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Deficiency Records for Haven Health Sky Harbor, LLC
A list of the most recent deficiencies for Haven Health Sky Harbor, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Haven Health Sky Harbor, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-08-01 | 2024-08-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-06 | 2024-07-03 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-05-06 | 2024-07-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-06 | 2024-07-03 | N |
| Provide activities to meet all resident's needs. | Health | 2024-05-06 | 2024-07-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-06 | 2024-07-03 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-05-06 | 2024-07-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-06 | 2024-07-03 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-05-06 | 2024-07-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-06 | 2024-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-06 | 2024-07-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-06 | 2024-07-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-05-06 | 2024-07-03 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-05-06 | 2024-07-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-11 | 2024-06-05 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-10 | 2024-01-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-28 | 2023-07-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-15 | 2023-02-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-15 | 2023-02-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-15 | 2023-02-28 | N |
| 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. | Health | 2022-12-15 | 2023-02-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-15 | 2023-02-28 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-12-15 | 2023-02-28 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2022-12-15 | 2023-02-28 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-12-15 | 2023-02-28 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2022-12-15 | 2023-02-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-15 | 2023-02-28 | Y |
| Have proper power supply for life support equipment. | Fire Safety | 2022-08-24 | 2022-09-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-29 | 2022-04-30 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-29 | 2022-04-30 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-09-23 | 2021-11-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-23 | 2021-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-23 | 2021-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-23 | 2021-11-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-09-23 | 2021-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-23 | 2021-11-01 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-09-23 | 2021-11-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-23 | 2021-11-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-09-23 | 2021-11-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-23 | 2021-11-01 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-09-23 | 2021-11-01 | N |
| Report COVID19 data to residents and families. | Health | 2021-09-23 | 2021-11-01 | N |
| 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. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-09-23 | 2021-10-29 | N |
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