Haven Nursing Center

In the surveyor’s words

From the most serious findings on record at Haven Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF868Apr 12, 2023

  Based on review of the QAA (Quality Assessment and Assurance) manual and interview the facility failed to have documented evidence of having QAA meetings at least quarterly. Review of the Resident Census and Conditions of Residents report revealed the facility's census was 74 residents. Findings: Review of the facility's QAA committee manual revealed no documented evidence of quarterly meetings performed for the second, third and fourth quarter of 2022. During an interview on 04/12/2023 at 3:45 p.m., S1 Administrator confirmed QAA Committee meetings were not held for the second, third and fourth quarter for the year of 2022.

• No harm, potential for more than minimal, patternF605Jun 10, 2026

  Based on record reviews and interviews, the facility failed to ensure residents were free of chemical restraints by failing to ensure a resident had an appropriate diagnosis for the use of an antipsychotic medication for 1 (#13) of 5 residents reviewed for unnecessary medication. Findings: Review of Resident #13's record revealed an admission date of 04/17/2023 with diagnoses including unspecified dementia without behavioral, psychotic, or mood disturbances, generalized anxiety disorder, and major depressive disorder recurrent.Review of Resident #13's quarterly MDS assessment dated [DATE] revealed a BIMS score of 10 indicating moderate cognitive impairment. Further review of the MDS revealed resident received antipsychotic medication and diuretic medication. […]

• No harm, potential for more than minimal, patternF684Jun 10, 2026

  Based on record review, observations, and interviews the facility failed to ensure that a resident receive treatment and care in accordance with professional standards of practice by failing to identify a wound for 1 (#33) of 3 residents reviewed for non-pressure related skin conditions.Findings: Review of Resident #33's medical record revealed diagnoses which included chronic systolic congestive heart failure, unilateral primary osteoarthritis (right hip), atherosclerotic heart disease of native coronary artery without angina pectoris, old myocardial infarction, unspecified protein-calorie malnutrition, and major depressive disorder.Review of the annual MDS assessment dated [DATE] for Resident #33 revealed a BIMS score of 7 which indicated severe cognitive impairment. […]

• No harm, potential for more than minimal, patternF726Jun 10, 2026

  Based on record reviews, and interviews, the facility failed to ensure that licensed nurses have the specific competencies, and skill sets necessary to care for resident needs by not 1) having documentation of a change of condition regarding a resident's low blood pressure and/or low pulse for 1 (#84) of 3 closed records reviewed, and 2) notifying a resident's physician for a high blood sugar reading for 1 (#10) of 1 residents reviewed for insulin.Findings: Resident #84Review of the facility's Charting and Documentation policy and procedure (undated) revealed the following in part:Policy StatementAll services provided to the resident, progress toward the care plan goals, or any changes in the resident's medical, physical, functional or psychosocial condition, shall be documented in the… […]

• No harm, potential for more than minimal, patternF756Jun 10, 2026

  Based on record reviews and interviews, the Pharmacist failed to identify and report irregularities to the attending Physician, the facility's Medical Director and DON for 1 (#13) of 5 residents reviewed for unnecessary medications. Findings: Review of Resident #13's record revealed an admission date of 04/17/2023 with diagnoses including unspecified dementia without behavioral, psychotic, or mood disturbances, generalized anxiety disorder, hypertension, chronic obstructive pulmonary disease, and major depressive disorder. […]