Haven of Sierra Vista, LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Dec 10, 2025

  Based on observation, interviews, review of facility documentation and policies, the facility failed to ensure the dishwasher was operating at appropriate temperatures according to manufacturer's instructions. The deficient practice could increase the risk of residents consuming food that come into contact with non-sanitized food ware. The facility's census was 88. Findings include:An initial kitchen observation was conducted on December 7, 2025 at 10:47 A.M. of the dish machine temperature log. The temperature log had an entry for December 7, 2025 that indicated the temperature of the wash was 120 degrees and the rinse was 120 degrees. It also indicated PPM (parts per million) was 100. […]

• No harm, potential for more than minimal, patternF804Dec 10, 2025

  Based on observations, interviews, and review of the facility's policies and procedures, the facility failed to ensure resident meals were served at appropriate temperatures. The sample size was five residents. The facility census was 88. The deficient practice could lead to residents receiving meals at unsafe temperatures which increases the risk of foodborne illnesses.Findings include:A complaint was received through the State Agency (SA) portal on November 25, 2025 at 2:37 pm alleging that food was served cold and was too spicy.Related to Resident #77-Resident #77 was admitted to the facility on [DATE] with diagnoses that includes pyothorax (infected pus pocket in the chest cavity) with fistula, pneumonia, and major depressive disorder.Review of the admission MDS, dated [DATE] revealed… […]

• No harm, potential for more than minimal, patternF658Dec 8, 2023

  Based on clinical record review, staff interviews, and the facility policy and procedures, the facility failed to ensure that adequate documentation for one resident's (#40) nutritional intake was completed. The deficient practice could result in nutritional deficiencies not being monitored. Findings include: Resident #40 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses that included unspecified protein-calorie malnutrition, iron deficiency, chronic obstructive pulmonary disease, and acute kidney failure. Review of the care plan dated October 10, 2023 revealed that the resident is at risk for nutritional and hydration problems as evidenced by a low mini nutritional assessment (MNA) score of 6: malnourished. […]

• No harm, potential for more than minimal, patternF812Dec 8, 2023

  Based on observations, staff interviews, and policy reviews, the facility failed to ensure a sanitary kitchen with regards to peeling paint over the tray line counter. The deficient practice could increase the risk of foodborne illness. Findings include: An observation was conducted of the kitchen on December 6, 2023 at 12:13 p.m. During this observation, peeling ceiling paint was noticed above the tray line counter. A follow-up observation was conducted on December 6, 2023 at 3:00 p.m. It was observed that the cracked and peeling ceiling paint spanned the length of the 3 vents on top of the tray line counter. An interview with the Nutrition Services Manager (staff #55) was conducted on December 6, 2023 at 2:55 p.m. Staff #55 stated that there are plans for a kitchen renovation. […]

• No harm, potential for more than minimal, patternF677May 6, 2021

  Based on observation, clinical record review, resident and staff interviews, and facility policies, the facility failed to ensure one of 16 sampled residents (#49) received the necessary services to maintain good grooming and personal hygiene. The census was 63. The deficient practice could result in residents not receiving Activities of Daily Living (ADL) care. Findings include: Resident #49 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the care plan initiated on September 30, 2020 revealed resident #49 had an ADL self-care performance deficit related to weakness. The goal was that the resident would improve current level of function in bed mobility, transfers, dressing, and toilet use. […]