Haven of Yuma

In the surveyor’s words

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

• Immediate jeopardy, patternF689Jun 23, 2023

  Based on observations, clinical record reviews, resident and staff interviews, and facility documentation, policy and procedures, the facility failed to ensure water temperatures were within the safe water temperature range. The deficient practice put the residents at increased risks for serious injury and harm such burn and scalding. As a result, the Condition of Immediate Jeopardy (IJ) and Substandard Quality of Care (SQC) were identified. Findings include: On June 19, 2023 at 7:04 p.m., the Condition of IJ was identified. The Administrator (staff #143) and the Director of Nursing (DON/staff #70) were informed of the facility's failure to water temperatures were within the safe water temperature range. […]

• No harm, potential for more than minimal, patternF727Jun 23, 2023

  Based on staff interview, facility documentation, policy and procedure, the facility failed to ensure there was a registered nurse (RN) was on duty 8 consecutive hours or 7 days a week. The deficient practice could result in residents not provided with the needed advanced care activities. Findings include: The facility census on June 19, 2023 was 88. Review of the staff posting from May 1 through June 20, 2023 revealed that the section on the number of RN was blank for May 25, 30, 31, June 3, 7, 8, 10 and 14. The staff Sign-in Sheets from May 1, 2023 to June 20, 2023 revealed that there was no RN who signed in for Registered Nurse did not sign-in for May 25, 30, 31, June 3, 7, 8, 10 and 14. […]

• No harm, potential for more than minimal, patternF655Jan 13, 2021

  Based on clinical record review, staff interviews, and policy and procedures, the facility failed to ensure a baseline care plan was developed and implemented with interventions regarding the use of a Bilevel Positive Airway Pressure ([MEDICAL CONDITION]) and/or Continuous Positive Airway Pressure ([MEDICAL CONDITION]) machine for one resident (#14). The deficient practice may result in the resident not being provided the services and person-centered care necessary to meet his/her needs. Findings include: Resident #14 was admitted on [DATE] with [DIAGNOSES REDACTED]. A nursing progress note dated February 18, 2020 at 9:30 p.m. included the resident was admitted with a [DIAGNOSES REDACTED]. […]

• No harm, potential for more than minimal, patternF695Jan 13, 2021

  Based on clinical record review, staff interviews, and policy and procedures, the facility failed to ensure there was a physician order [REDACTED]. Findings include: Resident #14 was admitted on [DATE] with [DIAGNOSES REDACTED]. -Regarding oxygen use: The Admission plus Self Care and Mobility (GG) for Patient Driven Payment Model (PDPM) dated February 18, 2020 revealed acute [MEDICAL CONDITION] as the reason for admission at the facility. The assessment included the resident was alert and oriented to person, place, time, and situation; had a regular respiratory rate and had an oxygen saturation level of 93%. The care plan on altered respiratory status/difficulty breathing dated February 18, 2020 included [DIAGNOSES REDACTED]. Interventions included to administer oxygen as ordered. […]

• No harm, potential for more than minimal, isolatedF697Jul 23, 2025

  Based on the clinical record, staff interviews, and the facility's policy and procedures, the facility failed to ensure that pain medications prescribed as needed (PRN) were administered within the pain scale. The deficient practice could result in residents being overmedicated or undermedicated, affecting overall pain management. Findings included: The resident (#118) was admitted to the facility on [DATE], with diagnoses that included morbid obesity, Type II diabetes, and end-stage renal failure. The minimum data set (MDS) dated [DATE], included a brief interview for a mental status score of 15, indicating the resident was cognitively intact. […]