Arizona Nursing Homes >> Lakeside Nursing Homes >> Haven Of Lakeside, Llc

Haven Of Lakeside, Llc - Lakeside Nursing Home

General Information

UPDATE
Federal Provider Number
35277
Provider Name
HAVEN OF LAKESIDE, LLC
Provider Address
3401 NORTH LOCKWOOD DRIVE
LAKESIDE, AZ 85929
Provider Phone Number
9283682060
Provider SSA County
80
Provider County Name
Navajo
Ownership Type
For profit - Partnership
Number of Certified Beds
112
Number of Residents in Certified Beds
101
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SIERRA BLANCA REHABILITATION LLC
Date First Approved to Provide Medicare and Medicaid services
2010-11-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16089
Reported LPN Staffing Hours per Resident per Day
0.72376
Reported RN Staffing Hours per Resident per Day
0.92624
Reported Licensed Staffing Hours per Resident per Day
1.65000
Reported Total Nurse Staffing Hours per Resident per Day
3.81089
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18119
Expected CNA Staffing Hours per Resident per Day
2.26223
Expected LPN Staffing Hours per Resident per Day
0.60522
Expected RN Staffing Hours per Resident per Day
0.94389
Expected Total Nurse Staffing Hours per Resident per Day
3.81134
Adjusted CNA Staffing Hours per Resident per Day
2.34378
Adjusted LPN Staffing Hours per Resident per Day
0.99257
Adjusted RN Staffing Hours per Resident per Day
0.73323
Adjusted Total Nurse Staffing Hours per Resident per Day
4.03043
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-04-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2012-01-13
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
60
Cycle 3 Total Health Score
180
Total Weighted Health Survey Score
102.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
15373
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Haven Of Show Low, Llc

2401 East Hunt Street | SHOW LOW AZ 85901 | 2.4 miles away

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