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Haven of Sierra Vista, LLC

660 South Coronado Drive, Sierra Vista, AZ 85635 · Cochise County · (520) 459-4900

100 certified beds, about 90 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1983

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

CMS Care Compare ratings, data as of September 1, 2026 · CCN 035086 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on December 10, 2025, inspectors cited 2 health deficiencies (the Arizona average is 6.4, the national average 9.2).

None of its 17 health citations since September 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 3.09 hours per resident per day, against 3.98 across Arizona and 3.86 nationally. Registered nurses accounted for 0.43 of those hours.

46.6% 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 17 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
3E
1F
Potential for minimal harm
0A
0B
0C
December 10, 2025Standard inspection, Complaint inspection · 3 citations
  1. F
    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, widespread · Corrected (the home has a date of correction) December 31, 2025
    Inspectors wroteBased on observation, interviews, review of facility documentation and policies, the facility failed to ensure the dishwasher was operating at appropriate temperatures according to manufacturer's instructions. The deficient practice could increase the risk of residents consuming food that come into contact with non-sanitized food ware. The facility's census was 88.
  2. E
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2025
    Inspectors wroteBased on observations, interviews, and review of the facility's policies and procedures, the facility failed to ensure resident meals were served at appropriate temperatures. The sample size was five residents. The facility census was 88. The deficient practice could lead to residents receiving meals at unsafe temperatures which increases the risk of foodborne illnesses.
  3. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 31, 2025
    Inspectors wroteBased on interviews, review of clinical records and facility policies and procedures, the facility failed to ensure two out of two sampled resident's (#10 and #81) medications were protected from diversion by one staff (#201). The deficient practice could result in residents not receiving prescribed medications, placing them at risk for unmanaged pain, withdrawal symptoms or other adverse outcomes.
December 8, 2023Standard inspection, Complaint inspection · 10 citations
  1. E
    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, pattern · Corrected (the home has a date of correction) February 19, 2024
    Inspectors wroteBased on clinical record review, staff interviews, and the facility policy and procedures, the facility failed to ensure that adequate documentation for one resident's (#40) nutritional intake was completed. The deficient practice could result in nutritional deficiencies not being monitored.
  2. 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) February 19, 2024
    Inspectors wroteBased on observations, staff interviews, and policy reviews, the facility failed to ensure a sanitary kitchen with regards to peeling paint over the tray line counter. The deficient practice could increase the risk of foodborne illness.
  3. 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) February 19, 2024
    Inspectors wroteBased on clinical record review, facility documentation, staff interviews, and policies and procedures, the facility failed to ensure one resident (#166) was free from resident to resident abuse, which resulted in physical harm as evidenced by a 5 x 4 cm bruise on the resident's right wrist. The deficient practice could result in other residents being abused.
  4. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 19, 2024
    Inspectors wroteBased on clinical record reviews, staff interviews and facility policy and procedures, the facility failed to ensure that a Preadmission Screening and Resident Review (PASRR) level I was completed accurately and a level II was sent to the state for determination for one resident (#2). The deficient practice could result in specialized services not being identified and provided to residents.
  5. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 19, 2024
    Inspectors wroteBased on observations, clinical record review, interviews, and policy review, the facility failed to ensure one resident (#23) received the necessary services to maintain good bathing and grooming hygiene. This deficient practice could result in bathing and grooming needs not being met.
  6. 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) February 19, 2024
    Inspectors wroteBased on documentation, staff and resident interviews, and the facility policy and process, the facility failed to ensure one resident (#40) had access to activities. The deficient practice could impact the psychosocial well-being of residents.
  7. 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 · found on a complaint visit · Corrected (the home has a date of correction) February 19, 2024
    Inspectors wroteBased on clinical documentation, staff interviews, and the facility policy and process, the facility failed to complete baseline vital assessments upon one resident's (#116) admission. The deficient practice result in a change of condition not being recognized.
  8. 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) February 19, 2024
    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.
  9. D
    Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
    F942 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 19, 2024
    Inspectors wroteBased on personnel file reviews, staff interviews, and the facility policy and procedures, the facility failed to provide evidence that 3 out of 10 staff (#98, #26, and #27) were provided resident rights training. The deficient practice could result in residents not being afforded their rights.
  10. D
    Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
    F943 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 19, 2024
    Inspectors wroteBased on personnel file review, staff interviews, and the facility policy and procedures, the facility failed to provide evidence that 1 out of 10 staff (#98) was provided dementia training. The deficient practice could result in residents with dementia not receiving the care needed.
September 8, 2022Standard inspection · 4 citations
  1. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2022
    Inspectors wroteBased on staff interviews, clinical record reviews, and review of policy and procedure, the facility failed to ensure one resident who was identified with serious mental illness (#44) and one presumed short-stay resident (#26) who remained in the facility for longer than 40 days were referred to the State-designated authority for Level II pre-admission screening and resident review (PASRR) evaluation and determination. The sample size was 2. The deficient practice may result in residents being inappropriately placed into nursing homes and/or not receiving services they need.
  2. D
    Assist a resident in gaining access to vision and hearing services.
    F685 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) November 1, 2022
    Inspectors wroteBased on clinical record review, resident and staff interviews, and the facility's policies and procedures, the facility failed to assist one resident (#3) in obtaining hearing aids. The sample size was 2. The deficient practice could result in residents not being provided with devices to maintain hearing ability.
  3. 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) November 1, 2022
    Inspectors wroteBased on clinical record review, observations, resident and staff interviews, and policy and procedure, the facility failed to ensure a suprapubic catheter was secured and positioned below the level of the bladder for one resident (#46). The sample size was 2. The deficient practice could result in adverse effects to residents.
  4. 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) November 1, 2022
    Inspectors wroteBased on clinical record review, observations, staff interviews, and review of policy, the facility failed to provide oxygen as ordered for one resident (#3). The sample size was 2. The deficient practice could result in residents not receiving ordered oxygen.

Fire safety inspections

6 fire safety citations on file: 1 on December 10, 2025, 4 on December 8, 2023, 1 on September 8, 2022.

Every fire safety citation6 citations
  1. E
    Provide rooms that can be unlocked from inside without a key.
    K 221 · December 10, 2025 · Corrected (the home has a date of correction)
  2. E
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · December 8, 2023 · Corrected (the home has a date of correction)
  3. 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 · December 8, 2023 · Corrected (the home has a date of correction)
  4. E
    Install an approved automatic sprinkler system.
    K 351 · December 8, 2023 · Corrected (the home has a date of correction)
  5. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 8, 2023 · Corrected (the home has a date of correction)
  6. D
    Install corridor and hallway doors that block smoke.
    K 363 · September 8, 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)3.093.983.86
Registered nurses0.430.700.69
All nursing staff on weekends2.843.513.42
Nurse aides1.69
Licensed practical nurses0.98
Nursing staff turnover (share who left in a year)46.6%45.1%45.8%
Registered nurse turnover46.2%43.6%42.9%
Administrators who left0

CMS expects 3.89 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 3.20 on weekdays and 2.84 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.62 in April to June 2025 to 3.09 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.090.433.202.84 0.3%0 of 9090
Oct to Dec 20253.110.423.232.79 0.0%0 of 9288
Jul to Sep 20253.420.523.563.06 0.0%0 of 9290
Apr to Jun 20253.620.653.833.11 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
8.410.713.9
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
0.41.21.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
5.42.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
0.01.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
9.712.814.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
4.84.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
2.110.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
28.023.723.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.310.412.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.01.51.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.71.41.8

Owners and operators

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

NameRoleTypeShareSince
Robertson, BrettDirect ownership interestIndividual11/01/2017
Samuelian, RobertDirect ownership interestIndividual11/01/2017
Samuelian, SpencerDirect ownership interestIndividual11/01/2017
Samuelian, StephenDirect ownership interestIndividual11/01/2017
Seastrand, JasonDirect ownership interestIndividual11/01/2017
West, ChristianDirect ownership interestIndividual11/01/2017
Haven Health Group LLCIndirect ownership interestOrganization10/31/2017
Haven Health Properties LLC5% or greater mortgage interestOrganization11/01/2017
Haven Sierra Vista Real Estate LLC5% or greater mortgage interestOrganization11/01/2017
Health Group Management LLCOperational/managerial controlOrganization11/21/2024
Aguilar, KarlaOperational/managerial controlIndividual05/18/2021
Espinosa, StephanieOperational/managerial controlIndividual10/14/2024
Fragoso, LindsayOperational/managerial controlIndividual05/10/2021
Greiner, RussellOperational/managerial controlIndividual08/16/2023
Longhurst, StockOperational/managerial controlIndividual11/15/2020
Muir, MarkOperational/managerial controlIndividual11/01/2017
Ramon, DeedeeOperational/managerial controlIndividual01/01/2025
Robertson, BrettOperational/managerial controlIndividual11/01/2017
Samuelian, RobertOperational/managerial controlIndividual01/10/2025
Samuelian, SpencerOperational/managerial controlIndividual11/01/2017
Samuelian, StephenOperational/managerial controlIndividual01/10/2025
Seastrand, JasonOperational/managerial controlIndividual11/01/2017
Vandivort, MonicaOperational/managerial controlIndividual06/01/2023
West, ChristianOperational/managerial controlIndividual11/01/2017
Haven Health Properties LLCAdp of the SNFOrganization11/26/2024
Haven Sierra Vista Real Estate LLCAdp of the SNFOrganization11/26/2024
Health Group Management LLCAdp of the SNFOrganization11/21/2024
Aguilar, KarlaAdp of the SNFIndividual05/18/2021
Espinosa, StephanieAdp of the SNFIndividual10/14/2024
Fragoso, LindsayAdp of the SNFIndividual05/10/2021
Greiner, RussellAdp of the SNFIndividual08/16/2023
Longhurst, StockAdp of the SNFIndividual11/15/2020
Muir, MarkAdp of the SNFIndividual11/01/2017
Ramon, DeedeeAdp of the SNFIndividual01/01/2025
Robertson, BrettAdp of the SNFIndividual11/01/2017
Samuelian, RobertAdp of the SNFIndividual01/20/2025
Samuelian, SpencerAdp of the SNFIndividual11/01/2017
Samuelian, StephenAdp of the SNFIndividual01/20/2025
Seastrand, JasonAdp of the SNFIndividual11/01/2017
Vandivort, MonicaAdp of the SNFIndividual06/01/2023
West, ChristianAdp of the SNFIndividual11/01/2017

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 do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on December 8, 2023: "Provide care and assistance to perform activities of daily living for any resident who is unable."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 3 problems in this area, most recently on December 10, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 3 problems in this area, most recently on December 10, 2025: "Protect each resident from the wrongful use of the resident's belongings or money."
  4. When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on December 8, 2023: "Ensure services provided by the nursing facility meet professional standards of quality."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.84 hours per resident per day, below the Arizona average of 3.51.

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Arizona contacts for a concern about a nursing home

These are the official offices in Arizona. NursingHomeClear cannot take or act on complaints.

Common questions

What is Haven of Sierra Vista, LLC's Medicare star rating?
CMS rates Haven of Sierra Vista, LLC 2 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Haven of Sierra Vista, LLC get at its last inspection?
2 health deficiencies at the standard inspection on December 10, 2025. The Arizona average is 6.4.
Has Haven of Sierra Vista, LLC been fined?
CMS lists no fines in the last three years.
Does Haven of Sierra Vista, 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 Sierra Vista, LLC?
CMS lists 41 owners and managers, and links the home to Haven Health. Legal business name: HAVEN OF SIERRA VISTA LLC.

Sources

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