Haven Of Douglas
Inspection Findings
F-Tag F0600
F 0600 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
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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HAVEN OF DOUGLAS in DOUGLAS, AZ inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DOUGLAS, AZ, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from HAVEN OF DOUGLAS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.