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HAVEN OF DOUGLAS

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HAVEN OF DOUGLAS is a for profit - limited liability company facility in DOUGLAS, AZ with 60 certified beds and a 5-star overall CMS rating. The facility has 15 deficiency records on file.

1400 NORTH SAN ANTONIO AVENUE, DOUGLAS, AZ 85607

Phone: 4809354300

Overall Rating

5/5

Health Inspection

3/5

Staffing

5/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
035180
Ownership
For profit - Limited Liability company
Provider Type
Medicare and Medicaid
Beds
60
Residents
50
In Hospital
No
County
Cochise
Last Inspection
Aug 7, 2025

Staffing Data

RN Hours
0.76 (nat'l avg: 0.68)
LPN Hours
0.62
CNA Hours
2.46
Total Nursing Hours
3.84 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
30.0%
RN Turnover
14.3%

What the CMS Record Reveals About HAVEN OF DOUGLAS

HAVEN OF DOUGLAS operates 60 certified beds in DOUGLAS, AZ with approximately 50 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (3★), staffing levels (5★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 15 deficiency records from recent surveys, all falling in the no-harm or minimal-harm bands of the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 3.84 total nursing hours per resident day (national average 3.89), with RN coverage at 0.76 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Limited Liability company" ownership and operating as a "Medicare and Medicaid" provider, HAVEN OF DOUGLAS falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 30.0%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (15 most recent)

D — Isolated - Minimal harm Nov 20, 2025 Tag: 0689

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

Category: Quality of Life and Care Deficiencies

Corrected: Dec 20, 2025

D — Isolated - Minimal harm Aug 28, 2025 Tag: 0600

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 25, 2025

E — Pattern - Minimal harm Aug 7, 2025 Tag: 0925

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

Category: Environmental Deficiencies

Corrected: Oct 1, 2025

D — Isolated - Minimal harm Aug 7, 2025 Tag: 0825

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 1, 2025

E — Pattern - Minimal harm Aug 7, 2025 Tag: 0812

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

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 1, 2025

D — Isolated - Minimal harm Aug 7, 2025 Tag: 0684

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

Category: Quality of Life and Care Deficiencies

Corrected: Oct 1, 2025

D — Isolated - Minimal harm Aug 7, 2025 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 1, 2025

D — Isolated - Minimal harm Aug 7, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 1, 2025

D — Isolated - Minimal harm Aug 7, 2025 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 30, 2025

D — Isolated - Minimal harm Aug 7, 2025 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Oct 1, 2025

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: Aug 30, 2024

D — Isolated - Minimal harm Jul 25, 2024 Tag: 0552

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

Category: Resident Rights Deficiencies

Corrected: Aug 30, 2024

D — Isolated - Minimal harm Jan 26, 2023 Tag: 0732

Post nurse staffing information every day.

Category: Nursing and Physician Services Deficiencies

Corrected: Mar 20, 2023

D — Isolated - Minimal harm Jan 26, 2023 Tag: 0609

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

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 20, 2023

D — Isolated - Minimal harm Jan 26, 2023 Tag: 0560

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

Category: Resident Rights Deficiencies

Corrected: Mar 20, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 6.2% Yes
Percentage of long-stay residents who lose too much weight Long Stay 0.6% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.6% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 0.6% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.2% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 97.6% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 82.3% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 13.8% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 19.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 93.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 77.4% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.3% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 24.3% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 0.0% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for HAVEN OF DOUGLAS?
HAVEN OF DOUGLAS has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (3★), staffing levels (5★), and quality measures (5★).
What are the staffing levels at HAVEN OF DOUGLAS?
HAVEN OF DOUGLAS reports 3.84 total nursing hours per resident day (national average: 3.89). RN hours are 0.76 per resident day (national average: 0.68). Nursing staff turnover is 30.0%.
How many beds does HAVEN OF DOUGLAS have?
HAVEN OF DOUGLAS has 60 certified beds with approximately 50 residents. The facility is located at 1400 NORTH SAN ANTONIO AVENUE, DOUGLAS, AZ 85607.
Does HAVEN OF DOUGLAS have any deficiencies on record?
Yes, HAVEN OF DOUGLAS has 15 deficiencies on record from recent inspections. Most deficiencies are classified as no harm or minimal harm.
Has HAVEN OF DOUGLAS received any fines or penalties?
No, HAVEN OF DOUGLAS has no fines or penalties on record.
Who owns HAVEN OF DOUGLAS?
HAVEN OF DOUGLAS is classified as "For profit - Limited Liability company" ownership. The facility type is "Medicare and Medicaid".
When was HAVEN OF DOUGLAS last inspected?
The most recent health inspection for HAVEN OF DOUGLAS was on Aug 7, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for HAVEN OF DOUGLAS?
HAVEN OF DOUGLAS is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial