Haven of Douglas
1400 North San Antonio Avenue, Douglas, AZ 85607 · Cochise County · 60 certified beds · avg 56 residents/day · certified since Nov 11, 1988
Part of chain: HAVEN HEALTH (20 facilities, chain avg rating 2.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (15)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Nov 20, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Aug 28, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Aug 7, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 7, 2025 | E · Potential for harm, repeated | The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Aug 7, 2025 | D · Potential for harm, one-off | The facility did not provide or arrange specialized rehabilitation services — such as physical, occupational, or speech therapy — for residents who needed them. |
| Jul 25, 2024 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Jul 25, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Jan 26, 2023 | D · Potential for harm, one-off | The facility did not protect residents' right to refuse certain moves within the nursing home that they did not ask for, such as being switched between units. Residents have a say in where they live inside the facility. |
| Jan 26, 2023 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Jan 26, 2023 | D · Potential for harm, one-off | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2024 | 2 | 0 | D |
| 2025 | 10 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Arizona avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.80 | 3.97 | 3.95 | top 43% in Arizona; top 48% in the U.S. |
| Registered Nurse hours | 0.75 | 0.69 | 0.69 | top 32% in Arizona; top 32% in the U.S. |
| Weekend total nurse staffing | 3.27 | 3.50 | 3.50 | top 49% in Arizona; bottom 46% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.49 | 0.48 | bottom 21% in Arizona; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 23.1 | 45.2 | 45.8 | top 6% in Arizona; top 5% in the U.S. |
| RN turnover (%) | 0.0 | 43.6 | 42.9 | top 1% in Arizona; top 1% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.33, RN 0.65, weekend 2.87. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: —/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Seastrand, Jason | Individual | Indirect Ownership Interest | NOT APPLICABLE | 02/01/2013 |
| Brake, Adam | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/03/2023 |
| Brake, Adam | Individual | ADP of the SNF | NOT APPLICABLE | 10/03/2023 |
| Espinosa, Stephanie | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/14/2024 |
| Espinosa, Stephanie | Individual | ADP of the SNF | NOT APPLICABLE | 10/14/2024 |
| Fragoso, Lindsay | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/10/2021 |
| Fragoso, Lindsay | Individual | ADP of the SNF | NOT APPLICABLE | 05/10/2021 |
| Haven Arizona Real Estate, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2013 |
| Haven Douglas Real Estate LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2013 |
| Haven Real Estate Partners, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2013 |
| Health Group Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2013 |
| Health Group Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/22/2025 |
| Muir, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/15/2015 |
| Muir, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 02/15/2015 |
| Nelson, Nina | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2013 |
| Nelson, Nina | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2013 |
| Patel, Parag | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2023 |
| Patel, Parag | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2023 |
| Robertson, Brett | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2013 |
| Robertson, Brett | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2013 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How is pest control handled here, and when was the last treatment or inspection?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
No other Medicare-certified nursing homes within 20 miles in the current records.
Facility data as of CMS processing date 2026-08-01. CCN 035180.