Haven Of Lakeside
Haven Of Lakeside Information
| Facility Name | Haven Of Lakeside |
| Location | 3401 North Lockwood Drive, Lakeside, AZ 85929 |
| County (SSA Code) | Navajo (80) |
| Phone Number | 928-368-2060 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 112 |
| Average Number of Residents | 83.4 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | HAVEN OF LAKESIDE LLC |
| Ownership Type | For profit - Limited Liability company |
| Date First Approved | 2010-11-02 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.14467 |
| Reported LPN Staffing Hours per Resident per Day | 0.64192 |
| Reported RN Staffing - Hours per Resident per Day | 0.93274 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.57466 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.71932 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01647 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.13801 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.63162 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.28432 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.05395 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.88281 |
| Total Weighted Health Survey Score for three cycles | 20 |
| Rating cycle 1 Standard Survey Health Date | 2019-03-27 |
| Rating cycle 1 - Health Deficiency Score | 4 |
| Rating cycle 1 - Total Health Inspection Score | 16 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-01-12 |
| Rating cycle 2 - Health Deficiency Score | 16 |
| Date of Rating cycle 3 Standard Health Survey Date | 2016-12-15 |
| Rating cycle 3 - Health Deficiency Score | 16 |
| Rating cycle 3 - Total Health Inspection Score | 16 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |