Haven of Scottsdale: Care Quality Deficiency - AZ
The medication was Tyvaso DPI, used to treat pulmonary hypertension. The resident's family had brought a box to the facility. At 9:26 p.m. that day, after the 8:00 a.m., noon, and 8:00 p.m. doses had all been skipped, a nurse finally called the pharmacy to report the medication wasn't available.
It was available. It had been there the whole time.
A Licensed Practical Nurse interviewed by inspectors on November 5 said she had no idea families were ever allowed to supply medications. Everything, she said, came through the pharmacy. She was unaware the Tyvaso DPI had been brought in by the resident's family and never ordered through a pharmacist at all.
The Assistant Director of Nursing confirmed that the family had delivered the medication and that the facility had never placed a pharmacy order for it. She also described a separate problem: nurses were confused about the correct dosage. A titration had started in September, but the October titration ran into trouble, and staff weren't clear on how much to administer. Because of that confusion, the ADON said, she hadn't asked the family to bring a second box, since the first one hadn't been finished.
When inspectors asked her to explain why the three missed doses were logged as "on order" in the medication administration record, the ADON said she didn't know.
The nurse who called the pharmacy that night documented the doses as missed because the medication wasn't available. The medication was in the facility's storage. No one had connected those two facts until federal inspectors arrived a month later.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Haven of Scottsdale from 2025-11-05 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 9, 2026 · Our methodology
HAVEN OF SCOTTSDALE in SCOTTSDALE, AZ was cited for violations during a health inspection on November 5, 2025.
The medication was Tyvaso DPI, used to treat pulmonary hypertension.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.