Desert Haven Care Center
2645 East Thomas Road · Phoenix, AZ · 85016 · 6029568000
115 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $77,018 in fines in the last 24 months.
- 3 citations involved actual harm to residents.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
2 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$77,018 in federal fines in the last 24 months
2 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 2 · $77,018 |
Inspection citations (25 in the current record)
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Actual harm · G March 2, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 27, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 26, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 26, 2026 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected January 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 26, 2026 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D January 26, 2026 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 30, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G December 17, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 2, 2026 · Quality of Life and Care
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Potential for harm · E December 17, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected March 2, 2026 · Resident Assessment and Care Planning
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Potential for harm · D September 5, 2025
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected September 10, 2025 · Quality of Life and Care
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Potential for harm · D September 5, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 10, 2025 · Nutrition and Dietary
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Potential for harm · D November 6, 2024 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected November 11, 2024 · Resident Rights
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Actual harm · G August 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 24, 2024 · Quality of Life and Care
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Potential for harm · E April 17, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 19, 2024 · Resident Rights
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Potential for harm · E April 17, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected April 19, 2024 · Resident Assessment and Care Planning
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Potential for harm · E April 17, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 19, 2024 · Nutrition and Dietary
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Potential for harm · E April 17, 2024
Provide and implement an infection prevention and control program.
Corrected April 19, 2024 · Infection Control
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Potential for harm · E April 17, 2024 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected April 19, 2024 · Resident Rights
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Potential for harm · D December 1, 2022
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected December 5, 2022 · Resident Rights
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Potential for harm · D December 1, 2022
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected December 5, 2022 · Resident Assessment and Care Planning
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Potential for harm · D December 1, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 5, 2022 · Quality of Life and Care
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Potential for harm · E December 1, 2022
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.
Corrected December 5, 2022 · Nursing and Physician Services
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Potential for harm · D December 1, 2022
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected December 5, 2022 · Quality of Life and Care
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Potential for harm · D December 1, 2022
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 5, 2022 · Pharmacy Service
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Potential for harm · D December 1, 2022
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected December 5, 2022 · Pharmacy Service
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Potential for harm · D December 1, 2022
Ensure medication error rates are not 5 percent or greater.
Corrected December 5, 2022 · Pharmacy Service
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No harm found · B December 1, 2022
Post nurse staffing information every day.
Corrected December 5, 2022 · Nursing and Physician Services
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 17, 2025 | Fine | $69,000 |
| August 23, 2024 | Fine | $8,018 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 035062 · certified since February 4, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.