Haven of Saguaro Valley
6651 East Carondelet Drive, Tucson, AZ 85710 · Pima County · 112 certified beds · avg 98 residents/day · certified since Feb 24, 1983
Part of chain: HAVEN HEALTH (20 facilities, chain avg rating 2.7★)
4/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
2.86
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 (18)
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 |
|---|---|---|
| Dec 23, 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. · from a complaint |
| Mar 11, 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 |
| Oct 19, 2023 | 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 |
| Oct 19, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Apr 13, 2023 | E · Potential for harm, repeated | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. |
| Apr 13, 2023 | 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. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Apr 13, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 25, 2022 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Mar 25, 2022 | E · Potential for harm, repeated | The facility did not provide safe and appropriate pain management for a resident who needed it. |
| Mar 25, 2022 | D · Potential for harm, one-off | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. |
| Mar 25, 2022 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Mar 25, 2022 | 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. |
| Mar 25, 2022 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
| Mar 25, 2022 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. |
| Mar 25, 2022 | D · Potential for harm, one-off | The facility did not train its staff on dementia care and on recognizing and reporting abuse, neglect, and exploitation. |
| Mar 25, 2022 | B · Minimal risk, repeated | 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
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2022 | 9 | 0 | E |
| 2023 | 7 | 0 | E |
| 2025 | 2 | 0 | D |
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) | 2.86 | 3.97 | 3.95 | bottom 5% in Arizona; bottom 10% in the U.S. |
| Registered Nurse hours | 0.40 | 0.69 | 0.69 | bottom 13% in Arizona; bottom 22% in the U.S. |
| Weekend total nurse staffing | 2.49 | 3.50 | 3.50 | bottom 4% in Arizona; bottom 9% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.49 | 0.48 | bottom 20% in Arizona; bottom 30% in the U.S. |
| Total nursing staff turnover (%) | 38.8 | 45.2 | 45.8 | top 27% in Arizona; top 33% 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 2.85, RN 0.39, weekend 2.48. Staffing rating: 2/5.
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: 5/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Robertson, Brett | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2019 |
| Samuelian, Robert | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2019 |
| Samuelian, Spencer | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2019 |
| Samuelian, Stephen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2019 |
| Seastrand, Jason | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2019 |
| West, Christian | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2019 |
| Espinosa, Stephanie | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/14/2024 |
| Espinosa, Stephanie | Individual | ADP of the SNF | NOT APPLICABLE | 10/14/2024 |
| Evans, Cole | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/10/2025 |
| Evans, Cole | Individual | ADP of the SNF | NOT APPLICABLE | 02/10/2025 |
| Fragoso, Lindsay | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/10/2021 |
| Fragoso, Lindsay | Individual | ADP of the SNF | NOT APPLICABLE | 05/10/2021 |
| Haven Health Properties LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/01/2019 |
| Haven Health Properties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/26/2024 |
| Haven Saguaro Valley Real Estate LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 07/01/2019 |
| Haven Saguaro Valley Real Estate LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/26/2024 |
| Health Group Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 11/21/2024 |
| Health Group Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/21/2024 |
| Muir, Mark | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2019 |
| Muir, Mark | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2019 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "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)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Pueblo Springs Rehabilitation Center | 1.6 mi | Tucson, AZ | ★★☆☆☆ | 3/5 | |
| Sandstone Estates Rehab Centre | 1.7 mi | Tucson, AZ | ★☆☆☆☆ | 1/5 | |
| Sabino Canyon Rehabilitation & Care Center | 1.7 mi | Tucson, AZ | ★★★★☆ | 3/5 | |
| Devon Gables Rehabilitation Center | 1.8 mi | Tucson, AZ | ★★☆☆☆ | 2/5 | abuse |
| Handmaker Home for the Aging | 2.3 mi | Tucson, AZ | ★★★☆☆ | 2/5 | abuse |
| Foothills Rehabilitation Center | 2.4 mi | Tucson, AZ | ★★☆☆☆ | 1/5 | |
| Santa Rosa Care Center | 2.6 mi | Tucson, AZ | ★★★☆☆ | 2/5 | abuse |
| The Center at Tucson | 3.2 mi | Tucson, AZ | ★★★★★ | 5/5 | |
| Villa Maria Post Acute and Rehabilitation | 3.4 mi | Tucson, AZ | ★★★☆☆ | 2/5 | |
| Haven of Tucson | 4.0 mi | Tucson, AZ | ★★☆☆☆ | 2/5 | |
| Sandstone of Tucson Rehab Centre | 5.9 mi | Tucson, AZ | ★★☆☆☆ | 1/5 | abuse |
| Catalina Post Acute and Rehabilitation | 6.2 mi | Tucson, AZ | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 035085.