SNF

HAVEN OF SAGUARO VALLEY

CCN: 035085 · TUCSON, AZ 85710 · Pima County

⚠ Inspection > 2 years ago

Overview

Address
6651 EAST CARONDELET DRIVE, TUCSON, AZ 85710
Phone
5207318500
Certified beds
112
Avg daily residents
94 (83% of beds filled)
Ownership
For-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
1983-02-24
Setting
Urban
3 /5
★★★★★
CMS Overall Rating

CMS 5-Star Ratings

CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 3/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 2/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
★★★★★ 2/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 5/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 5/5
Short-Stay Quality Measures ★★★★★ 5/5

Staffing & Workforce

Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.

Role Reported Case-mix expected Adjusted Federal floor
Total nurse
All nursing staff combined: RN + LPN + Aide
 2.90 3.89 2.87 ≥ 3.48 Below floor
Registered Nurse (RN)
Licensed RN hours. Strongest driver of clinical outcomes.
 0.37 0.68 0.37 ≥ 0.55 Below floor
Licensed Practical Nurse (LPN)
LPN/LVN hours. Often handles medication administration.
 1.06 0.86 1.05 —
Nurse aide
CNA hours. Bulk of direct resident care — bathing, feeding, mobility.
 1.47 2.35 1.46 —
Licensed (RN + LPN)
Combined licensed nurse coverage.
 1.43 — — —
Physical therapist
Rehabilitation therapist hours — important for post-acute / rehab admissions.
 0.04 — — —

Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.

Weekend staffing

Total nurse (weekend)
2.44
hrs / resident / day
RN (weekend)
0.20
hrs / resident / day
Total nurse (adjusted, weekend)
2.42
hrs / resident / day

Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.

Staff turnover

Total nursing staff turnover
45.3%
annual
RN turnover
40.0%
annual
Administrators departed
1
last 12 months

Resident acuity

Nursing Case-Mix Index
1.38
higher acuity than avg
Case-Mix Index Ratio
1.00
facility / state ratio

Health Inspections

CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.

Cycle Date Total defs. Standard Complaint Deficiency score Revisits Total score
Cycle 1 (most recent) 2023-04-13 7 5 4 32 1 32
Cycle 2/3 (prior) 2022-03-25 13 9 4 88 1 88
Total weighted health score
46.0
lower is better

Deficiencies (22)

Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).

1 A/B/C No actual harm — minor
19 D/E/F Actual harm — potential for minor
2 G/H/I Actual harm
Tag Description Scope/Severity Survey date Corrected
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-12-23 2026-02-02
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2025-03-11 2025-05-01
0600 Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. D 2023-10-19 2023-11-22
0880 Provide and implement an infection prevention and control program. D 2023-10-19 2023-11-22
0727 Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. E 2023-04-13 2023-06-21
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2023-04-13 2023-06-21
0761 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D 2023-04-13 2023-06-21
0580 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. D 2023-04-13 2023-06-21
0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. D 2023-04-13 2023-06-21
0686 Provide appropriate pressure ulcer care and prevent new ulcers from developing. G 2023-03-21 2023-05-17
0690 Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. G 2023-03-21 2023-05-17
0558 Reasonably accommodate the needs and preferences of each resident. D 2022-03-25 2022-05-09
0623 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. D 2022-03-25 2022-05-09
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. E 2022-03-25 2022-05-09
0695 Provide safe and appropriate respiratory care for a resident when needed. D 2022-03-25 2022-05-09
0697 Provide safe, appropriate pain management for a resident who requires such services. E 2022-03-25 2022-05-09
0732 Post nurse staffing information every day. B 2022-03-25 2022-05-09
0757 Ensure each resident’s drug regimen must be free from unnecessary drugs. D 2022-03-25 2022-05-09
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2022-03-25 2022-05-09
0943 Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. D 2022-03-25 2022-05-09
0742 Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. D 2019-09-25 2019-10-22
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. D 2019-09-25 2019-10-22

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 9.2% Medicaid 62.9% Other 27.9%

Operating performance

Operating Margin
0.6%
Total Margin
0.9%
Occupancy Rate
79.2%
Cost per Resident Day
$58

Revenue & costs

Net Patient Revenue
$11.8M
Total Costs
$1.9M
Net Income
$103K

Balance sheet

Total Assets
$18.6M
Total Liabilities
$19.3M
Fund Balance
-$723K
Current Ratio
0.53

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Chain: HAVEN HEALTH

Chain ID
249
Facilities in chain
20
Legal business name
HAVEN OF SAGUARO VALLEY LLC
Chain-average star ratings (for peer context)
Overall
2.7
Health
1.9
Staffing
2.3
QM
4.9

Owner / manager organizations (4)

Organization Role Association
HAVEN HEALTH GROUP LLC 5% OR GREATER DIRECT OWNERSHIP INTEREST since 07/01/2019
HEALTH GROUP MANAGEMENT LLC OPERATIONAL/MANAGERIAL CONTROL since 11/21/2024
HAVEN HEALTH PROPERTIES LLC 5% OR GREATER MORTGAGE INTEREST since 07/01/2019
HAVEN SAGUARO VALLEY REAL ESTATE LLC 5% OR GREATER MORTGAGE INTEREST since 07/01/2019

Owner / manager individuals (17)

Name Role Association
ROBERTSON, BRETT 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/01/2019
SAMUELIAN, ROBERT 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/01/2019
SAMUELIAN, SPENCER 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/01/2019
SAMUELIAN, STEPHEN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/01/2019
WEST, CHRISTIAN 5% OR GREATER INDIRECT OWNERSHIP INTEREST since 07/01/2019
ESPINOSA, STEPHANIE OPERATIONAL/MANAGERIAL CONTROL since 10/14/2024
EVANS, COLE OPERATIONAL/MANAGERIAL CONTROL since 02/10/2025
FRAGOSO, LINDSAY OPERATIONAL/MANAGERIAL CONTROL since 05/10/2021
MUIR, MARK OPERATIONAL/MANAGERIAL CONTROL since 07/01/2019
ROBERTSON, BRETT OPERATIONAL/MANAGERIAL CONTROL since 07/01/2019
SAMUELIAN, ROBERT OPERATIONAL/MANAGERIAL CONTROL since 07/01/2019
SAMUELIAN, SPENCER OPERATIONAL/MANAGERIAL CONTROL since 07/01/2019
SAMUELIAN, STEPHEN OPERATIONAL/MANAGERIAL CONTROL since 07/01/2019
SANJEEV, BIJAY OPERATIONAL/MANAGERIAL CONTROL since 06/01/2023
SEASTRAND, JASON OPERATIONAL/MANAGERIAL CONTROL since 07/01/2019
WEST, CHRISTIAN OPERATIONAL/MANAGERIAL CONTROL since 07/01/2019
ZIKHALE, TSHEGOFATSO OPERATIONAL/MANAGERIAL CONTROL since 07/01/2019

Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.

Facility Features

CCRC
No
Hospital-based
No
Resident / family council
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

All Data

Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.

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Show 113 rows
Source Metric Value Raw key
Cost Report Cost per Resident Day ($) $58 metrics.cost_per_resident_day
Cost Report Current Ratio 0.53 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 62.9% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 9.2% metrics.medicare_day_share
Cost Report Net Income ($) $102,547 metrics.net_income
Cost Report Net Patient Revenue ($) $11,787,271 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 79.2% metrics.occupancy_rate
Cost Report Operating Margin (%) 0.6% metrics.operating_margin
Cost Report Total Assets ($) $18,622,514 metrics.total_assets
Cost Report Total Costs ($) $1,864,315 metrics.total_costs
Cost Report Total Fund Balances ($) $-722,963 metrics.fund_balance
Cost Report Total Liabilities ($) $19,345,477 metrics.total_liabilities
Cost Report Total Margin (%) 0.9% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day 1.04630 Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day 1.46023 Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day 0.36785 Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day 2.87439 Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day 2.42098 Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Administrator turnover footnote — Administrator turnover footnote
Provider Information Automatic Sprinkler Systems in All Required Areas Yes Automatic Sprinkler Systems in All Required Areas
Provider Information Average Number of Residents per Day 93.5 Average Number of Residents per Day
Provider Information Average Number of Residents per Day Footnote — Average Number of Residents per Day Footnote
Provider Information Case-Mix LPN Staffing Hours per Resident per Day 0.86439 Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day 2.34922 Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day 0.68133 Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day 3.89494 Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day 3.43298 Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
Provider Information Chain Average Health Inspection Rating 1.9 Chain Average Health Inspection Rating
Provider Information Chain Average Overall 5-star Rating 2.7 Chain Average Overall 5-star Rating
Provider Information Chain Average QM Rating 4.9 Chain Average QM Rating
Provider Information Chain Average Staffing Rating 2.3 Chain Average Staffing Rating
Provider Information Chain ID 249 Chain ID
Provider Information Chain Name HAVEN HEALTH Chain Name
Provider Information City/Town TUCSON City/Town
Provider Information CMS Certification Number (CCN) 035085 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Pima County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 1983-02-24 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 2 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 32.2256 Latitude
Provider Information Legal Business Name HAVEN OF SAGUARO VALLEY LLC Legal Business Name
Provider Information Location 6651 EAST CARONDELET DRIVE,TUCSON,AZ,85710 Location
Provider Information Long-Stay QM Rating 5 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -110.85 Longitude
Provider Information Most Recent Health Inspection More Than 2 Years Ago Y Most Recent Health Inspection More Than 2 Years Ago
Provider Information Number of administrators who have left the nursing home 1 Number of administrators who have left the nursing home
Provider Information Number of Certified Beds 112 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections — Number of Citations from Infection Control Inspections
Provider Information Number of Facilities in Chain 20 Number of Facilities in Chain
Provider Information Number of Fines 0 Number of Fines
Provider Information Number of Payment Denials 0 Number of Payment Denials
Provider Information Nursing Case-Mix Index 1.37980 Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio 1.00156 Nursing Case-Mix Index Ratio
Provider Information Overall Rating 3 Overall Rating
Provider Information Overall Rating Footnote — Overall Rating Footnote
Provider Information Ownership Type For profit - Corporation Ownership Type
Provider Information Physical Therapist Staffing Footnote — Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 6651 EAST CARONDELET DRIVE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name HAVEN OF SAGUARO VALLEY Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 090 Provider SSA County Code
Provider Information Provider Type Medicare and Medicaid Provider Type
Provider Information QM Rating 5 QM Rating
Provider Information QM Rating Footnote — QM Rating Footnote
Provider Information Rating Cycle 1 Health Deficiency Score 32 Rating Cycle 1 Health Deficiency Score
Provider Information Rating Cycle 1 Health Revisit Score 0 Rating Cycle 1 Health Revisit Score
Provider Information Rating Cycle 1 Number of Complaint Health Deficiencies 4 Rating Cycle 1 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 1 Number of Health Revisits 1 Rating Cycle 1 Number of Health Revisits
Provider Information Rating Cycle 1 Number of Standard Health Deficiencies 5 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2023-04-13 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 32 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 7 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 9 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2022-03-25 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 88 Rating Cycle 2/3 Health Deficiency Score
Provider Information Rating Cycle 2/3 Health Revisit Score 0 Rating Cycle 2/3 Health Revisit Score
Provider Information Rating Cycle 2/3 Number of Complaint Health Deficiencies 4 Rating Cycle 2/3 Number of Complaint Health Deficiencies
Provider Information Rating Cycle 2/3 Number of Health Revisits 1 Rating Cycle 2/3 Number of Health Revisits
Provider Information Rating Cycle 2/3 Total Health Score 88 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 13 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend 0.19763 Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover 40.0 Registered Nurse turnover
Provider Information Registered Nurse turnover footnote — Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day 1.42661 Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day 1.05552 Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day 1.47310 Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day 0.03943 Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day 0.37109 Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote — Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day 2.89971 Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 5 Short-Stay QM Rating
Provider Information Short-Stay QM Rating Footnote — Short-Stay QM Rating Footnote
Provider Information Special Focus Status — Special Focus Status
Provider Information Staffing Rating 2 Staffing Rating
Provider Information Staffing Rating Footnote — Staffing Rating Footnote
Provider Information State AZ State
Provider Information Telephone Number 5207318500 Telephone Number
Provider Information Total Amount of Fines in Dollars 0.00 Total Amount of Fines in Dollars
Provider Information Total number of nurse staff hours per resident per day on the weekend 2.44230 Total number of nurse staff hours per resident per day on the weekend
Provider Information Total Number of Penalties 0 Total Number of Penalties
Provider Information Total nursing staff turnover 45.3 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 46.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 85710 ZIP Code