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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 Beds112
Average Number of Residents83.4
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameHAVEN OF LAKESIDE LLC
Ownership TypeFor profit - Limited Liability company
Date First Approved2010-11-02

Reported Nurse Aide Staffing Hours per Resident per Day2.14467
Reported LPN Staffing Hours per Resident per Day0.64192
Reported RN Staffing - Hours per Resident per Day0.93274
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 Day0.01647
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.13801
Case-Mix LPN Staffing - Hours per Resident per Day0.63162
Case-Mix RN Staffing - Hours per Resident per Day0.28432
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 cycles20
Rating cycle 1 Standard Survey Health Date2019-03-27
Rating cycle 1 - Health Deficiency Score4
Rating cycle 1 - Total Health Inspection Score16
Date of Rating cycle 2 Standard Health Survey Date2018-01-12
Rating cycle 2 - Health Deficiency Score16
Date of Rating cycle 3 Standard Health Survey Date2016-12-15
Rating cycle 3 - Health Deficiency Score16
Rating cycle 3 - Total Health Inspection Score16

Number of Facility-Reported Incidents0
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Total Number of Penalties0

Data Filing Date2020-10-01
Page Last Updated2020-11-28