Haven Of Douglas
HAVEN OF DOUGLAS in DOUGLAS, AZ — inspection on August 28, 2025.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
day.
Attempted to Interview Administrator (ED/Staff # 18) on August 28, 2025, however, it was reported by staff that he was in Canada and they were unable to reach him at the time.
Attempted to interview the Director of Nursing (staff #77) on August 28, 2025, but she was not available due to being out of town, and was unable to reach.An interview with both LPN Care Coordinator (Staff # 21) and Registered Nurse (RN/Staff # 22) on August 28, 2025, at 2:15 p.m. revealed that RN Staff # 22 was on call that weekend and received both calls for the incidents on August 16 and the incident on August 17, 2025.
She revealed that the incident on August 16. 2025 was not physical and therefore did not report or investigate.
When asked about Resident # 2's skin laceration Staff # 22 revealed that it was obtained while they were trying to remove Staff # 2 from the room and not caused by Resident # 1.
Staff # 22 stated she had assessed the wound on Monday, August 18th even though the only skin and wound assessments on record were August 15, 2025, and August 22, 2025.
Both assessments indicated no wounds to the skin.
Staff # 22 revealed that they monitored the residents that night but did acknowledge that another altercation took place on August 17th, where Resident # 1 had pushed Resident # 2 out of his room. LPN Staff # 21 revealed that after the second incident, they had a meeting with Resident # 1 and family to set up outside psychological services.
LPN Staff # 22 also revealed that they placed a Velcro barricade across Resident # 1's room to help prevent other residents from wandering in.A Policy and Procedure titled, Resident Rights/Dignity: Abuse, Neglect, Exploitation and Misappropriation Prevention Program, dated January 1, 2024, stated the residents have the right to be free from abuse, neglect, misappropriation of resident property and exploitation.
The policy also revealed that the resident abuse, neglect and exploitation prevention program consists of a facility-wide commitment to protect residents from abuse by anyone including other residents and protect resident from further harm during investigations.
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