Haven of Lake Havasu

In the surveyor’s words

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

• Actual harm, isolatedF689Feb 14, 2025

  Based on documentation, staff interviews, and the facility policy and procedures, the facility failed to ensure that two residents (#9, #228) were adequately supervised in order to prevent accidental falls; and, failed to ensure items in the environment that could be utilized unsafely were stored away from one resident (#31). The deficient practice resulted in two residents being physically harmed. Findings include: -Resident #9 was admitted on [DATE]. Resident was discharged to hospital March 8, 2023 and was readmitted on [DATE] with diagnoses that included age-related osteoporosis with current pathological fracture, left femur, subsequent encounter for fracture with routine healing, Alzheimer's disease, unspecified dementia, unspecified severity, with other behavioral disturbance, and… […]

• Actual harm, isolatedF600Oct 17, 2024

  Based on clinical record reviews, staff interviews, and policy review, the facility failed to ensure one resident (#135) was free from self-harm following an encounter of self-reported suicidal ideation. The deficient practice could result in further neglect, harm or possible death of residents. Findings include: Resident #135 was admitted to the facility on [DATE], with diagnoses that included major depressive disorder, recurrent, unspecified, anxiety disorder, unspecified. Review of the Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status was conducted which revealed a BIMS score of 14, indicating resident's cognition was intact. Further review of the MDS section D for mood assessment revealed a severity score of 23. […]

• No harm, potential for more than minimal, patternF606Jul 27, 2023

  Based on documention, staff interviews, and the facility policy and procedures, the facility failed to provide supervision as directed by the nursing board for one staff (#33). The deficient practice could result in residents being physically and/or emotionally harmed. Findings include: Review of staff #33's RN license revealed that it was issued on May 1, 2018 probationary status with the state of Arizona. The date action was taken was on July 23, 2021. Review of the, Arizona State of Board of Nursing Consent Agreement and Order Number 1805081, dated July 23, 2021 revealed that staff #33's license is hereby revoked; however; the revocation is stayed for as long as respondent remains in compliance with this order. […]

• No harm, potential for more than minimal, patternF658Jul 27, 2023

  Based on clinical review, staff interviews, and facility policy and procedures, the facility failed to ensure that medication administration for one resident (#18) met professional standards of practice, failed to ensure physicians orders for one resident (#8) were complete and failed to notify the physician of a change in condition (#65). The deficient practice could result in residents not receiving care that meets professional standards. Findings include: -Resident #18 was admitted to the facility on [DATE] with diagnoses that included Type II Diabetes Mellitus with diabetic neuropathy, chronic systolic heart failure, and morbid obesity. The care plan for Diabetes Mellitus dated August 29, 2022 included the intervention to give diabetes medication as ordered by the doctor. […]

• No harm, potential for more than minimal, patternF677Jul 27, 2023

  Based on clinical record, staff interviews, and the facility policy and procedures, the facility failed to assist one resident (#60) with repositioning. The deficient practice could result in a skin breakdown. Findings include: Resident #60 was admitted to the facility on [DATE] with diagnoses that included generalized muscle, pathological fracture with routine healing, low back pain, and anxiety disorder. The minimum data set (MDS) dated [DATE] included a brief interview for mental status score of 14 indicating the resident was cognitively intact. It also included that the resident required a one-person extensive assist with bed mobility and used a wheelchair for ambulation. […]