Haven of Scottsdale

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 7, 2026

  Number of residents sampled: 46Number of residents cited: 1Based on observation, interview, review of clinical record, staff interviews, review of facility's video footage, policy and procedure, the facility failed to ensure adequate supervision was provided to one resident (#27). The deficient practice resulted in the resident sustaining injury from accidental foley catheter dislodgement and a transfer to the hospital.Findings include:-Resident #27 was re-admitted on [DATE], with diagnoses of acute on chronic congestive heart failure, cardiomyopathy, pneumonia, unspecified dementia, anxiety disorder, and retention of urine.A care plan dated December 5, 2025, revealed Resident #27 was at risk for functional self-care deficits and/or functional mobility limitations related to subdural… […]

• Actual harm, isolatedF600Feb 17, 2022

  Based on an observation, clinical record review, interviews, facility documentation and policies, and review of the State Agency (SA) database, the facility failed to ensure one resident (#1) was not abused by two Certified Nursing Assistants (CNAs/staff #49 and staff #20). The sample size was 4 residents. The deficient practice could result in further resident abuse. Findings include: Resident #1 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the resident's care plans, initiated on [DATE], revealed the following focus areas: -Activities of Daily Living (ADL) included that the resident had a self-care performance deficit related to limited mobility. […]

• No harm, potential for more than minimal, patternF607Jan 7, 2026

  Based on clinical record review, staff interviews, facility documentation and policy review, the facility failed to implement their policy on abuse reporting and investigation for allegations of abuse for 2 of 9 sampled residents (#77 and #72). The deficient practice could result in allegations of abuse not reported, not investigated and residents not protected from continued abuse.Findings include: -Resident #77 was admitted on [DATE] with diagnoses of displaced intertrochanteric fracture of the left femur, osteoporosis and chronic pain. The ADL (activities of Daily Living) care plan dated August 1, 2023 included the resident was at risk for ADL self-care performance deficit. Intervention included to encourage resident to participate to the fullest extent possible with each interaction. […]

• No harm, potential for more than minimal, patternF609Jan 7, 2026

  Based on clinical record review, staff interviews, facility documentation and policy review, the facility failed to ensure an allegations of abuse were reported to APS and law enforcement; and failed to ensure that the results of the investigations of the alleged violation for 2 of 9 sampled residents (#77 and #72) were submitted to the SA within 5 working days of the incident. The deficient practice could result in allegations of abuse not investigated and residents not protected from continued abuse.Findings include: -Resident #77 was admitted on [DATE] with diagnoses of displaced intertrochanteric fracture of the left femur, osteoporosis and chronic pain. […]

• No harm, potential for more than minimal, patternF610Jan 7, 2026

  Based on clinical record review, staff interviews, facility documentation and policy review, the facility failed to ensure allegations of abuse for 2 of 9 sampled residents (#77 and #72) were thoroughly investigated. The deficient practice could result in residents not protected from continued abuse and appropriate corrective action not taken.Findings include: -Resident #77 was admitted on [DATE] with diagnoses of displaced intertrochanteric fracture of the left femur, osteoporosis and chronic pain. The ADL (activities of Daily Living) care plan dated August 1, 2023 included the resident was at risk for ADL self-care performance deficit. Intervention included to encourage resident to participate to the fullest extent possible with each interaction. […]