Contact Information

HAVEN OF LAKESIDE
HAVEN OF LAKESIDE LLC
3401 NORTH LOCKWOOD DRIVE
LAKESIDE, AZ 85929
(928) 368-2060
For profit - Corporation
Medicare certification date2: November 02, 2010
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  96 residents

  112 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints None
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 96 residents Arizona Average National Average
Hours by Registered Nurse (RN) per resident per day 45 minutes 49 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 41 minutes 1 hour, 5 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 19 minutes 2 hours, 25 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 9 minutes 10 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • HAVEN HEALTH GROUP LLC
  • ROBERTSON, BRETT
  • SAMUELIAN, ROBERT
  • SAMUELIAN, SPENCER
  • SAMUELIAN, STEPHEN
  • SEASTRAND, JASON
  • WEST, CHRISTIAN

MANAGING EMPLOYEE

  • CUNNINGHAM, TRENT
  • MUDER, DONNA

Nursing Home Report

In 2016, HAVEN OF LAKESIDE charged a total of $2,408,992 for 128 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 76.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 18% Alzheimer's 38%
Asthma 34% Cancer 15%
Congestive Heart Failure 35% Kidney Disease 52%
COPD 34% Depression 43%
Diabetes 46% Hyperlipidemia 64%
Hypertension n/a Ischemic Heart Disease 50%
Osteoporosis 14% RA / OA 58%
Schizophrenia 2% Stroke 18%
Demographics
Medicare Beneficiaries 128 Average Age 76
Male 64 Female 64
White 88
Black 0
Asian n/a
Hispanic n/a
American Indian 33
Other 0

Health & Fire Inspection

Most recent health inspection: Jan 12, 2018; fire safety inspection: Jan 11, 2018

Health Deficiencies as of 01/12/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 2
Resident Assessment and Care Planning 2
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 01/11/2018
Emergency Preparedness 3
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 1
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems 2
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations None

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See also