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Haven of Sandpointe, LLC

2222 South Avenue a, Yuma, AZ 85364 · Yuma County · (928) 783-8831

143 certified beds, about 99 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1985

CMS abuse icon: cited for abuse in a recent inspection Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
5 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 035096 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on August 13, 2025, inspectors cited 9 health deficiencies (the Arizona average is 6.4, the national average 9.2).

None of its 21 health citations since August 2022 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 3.72 hours per resident per day, against 3.98 across Arizona and 3.86 nationally. Registered nurses accounted for 0.60 of those hours.

20.7% 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.

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 21 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
13D
8E
0F
Potential for minimal harm
0A
0B
0C
September 16, 2025Complaint inspection · 1 citation
  1. 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) October 10, 2025
    Inspectors wroteBased on interviews, review of clinical record, and facility policy, the facility failed to protect the residents' (#3, and #2) right to be free from physical abuse. The deficient practice could result in physical and psychosocial harm. -Regarding Resident #3: Resident #3 was admitted to the facility on [DATE], and re-admitted [DATE], with diagnoses that included Alzheimer's disease, dementia with agitation, history of falling, anxiety disorder, mental disorder not otherwise specified, and spinal stenosis. A quarterly minimum data set (MDS) assessment dated [DATE], revealed Resident #3 had a Brief Interview for Mental Status (BIMS) assessment score of 5, indicating severe cognitive impairment. [...]
August 13, 2025Standard inspection, Complaint inspection · 9 citations
  1. E
    Honor the resident's right to manage his or her financial affairs.
    F567 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteNumber of residents sampled:16Number of residents cited:13The facility failed to ensure the protection/management of resident funds for 13 of 16 residentsBased on interviews, review of clinical records, facility 5 day report to the state agency (SA) and review of facility policy and procedures, the facility failed to ensure the protection/management of resident trust funds for 13 residents out of 16 (#3, #5, #18, #31, #32, #58, #63, #75, #76, #77, #86, #95, #96, #108, #109, #110). The deficient practice could result in continued misappropriation/exploitation of other residents. Findings Include:Resident #108 was admitted to the facility on [DATE], with diagnoses that included hypertension, dementia, muscle weakness and history of falling. [...]
  2. E
    Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
    F568 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteNumber of residents sampled:16Number of residents cited:13The facility failed to ensure the accounting and records of resident funds for 13 of 16 residentsBased on interviews, review of clinical records, facility 5 day report to the state agency (SA) and review of facility policy and procedures, the facility failed to ensure the accounting and records of resident trust funds for 13 residents out of 16 (#3, #5, #18, #31, #32, #58, #63, #75, #76, #77, #86, #95, #96, #108, #109, #110). The deficient practice could result in continued misappropriation/exploitation of other residents. Findings Include:Resident #108 was admitted to the facility on [DATE], with diagnoses that included hypertension, dementia, muscle weakness and history of falling. [...]
  3. E
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteNumber of residents sampled:14Number of residents cited:97The facility failed to ensure residents are free from misappropriation for 14 of 97 residents. Based on interviews, review of clinical records, facility 5 day report to the state agency (SA) and review of facility policy and procedures, the facility failed to ensure 14 residents out of 16 (#3, #5, #18, #31, #63, #75, #76, #77, #86, #95, #96, #108, #109, #110) were free from misappropriation by a staff member (#148). The deficient practice could lead to misappropriation of resident money and belongings by other staff members.-
  4. E
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    F607 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteNumber of residents sampled:16Number of residents cited:13The facility failed to ensure the implementation of abuse misappropriation policy for 13 of 16 residentsBased on interviews, review of clinical records, facility 5 day report to the state agency (SA) and review of facility policy and procedures, the facility failed to ensure the implementation of their abuse/misappropriation policy for 13 residents out of 16 (#3, #5, #18, #31, #32, #58, #63, #75, #76, #77, #86, #95, #96, #108, #109, #110). The deficient practice could result in continued misappropriation/exploitation of other residents. Findings Include:An interview was conducted on August 7, 2025 at 3:12 p.m. [...]
  5. E
    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, pattern · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteNumber of residents sampled:16Number of residents cited:13The facility failed to ensure the reporting of alleged violations for 13 of 16 residents. Based on interviews, review of clinical records, facility 5 day report to the state agency (SA) and review of facility policy and procedures, the facility failed to ensure the reporting of misappropriation/exploitation for 13 residents out of 16 (#3, #5, #18, #31, #32, #58, #63, #75, #76, #77, #86, #95, #96, #108, #109, #110). The deficient practice could result in continued misappropriation/exploitation of other residents. Findings Include:An interview was conducted on August 7, 2025 at 3:38 p.m. with business office manager Staff #130 and revealed that about 1.5 years into the job as the assistant in the business office, Staff #130 noticed that things were not okay with the trust account. [...]
  6. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteBased on observations, staff interviews and policy review, the facility failed to ensure that medications were not left at the bedside for three residents (#86 and #93). The deficient practice could result in harm to the residents, and/or visitors who have access to medications.
  7. 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 18, 2025
    Inspectors wroteNumber of residents sampled:26Number of residents cited:2The facility failed to protect the resident's right to be free from verbal and physical abuse in 2 of 26 residents. Based on closed record review, resident and staff interviews, as well as review of facility documentation and policy, and through observation of current practice, the facility failed to protect the resident's right to be free from verbal and physical abuse in 2 of 26 residents.
  8. D
    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, isolated · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteBased on observations, staff interviews, and policy review, the facility failed to ensure food items were labeled and dated, and food was prepared under sanitary conditions. The deficient practice could increase the risk of foodborne illness.
  9. D
    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
    F842 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2025
    Inspectors wroteNumber of residents sampled:26Number of residents cited:1The facility failed to ensure that the medical record for 1 resident (#107) out of 26 was complete and accurate. Based on resident and staff interviews, review of the clinical record, facility documentation, and policy, the facility failed to maintain clinical records in accordance with accepted professional standards and practices that are complete, accurately documented, and readily accessible for one resident (#107). The deficient practice could result in miscommunication between health care providers, leading to delayed or incorrect care and inappropriate treatment planning. Findings Include:Resident # 107 was initially admitted to the facility on [DATE] and discharged on 2/18/2025 with diagnoses that included: [...]
December 10, 2024Complaint inspection · 1 citation
  1. 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) January 19, 2025
    Inspectors wroteBased on clinical record review, interviews, review of facility documentation and policy review, the facility failed to ensure resident #1 was free from abuse from resident #2. The deficient practice could result in residents experiencing emotional and mental trauma from abuse.
November 26, 2024Complaint inspection · 1 citation
  1. 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) January 10, 2025
    Inspectors wroteBased on staff interviews, clinical record review, facility documents and facility policy, the facility failed to ensure a resident was free from abuse. This deficient practice could result in further incidents of physical abuse.
September 22, 2023Standard inspection · 2 citations
  1. D
    Provide safe, appropriate pain management for a resident who requires such services.
    F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 6, 2023
    Inspectors wroteBased on clinical record review, staff interviews, and facility policy, the facility failed to ensure one resident (#247) was provided services consistent with professional standards of practice. The deficient practice could result in unmanaged pain for the resident.
  2. D
    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
    F867 · Administration · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 6, 2023
    Inspectors wroteBased on staff interviews, and review of facility documentation and policies, the facility failed to ensure that the QAA (quality assessment and assurance) committee collected data and monitored it's performance regarding adverse events for performance improvement.
August 4, 2022Standard inspection · 7 citations
  1. E
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 18, 2022
    Inspectors wroteBased on staff interviews, clinical record reviews, and review of policy and procedure, the facility failed to ensure 3 residents (#69, #12, and #291) received care and services to promote the prevention, healing, and prevent the development of additional pressure ulcers/injury consistent with professional standards of practice. The sample size was 4 residents. The deficient practice increases the risk of pain, infection, and rehospitalization.
  2. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) September 18, 2022
    Inspectors wroteBased on staff interviews, clinical record review, and policy and procedures, the facility failed to ensure appropriate infection control guidelines were followed related to droplet precautions and catheter care for one resident (#86). The deficient practice increases the risk for transmission of infection.
  3. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2022
    Inspectors wroteBased on observations, resident and staff interviews, clinical record review, and policy review, the facility failed to ensure one resident (#13) was treated with dignity by failing to knock and requesting permission before entering the resident's room. The sample size was 18. The deficient practice could result in residents not being treated in a dignified manner.
  4. 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 · Corrected (the home has a date of correction) September 18, 2022
    Inspectors wroteBased on clinical record review, staff interviews, facility documentation, and policy and procedures, the facility failed to ensure one resident (#0) was adequately supervised. The deficient practice increased the risk for resident-to-resident confrontations and accidents/hazards.
  5. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2022
    Inspectors wroteBased on clinical record review, resident and staff interviews, and policy review, the facility failed to ensure one of three sampled residents (#86) received consistent catheter care. The deficient practice could result in residents having urinary tract infections.
  6. D
    Ensure each resident’s drug regimen must be free from unnecessary drugs.
    F757 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2022
    Inspectors wroteBased on clinical record reviews, staff interviews, and policy review, the facility failed to ensure two residents (#17 and #36) were free from unnecessary medications. The sample was 5 residents. The deficient practice could result in residents receiving medications that may not be necessary.
  7. D
    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
    F758 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 18, 2022
    Inspectors wroteBased on clinical record review, staff interviews, and policy review, the facility failed to ensure one resident (#17) who was receiving a psychotropic medication had ongoing behavior and adverse effects monitoring. The sample size was 5 residents. The deficient practice could result in residents receiving medications that may not be necessary.

Fire safety inspections

2 fire safety citations on file: 2 on August 4, 2022.

Every fire safety citation2 citations
  1. D
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · August 4, 2022 · Corrected (the home has a date of correction)
  2. D
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · August 4, 2022 · 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.

MeasureThis homeArizonaUnited States
All nursing staff (RN, LPN and aides)3.723.983.86
Registered nurses0.600.700.69
All nursing staff on weekends3.263.513.42
Nurse aides2.30
Licensed practical nurses0.81
Nursing staff turnover (share who left in a year)20.7%45.1%45.8%
Registered nurse turnover8.3%43.6%42.9%
Administrators who left0

CMS expects 3.95 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 3.90 on weekdays and 3.26 on weekends, 16% 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 3.62 in April to June 2025 to 3.72 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.720.603.903.26 0.0%0 of 9099
Oct to Dec 20253.650.533.813.24 0.0%0 of 9298
Jul to Sep 20253.560.543.733.12 0.0%0 of 9296
Apr to Jun 20253.620.563.833.10 0.0%0 of 9192
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Arizona, Jan to Mar 20263.870.634.053.433.3%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.

Quality measures

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

MeasureThis homeArizonaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
1.310.713.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.00.80.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
2.12.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.21.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
6.712.814.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
0.64.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
9.010.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
24.823.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
7.010.412.0

Owners and operators

Legal business name: HAVEN OF SANDPOINTE LLC. CMS links this home to Haven Health, a group of 20 nursing homes averaging 2.8 stars overall.

NameRoleTypeShareSince
Haven Health Group LLCIndirect ownership interestOrganization03/01/2020
Robertson, BrettIndirect ownership interestIndividual03/01/2020
Samuelian, RobertIndirect ownership interestIndividual03/01/2020
Samuelian, SpencerIndirect ownership interestIndividual03/01/2020
Samuelian, StephenIndirect ownership interestIndividual03/01/2020
Seastrand, JasonIndirect ownership interestIndividual03/01/2020
West, ChristianIndirect ownership interestIndividual03/01/2020
Haven Arizona Real Estate, LLC5% or greater mortgage interestOrganization03/01/2020
Haven Real Estate Partners, LLC5% or greater mortgage interestOrganization03/01/2020
Haven Sandpointe Real Estate LLC5% or greater mortgage interestOrganization03/01/2020
Health Group Management LLCOperational/managerial controlOrganization11/21/2024
El Amin, MohemedOperational/managerial controlIndividual01/01/2024
Espinosa, StephanieOperational/managerial controlIndividual10/14/2024
Fragoso, LindsayOperational/managerial controlIndividual05/10/2021
Muir, MarkOperational/managerial controlIndividual01/01/2024
Nukaya, JackOperational/managerial controlIndividual03/08/2024
Ogren, PatriciaOperational/managerial controlIndividual09/01/2023
Robertson, BrettOperational/managerial controlIndividual03/01/2020
Samuelian, RobertOperational/managerial controlIndividual03/01/2020
Samuelian, SpencerOperational/managerial controlIndividual03/01/2020
Samuelian, StephenOperational/managerial controlIndividual03/01/2020
Seastrand, JasonOperational/managerial controlIndividual03/01/2020
West, ChristianOperational/managerial controlIndividual03/01/2020
Haven Arizona Real Estate, LLCAdp of the SNFOrganization12/10/2024
Haven Real Estate Partners, LLCAdp of the SNFOrganization03/01/2020
Haven Sandpointe Real Estate LLCAdp of the SNFOrganization12/10/2024
Health Group Management LLCAdp of the SNFOrganization11/21/2024
El Amin, MohemedAdp of the SNFIndividual01/01/2024
Espinosa, StephanieAdp of the SNFIndividual10/14/2024
Fragoso, LindsayAdp of the SNFIndividual05/10/2021
Muir, MarkAdp of the SNFIndividual01/01/2024
Nukaya, JackAdp of the SNFIndividual03/08/2024
Ogren, PatriciaAdp of the SNFIndividual09/01/2023
Robertson, BrettAdp of the SNFIndividual03/01/2020
Samuelian, RobertAdp of the SNFIndividual03/01/2020
Samuelian, SpencerAdp of the SNFIndividual03/01/2020
Samuelian, StephenAdp of the SNFIndividual03/01/2020
Seastrand, JasonAdp of the SNFIndividual03/01/2020
West, ChristianAdp of the SNFIndividual03/01/2020

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 7 problems in this area, most recently on September 16, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
  2. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on September 22, 2023: "Provide safe, appropriate pain management for a resident who requires such services."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on August 13, 2025: "Honor the resident's right to manage his or her financial affairs."
  4. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on August 13, 2025: "Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.26 hours per resident per day, below the Arizona average of 3.51.

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Common questions

What is Haven of Sandpointe, LLC's Medicare star rating?
CMS rates Haven of Sandpointe, LLC 3 out of 5 stars overall, with 2 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Haven of Sandpointe, LLC get at its last inspection?
9 health deficiencies at the standard inspection on August 13, 2025. The Arizona average is 6.4.
Has Haven of Sandpointe, LLC been fined?
CMS lists no fines in the last three years.
Does Haven of Sandpointe, LLC 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 Sandpointe, LLC?
CMS lists 39 owners and managers, and links the home to Haven Health. Legal business name: HAVEN OF SANDPOINTE LLC.

Sources

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