Haven Of Sedona
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.
Inspection Findings
Review of the
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.
035094 08/19/2025
Haven of Sedona 505 Jacks Canyon Road Sedona, AZ 86351
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 Arizona Department of Health Services (AZDHS), 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.
035094 08/19/2025
Haven of Sedona 505 Jacks Canyon Road Sedona, AZ 86351
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.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.