Haven Post Acute

In the surveyor’s words

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

• Immediate jeopardy, patternF921Apr 7, 2021

  Based on observation, interview and record review, the facility failed to ensure that 12 of 81 residents (residents 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11 and 12), were provided a clean and safe environment when: 1. For Residents 1, 2 and 3 in room A, the ceiling was leaking and had erosion near the fire sprinkler and curtain rod, placing them at risk for infection and falls. 2. For Residents 4 and 5 in Room B, Residents 6 and 7 in Room C, Residents 8 and 9 in Room D and Residents 10, 11 and 12 in Room E, the ceilings were stained, bubbled, chipped, eroded and placing them at risk for ceiling particles to fall onto them and expose them to illness. […]

• Immediate jeopardy, isolatedF689Mar 10, 2024

  Based on interview, and record review, the facility failed to provide adequate supervision, to a resident identified as having moderate risk of elopement (risk that refers to a situation where a resident, has a moderate likelihood or possibility of leaving the premises without authorization or supervision, wandering away from a controlled environment, which can pose safety risks for the individual) for one of three sampled residents (Resident 1), when Resident 1 ' s elopement and wandering care plan did not address the specific monitoring needs and frequency necessary to minimize the risk or prevent Resident 1 leaving a safe area without the facility ' s awareness on March 6, 2024, and had not been found for more than 72 hours. […]

• Actual harm, isolatedF580Aug 19, 2026

  Based on interview and record review, the facility failed to ensure a significant change in condition for one of three sampled residents (Resident 1) was immediately reported to the physician. This failure resulted in a delay in necessary medical intervention and subsequent hospitalization for Resident 1.Findings: During a review of Resident 1's clinical record, the face sheet (contains demographic and medical information), and history and physical (H&P -comprehensive medical evaluation written by a doctor) indicated Resident 1 was admitted on [DATE], with diagnoses that included atrial fibrillation (a heart condition where the heart irregularly and fast), cirrhosis (the liver no longer works well), and morbid obesity (excess fat that poses severe health risks). […]

• Actual harm, isolatedF726Aug 19, 2026

  Based on interview and record review, the facility failed to ensure two nursing staff had the specific competencies necessary to care for one of three sampled residents (Resident 1) when: 1.Licensed Vocational Nurse 2 (LVN 2) did not notify the physician of Resident 1's change in condition in a timely manner. 2.LVN 1 contacted a non emergency transport instead of arranging an appropriate emergency transfer for Resident 1. These failures resulted in a delayed in emergency medical intervention when Resident 1's was transfer to a hospital for treatment of a worsening change of medical condition.Findings: 1.During a review of Resident 1's clinical record, the face sheet (contains demographic and medical information), and history and physical (H&P -comprehensive medical evaluation written by a… […]

• No harm, potential for more than minimal, widespreadF812Mar 6, 2025

  Based on observation, interview, and record review, the facility failed to store and prepare food in accordance with professional standards for food safety when buildup of grime and debris were noted on the floor and walls of kitchen's walk-in refrigerator. This failure had the potential to result in accumulation of pathogenic microorganisms (germs or infectious agents that can cause disease) and attraction of insects or rodents, which could place the health and safety of 88 highly vulnerable residents who receives food from the kitchen at risk. Findings: During a concurrent observation and interview with the Dietary Supervisor (DS), on March 3, 2025, at 8:44 AM, in the kitchen, the walk-in refrigerator was inspected. […]