Haven of Camp Verde

In the surveyor’s words

From the most serious findings on record at Haven of Camp Verde, in the surveyor’s own words.

• Actual harm, isolatedF684Feb 11, 2026

  Based on clinical record review, staff interviews, facility policy and procedure and police report, the facility failed to ensure life-saving measures including cardiopulmonary resuscitation (CPR) were provided according to the advance directives for one resident (#10) who was found unresponsive. The deficient practice resulted in the resident not receiving life-saving measures and death.Findings include:Resident #10 was admitted to the facility on [DATE], with diagnoses of pneumonia due to pseudomonas, other acute osteomyelitis, bacteremia, autistic disorder, bipolar disorder, mood disorder, epilepsy, need for assistance with personal care, and unspecified lack of expected normal physiological development in childhood.An Alert Charting note dated January 22, 2026 revealed Resident #10… […]

• Actual harm, isolatedF689Jan 25, 2022

  Based on observations, clinical record review, staff interviews, and review of facility documentation and policies, the facility failed to ensure adequate supervision and assistance was provided to one resident (#1) resulting in a fall with injury. The deficient practice resulted in the resident sustaining a fracture to the right hip. Findings include: Resident #1 was admitted on [DATE] with diagnoses that included dementia with behavioral disturbance, muscle weakness, difficulty in walking, other reduced mobility, and need for assistance with personal care. The ADL (activities of daily living) care plan dated September 25, 2021 included the resident had Self Care Performance deficit. The goal was that the resident would maintain the current level of function. […]

• No harm, potential for more than minimal, widespreadF725Dec 8, 2023

  Based on observations, facility documentation, staff interviews and facility policy, the facility failed to ensure there was sufficient nursing staff on a 24-hour basis based on staffing schedule, postings and in accordance with the facility assessment (completed 8/31/23, Updated 10/12/23). Findings include: On December 5, 2023 a review of the facility assessment was conducted and revealed that there should be two licensed nurses per shift. There should be four CNA's (Certified Nursing Aide) for day shift, three CNA's for second shift and two CNA's on night shift. A review of the staff postings compared to punch details revealed that the facility to follow the facility assessment for staffing. […]

• No harm, potential for more than minimal, widespreadF732Dec 8, 2023

  Based on review of facility documentation, staff interviews and policy review, the facility failed to ensure that the nurse staffing information was accurately posted on a daily basis, which included the actual hours worked by licensed and unlicensed nursing staff. Findings include: A review of the sampled daily staff postings for November and December of 2023, revealed they did not contain the total actual hours worked by licensed and unlicensed staff. During an interview that was conducted with the Administrator, (staff #555) on December 7, 2023 at approximately 11:21 AM, it was noted that the actual hours worked were not on the daily staff postings. Staff #555 stated that she will be updating the postings sheet to reflect actual hours worked in the future. […]

• No harm, potential for more than minimal, widespreadF851Dec 8, 2023

  Based on observations, facility documentation, staff interviews and facility policy, the facility failed to submit accurate staffing information base on payroll data in a uniform format to CMS (Centers for Medicare & Medicaid Services). Findings include: A review of the [NAME] PBJ Staffing Data Report that was run on November 30, 2023 revealed that the facility was triggered for excessively low weekend staffing for the following: Fiscal year, quarter four (July 1st-September, 30) 2022 Fiscal year, quarter one (October 1st - December 31st) 2023 Fiscal year, quarter two (January 1st - March 31st) 2023 Fiscal year quarter three (April 1st - June 30th) 2023 During the review of the sampled staff postings for November and December 2023 with the Regional Support Nurse, (staff #666) and the… […]