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Complaint Investigation

Haven Of Sedona

August 19, 2025 · Sedona, AZ · 505 Jacks Canyon Road
Citations 3
CMS Rating 2/5
Beds 112
Provider ID 035094
Healthcare Facility
Haven Of Sedona
Sedona, AZ  ·  View full profile →
Inspection Summary

HAVEN OF SEDONA in SEDONA, AZ — inspection on August 19, 2025.

Found 3 citations. 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.

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Inspection Findings

FF0559
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Review of the facility policy titled, Resident Rights - Room Change/Roommate Assignment, was revised in January of 2024 revealed that resident room or roommate assignments may change if the facility deemed it necessary, but that resident preferences were taken into account when such changes were considered.

The policy further revealed that prior to changing a room or roommate assignment, residents should have been given advance written notice of such change, and advance written notice of a roommate change would include why the change was being made.

The policy also revealed that documentation of a room change should be recorded in the resident's medical record.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/19/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Haven of Sedona

505 Jacks Canyon Road Sedona, AZ 86351

SUMMARY STATEMENT OF DEFICIENCIES

Rights/Dignity: Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating, was revised in January of 2024 and revealed that all reports of abuse, neglect, or exploitation needed to be thoroughly investigated by facility management, and needed to be reported immediately, but within two hours to the state agency, ombudsman, resident's representative, Adult Protective Services (APS), law enforcement, the physician, and the medical director.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/19/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Haven of Sedona

505 Jacks Canyon Road Sedona, AZ 86351

SUMMARY STATEMENT OF DEFICIENCIES

During an interview with the DON (Staff #120) and ED (Staff #29) conducted on [DATE] at 2:32 p.m. both the DON and the ED stated that the timeframe for reporting was 2 hours.

Regarding the incident, the ED stated that they were notified over email on [DATE] at 10:16 p.m., the ED did not check her email immediately, and she did not see the email until around 10 a.m. on [DATE].

The ED stated that she read it, reviewed it, and the facility did the initial 2 hours of making sure the resident was safe before sending the aide home and suspending the other.

The ED stated that they did a skin assessment and concluded that it was not substantial for abuse and neglect.

The ED stated that she did not click the verification link sent to her email to submit the report to the State Agency, and when she attempted to click the link it expired.

The ED further stated that they would fix their reporting processes moving forward.

Review of a policy titled, Resident Rights/Dignity: Abuse, Neglect, Exploitation or Misappropriation - Reporting and Investigating, was revised in January of 2024 and revealed that all reports of abuse, neglect, or exploitation needed to be thoroughly investigated by facility management, and needed to be reported immediately, but within two hours to the state agency, ombudsman, resident's representative, Adult Protective Services (APS), law enforcement, the physician, and the medical director.

Facility ID:

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 SEDONA, 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 SEDONA or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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