narcotic Count Reconciliation Sheets. The narcotic sheets were reviewed with Staff # 46 for the months of October 2025 to December 2025. Staff #46 identified multiple entries with either no nurse signatures or only one nurse signature. [...]

Inspectors wroteBased on a review of records and staff interviews, it was revealed that the facility failed to follow infection control guidelines for laundry services, medication preparation, and medication storage. This deficient practice can result in the failure to prevent and control infection transmission amongst a vulnerable population.

Inspectors wroteBased on clinical record review, interviews, review of facility documentation and policies, the facility failed to protect the rights of one resident (# 76) to be free from verbal abuse by a staff member (Staff # 30). The deficient practice has the potential to violate the resident's right to safety and prevent further harm. Based on clinical record review, interviews, review of facility documentation and policies, the facility failed to protect the rights of one resident (# 76) to be free from verbal abuse by a staff member (Staff # 30). The deficient practice has the potential to violate the resident's right to safety and prevent further harm.

Inspectors wroteBased on clinical record review, staff and family interviews, and facility documents and policy, the facility failed to ensure a resident's privacy was maintained during medication administration for one resident (resident # 23). This deficient practice could result in further violations of resident privacy.

Inspectors wroteBased on clinical record reviews, staff and resident interviews, facility documentation and policy and procedures, the facility failed to ensure that one resident (#128) was free from abuse from another resident (#66). This deficient practice could result in further instances of abuse.

Inspectors wroteBased on clinical record reviews, staff and resident interviews, facility documentation and policy and procedures, the facility failed to follow their abuse policy for one resident. (#128) The deficient practice can result in further incidents of abuse.

Inspectors wroteBased on clinical record reviews, staff and resident interviews, facility documentation and policy and procedures, the facility failed to ensure an incident of abuse was reported to the state agency. This deficient practice can result in further incidents of abuse not being reported in accordance with professional standards.

Inspectors wroteBased on clinical record reviews, staff and resident interviews, facility documentation and policy and procedures, the facility failed to investigate an allegation of abuse. This deficient practice could result in further incidents of resident abuse.

Inspectors wroteBased on clinical record review, staff interviews, and facility policy, the facility failed to ensure that necessary pain medications were given according to provider instruction for one resident (resident's #18) This deficient practice could result in ineffective medication management resulting in negative outcomes.

Inspectors wroteBased on observations, clinical record reviews, interviews, and facility documents and policy, the facility failed to ensure one resident (#54), had call light accessibility. The deficient practice could result in residents not having the means to communicate with staff leading to negative outcomes.

Inspectors wroteBased on clinical record reviews, facility documentation, resident and staff interviews, and policy review, the facility failed to ensure that two residents (#15) and (#50) were free from physical abuse resulting in injury by other residents (resident #50, and resident #75). The deficient practice could result in further incidents of resident to resident abuse.

Inspectors wroteBased on clinical record reviews, facility documentation, resident and staff interviews, and policy review, the facility failed to ensure that two residents (#30) and (#60) were free from physical abuse resulting in injury by other residents (resident #90). The deficient practice could result in further incidents of resident to resident abuse.

Inspectors wroteBased on clinical record reviews, facility documentation, interviews, and facility policies, the facility failed to ensure that medications were administered as ordered by the physician for one resident (#175). The deficient practice could result in medications not being available to meet the resident needs.