Contact Information

HAVEN OF DOUGLAS
HAVEN OF DOUGLAS LLC
1400 NORTH SAN ANTONIO AVENUE
DOUGLAS, AZ 85607
(520) 364-7937
For profit - Corporation
Medicare certification date2: November 11, 1988
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  45 residents

  64 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints None
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 45 residents Arizona Average National Average
Hours by Registered Nurse (RN) per resident per day 33 minutes 49 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 51 minutes 1 hour, 5 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 4 minutes 2 hours, 25 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 5 minutes 10 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • HAVEN HEALTH GROUP ARIZONA LLC
  • HAVEN HEALTH GROUP LLC
  • ROBERTSON, BRETT
  • SAMUELIAN, ROBERT
  • SAMUELIAN, SPENCER
  • SAMUELIAN, STEPHEN
  • WEST, CHRISTIAN

DIRECTOR

  • PEDROSA, LORA

MANAGING EMPLOYEE

  • EICHMAN, LEILANI

OPERATIONAL/MANAGERIAL CONTROL

  • ROBERTSON, BRETT
  • SAMUELIAN, ROBERT
  • SAMUELIAN, SPENCER
  • SAMUELIAN, STEPHEN
  • WEST, CHRISTIAN

Nursing Home Report

In 2016, HAVEN OF DOUGLAS charged a total of $876,931 for 28 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 81.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 11% Alzheimer's 50%
Asthma 29% Cancer 14%
Congestive Heart Failure 46% Kidney Disease 61%
COPD 32% Depression 32%
Diabetes 46% Hyperlipidemia 54%
Hypertension n/a Ischemic Heart Disease 61%
Osteoporosis 11% RA / OA 54%
Schizophrenia 0% Stroke 18%
Demographics
Medicare Beneficiaries 28 Average Age 81
Male 11 Female 17
White n/a
Black 0
Asian 0
Hispanic 18
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Apr 12, 2018; fire safety inspection: Apr 13, 2018

Health Deficiencies as of 04/12/2018
Freedom from Abuse, Neglect, and Exploitation 4
Quality of Life and Care None
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies 1
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 04/13/2018
Emergency Preparedness 4
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies 1
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 2
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations 1

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See also