Haven of Tucson
3705 North Swan Road, Tucson, AZ 85718 · Pima County · 118 certified beds · avg 102 residents/day · certified since May 4, 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: ★★☆☆☆2/5 · CMS overall rating: 2/5
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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Aug 12, 2025 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Sep 3, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Mar 2, 2023 · F-0690
The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Why it matters: Poor continence and catheter care leads to infections, skin breakdown, and loss of dignity.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: May 10, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (20)
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 |
|---|---|---|
| Apr 21, 2026 | E · Potential for harm, repeated | 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. |
| Apr 21, 2026 | D · Potential for harm, one-off | The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services. |
| Apr 21, 2026 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Apr 21, 2026 | D · Potential for harm, one-off | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. |
| Dec 1, 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. · from a complaint |
| Dec 1, 2025 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Aug 12, 2025 | ▲ G · Actual 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. · from a complaint |
| Dec 20, 2024 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Dec 20, 2024 | 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. |
| Dec 20, 2024 | D · Potential for harm, one-off | The facility did not help a resident get vision and hearing services — such as eye exams, glasses, hearing tests, or hearing aids. · from a complaint |
| Dec 20, 2024 | 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. |
| Dec 20, 2024 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Dec 20, 2024 | 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. |
| Dec 20, 2024 | 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. |
| Sep 3, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Sep 3, 2024 | 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 2, 2023 | ▲ G · Actual harm, one-off | The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. |
| Mar 2, 2023 | E · Potential for harm, repeated | 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. |
| Mar 2, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Mar 2, 2023 | D · Potential for harm, one-off | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (7 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 1 | G ▲ |
| 2024 | 9 | 0 | D |
| 2025 | 3 | 1 | G ▲ |
| 2026 | 4 | 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) | 2.36 | 3.97 | 3.95 | bottom 1% in Arizona; bottom 2% in the U.S. |
| Registered Nurse hours | 0.42 | 0.69 | 0.69 | bottom 21% in Arizona; bottom 26% in the U.S. |
| Weekend total nurse staffing | 2.09 | 3.50 | 3.50 | bottom 1% in Arizona; bottom 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.48 | 0.49 | 0.48 | top 38% in Arizona; top 36% in the U.S. |
| Total nursing staff turnover (%) | 48.0 | 45.2 | 45.8 | bottom 39% in Arizona; bottom 42% in the U.S. |
| RN turnover (%) | 50.0 | 43.6 | 42.9 | bottom 39% in Arizona; bottom 39% 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 4.07, RN 0.73, weekend 3.60. Staffing rating: 1/5.
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 | 11/01/2015 |
| Samuelian, Robert | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2015 |
| Samuelian, Spencer | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2015 |
| Samuelian, Stephen | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2015 |
| Seastrand, Jason | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2015 |
| West, Christian | Individual | Indirect Ownership Interest | NOT APPLICABLE | 11/01/2015 |
| 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 Health Properties LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 11/01/2015 |
| Haven Health Properties LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/26/2024 |
| Haven Tucson Real Estate LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 11/01/2015 |
| Haven Tucson 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 |
| Jatoi, Mansoor | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/15/2023 |
| Jatoi, Mansoor | Individual | ADP of the SNF | NOT APPLICABLE | 07/15/2023 |
| Miles, Andrew | Individual | Operational/Managerial Control | NOT APPLICABLE | 03/01/2023 |
| Miles, Andrew | Individual | ADP of the SNF | NOT APPLICABLE | 03/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
- "Can you give me examples of how you adjust daily routines and room setups to fit each resident's preferences?"
- "How do you screen new residents for mental health and disability-related needs, and how do you provide the specialized services they require?"
- "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "How do you verify that your nurses and aides have the skills to care for residents with needs like my family member's?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "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 |
|---|---|---|---|---|---|
| The Center at Tucson | 1.1 mi | Tucson, AZ | ★★★★★ | 5/5 | |
| Villa Maria Post Acute and Rehabilitation | 1.7 mi | Tucson, AZ | ★★★☆☆ | 2/5 | |
| Foothills Rehabilitation Center | 1.8 mi | Tucson, AZ | ★★☆☆☆ | 1/5 | |
| Handmaker Home for the Aging | 1.8 mi | Tucson, AZ | ★★★☆☆ | 2/5 | abuse |
| Santa Rosa Care Center | 2.1 mi | Tucson, AZ | ★★★☆☆ | 2/5 | abuse |
| Devon Gables Rehabilitation Center | 2.4 mi | Tucson, AZ | ★★☆☆☆ | 2/5 | abuse |
| Sabino Canyon Rehabilitation & Care Center | 2.4 mi | Tucson, AZ | ★★★★☆ | 3/5 | |
| Sandstone Estates Rehab Centre | 2.5 mi | Tucson, AZ | ★☆☆☆☆ | 1/5 | |
| Pueblo Springs Rehabilitation Center | 2.5 mi | Tucson, AZ | ★★☆☆☆ | 3/5 | |
| Catalina Post Acute and Rehabilitation | 3.7 mi | Tucson, AZ | ★★★★☆ | 3/5 | |
| Haven of Saguaro Valley | 4.0 mi | Tucson, AZ | ★★★★★ | 4/5 | |
| Park Avenue Health and Rehabilitation Center | 4.5 mi | Tucson, AZ | ★★★★☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 035165.