CareWitness
Federal record · CMS Care Compare · CCN 035107 · Processed JUN 1 2026
CareWitnessArizonaPhoenixNursing HomesHaven Of Phoenix

Haven Of Phoenix

4202 North 20Th Avenue, Phoenix, AZ, 85015

Type
Nursing home
Medicare/Medicaid certified · CCN 035107

Get the complete federal record on this facility — full background report, $249.

Order the report

Federal Quality Data

Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.

Full report →

CMS Star Ratings

Overall4 / 5
Health inspections3 / 5
Staffing3 / 5
Quality measures5 / 5

Facility & Staffing

Ownership
For profit - Limited Liability company · Chain: Haven Health
Certified beds
114 · avg 108 residents/day
Total nursing staff turnover
35.2%lower than most Arizona nursing homesArizona avg: 46.2% · National avg: 46.1% · per CMS Care Compare
RN turnover
53.8%higher than most Arizona nursing homesArizona avg: 42.0% · National avg: 43.3% · per CMS Care Compare
Administrators who left
0 departednear the Arizona averageArizona avg: 0.5 · National avg: 0.5 · per CMS Care Compare

Enforcement & Citations

Fines (past 3 years)
1 fine · $12,735 total

Medicare certification

CMS Certification Number
035107
Certified beds
114 beds · avg 108 residents/day
Ownership type
For profit - Limited Liability company
Continuing-care community
No

CMS Care Compare, processing date June 1, 2026

Ownership & operations

Legal business name
Haven Of Phoenix Llc
Chain affiliation
Haven Health

CMS Care Compare, processing date June 1, 2026

Federal ownership record

For-profitLlc

Chain affiliation

Part of the Haven Health chain — 20 facilities. Chain-wide average overall rating 2.8 / 5.

Parent entity

Haven Health Properties Llc

Disclosed owners (15 on record)

  • Shelly r. Koker

    Operational/managerial Control · since 2026

  • Brett p Robertson

    Adp of The Snf · since 2024

  • Robert Samuelian

    Adp of The Snf · since 2024

  • Spencer r Samuelian

    Adp of The Snf · since 2024

  • Stephen Samuelian

    Adp of The Snf · since 2024

  • Haven Phoenix Real Estate Llc

    Adp of The Snf · since 2024

+ 9 additional owners on the federal record.

Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.

Federal inspection record

19 health citations on file7 from complaints1 federal fine totalling $13K

Recent health-deficiency citations (most recent 8 of 19)

  • G0689·Dec 16, 2025Complaint

    Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • D0658·Jan 24, 2025Complaint

    Resident Assessment and Care Planning Deficiencies

    Ensure services provided by the nursing facility meet professional standards of quality.

  • D0600·Jan 24, 2025Complaint

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

  • E0680·Jan 24, 2025

    Quality of Life and Care Deficiencies

    Ensure the activities program is directed by a qualified professional.

  • D0645·Jan 24, 2025

    Resident Assessment and Care Planning Deficiencies

    PASARR screening for Mental disorders or Intellectual Disabilities

  • D0658·Sep 13, 2024Complaint

    Resident Assessment and Care Planning Deficiencies

    Ensure services provided by the nursing facility meet professional standards of quality.

  • D0689·Aug 20, 2024Complaint

    Quality of Life and Care Deficiencies

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  • D0610·Aug 20, 2024Complaint

    Freedom from Abuse, Neglect, and Exploitation Deficiencies

    Respond appropriately to all alleged violations.

View the full inspection history on CMS Care Compare →

Federal penalties

By year

  • 20251 fine · $13K

Most recent events

  • Dec 16, 2025Fine · $13K

Fire-safety citations

9 Life-Safety-Code citations on file. Most recent: Jan 24, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.

Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.

Facility background report

The entire federal paper trail on this facility, in one report.

We compile everything the government publishes about Haven Of Phoenixinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.

Order the full background report — $249

Where this information comes from

  • Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.

Data comes unaltered from the federal files. See every source we publish from.