Haven of Safford

In the surveyor’s words

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

• Actual harm, isolatedF600Feb 10, 2026

  Based on clinical record reviews, facility documentation, resident, family, and staff interviews, and policy review, the facility failed to protect the rights of two residents (#10) and (#20) to be free from abuse by another Resident (#50). This deficient practice could result in further incidents of resident to resident abuse. Findings include: -Resident #10 (Victim #1) was admitted to the facility on [DATE], with diagnosis that include hemiplegia, cerebral vascular accident, dementia, urinary tract infection, diabetes mellitus type 2, and sepsis. Review of the Quarterly Minimum Data Set (MDS) assessment dated November December 8, 2025 revealed a Brief Interview for Mental Status (BIMS) score of 10 which indicated the resident had moderate cognitive impairment. […]

• No harm, potential for more than minimal, patternF725Aug 5, 2026

  Based on resident and staff interviews, facility documentation, staffing records, and policy review, the facility failed to ensure sufficient nursing staff were available to provide care and services to meet residents' needs. The deficient practice could result in delayed or unmet care needs for residents requiring staff assistance.Findings include:Review of the Payroll-Based Journal (PBJ) Staffing Data Report revealed that the facility consistently triggered for excessively low weekend staffing during three reporting quarters in 2025. The facility assessment dated [DATE], revealed that the facility was licensed to provide care for 106 residents and had an average daily census of 70 to 80 residents. The average census included 10 to 25 short-stay residents and 30 to 45 long-stay residents. […]

• No harm, potential for more than minimal, patternF755Dec 9, 2025

  Based on observations, interviews, facility documentation, and policy, the facility failed to ensure that safeguards and systems were in place to ensure accurate reconciliation and accounting for all controlled substances for one of three medication carts sampled. The deficient practice could result in inventory loss and potential diversion. A medication cart observation was conducted on December 9, 2025, at 10:24 a.m. with Licensed Practical Nurse (LPN/Staff # 46). Photographic images were obtained, with Staff # 46 present, of the Progressive Care Units (PCU) Narcotic Count Reconciliation Sheets. The narcotic sheets were reviewed with Staff # 46 for the months of October 2025 to December 2025. […]

• No harm, potential for more than minimal, patternF880Dec 9, 2025

  Based on a review of records and staff interviews, it was revealed that the facility failed to follow infection control guidelines for laundry services, medication preparation, and medication storage. This deficient practice can result in the failure to prevent and control infection transmission amongst a vulnerable population.Findings include:-Regarding the Laundry AreaRe: Laundry RoomAn observation of the facility's laundry room was conducted on December 9, 2025, at 10:15 a.m., with a laundry services employee (Staff #16). During the observation, the following deficiencies were identified on the dirty (soiled) side of the laundry department:1. The linen cart designated for dirty items contained loose articles of clothing that were uncovered.2. […]

• No harm, potential for more than minimal, patternF689Feb 2, 2023

  Based on clinical record review and staff interviews and the State Agency (SA) database, the facility failed to ensure adequate supervision and assistance was provided for one resident (#123). The deficient practice could result in avoidable accidents for residents. Findings include: Resident #123 was admitted on [DATE] with diagnoses of bipolar disorder, suicidal ideation and personal history of suicidal behavior. The care plan was initiated on April 15, 2022 to include the resident had a behavior problem related to suicidal ideation and history of attempts. Review of the clinical record revealed resident had suicidal attempts on May 20, 2022 and August 13, 2022. […]