Starfile

Starfile / Arizona

HAVEN OF LAKESIDE

3401 NORTH LOCKWOOD DRIVE, LAKESIDE, AZ 85929 · CCN 035277

Abuse icon

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★★★☆ 4
Staffing
★★☆☆☆ 2

Facility

Ownership type
For profit - Individual
Certified beds
112
Avg residents/day
89.4
Phone
9283682060

Inspection history vs Arizona & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityArizona avgNational avgvs state
12024-06-06177.79.5+9.3 worse
22022-12-08177.29.8+9.8 worse
32021-07-15158.69.3+6.4 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation9
Quality of life and care4
Resident assessment and care planning2
Resident rights1
Administration1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.2158.1%
RN staffing (reported)0.6264.3%
Total nurse staffing (adjusted)3.32

Fines & penalties

Total fines
$8,278
Number of fines
1
Number of penalties
1
Payment denials
0

Chain

Chain
HAVEN HEALTH
Facilities in chain
20
Chain avg overall
2.70 / 5

Inspection citations (49)2 actual harm

  1. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2026-01-27 · Health

    Potential for more than minimal harm

  2. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2026-01-27 · Health

    Potential for more than minimal harm

  3. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2026-01-21 · Health

    Potential for more than minimal harm

  4. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2026-01-21 · Health

    Potential for more than minimal harm

  5. DF0610Respond appropriately to all alleged violations.2026-01-21 · Health

    Potential for more than minimal harm

  6. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-07-16 · Health · corrected 2024-08-16

    Potential for more than minimal harm

  7. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2025-07-09 · Health · corrected 2025-08-08

    Potential for more than minimal harm

  8. DF0610Respond appropriately to all alleged violations.2025-07-09 · Health · corrected 2025-08-08

    Potential for more than minimal harm

  9. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-11 · Health · corrected 2025-07-10

    Actual harm

  10. DF0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.2025-03-04 · Health · corrected 2025-04-04

    Potential for more than minimal harm

  11. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-03-04 · Health · corrected 2025-04-04

    Potential for more than minimal harm

  12. DF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2025-03-04 · Health · corrected 2025-04-04

    Potential for more than minimal harm

  13. EF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-21 · Health · corrected 2025-03-28

    Potential for more than minimal harm

  14. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-02-06 · Health · corrected 2025-03-28

    Potential for more than minimal harm

  15. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-10-01 · Health · corrected 2024-11-12

    Potential for more than minimal harm

  16. DF0561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.2024-06-06 · Health · corrected 2024-08-16

    Potential for more than minimal harm

  17. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-06-06 · Health · corrected 2024-08-16

    Potential for more than minimal harm

  18. DF0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.2024-06-06 · Health · corrected 2024-08-16

    Potential for more than minimal harm

  19. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2024-06-06 · Health · corrected 2024-08-16

    Potential for more than minimal harm

  20. EF0868Have the Quality Assessment and Assurance group have the required members and meet at least quarterly2024-06-06 · Health · corrected 2024-08-16

    Potential for more than minimal harm

  21. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2022-12-08 · Health · corrected 2023-02-24

    Potential for more than minimal harm

  22. DF0625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.2022-12-08 · Health · corrected 2023-02-24

    Potential for more than minimal harm

  23. DF0636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.2022-12-08 · Health · corrected 2023-02-24

    Potential for more than minimal harm

  24. DF0641Ensure each resident receives an accurate assessment.2022-12-08 · Health · corrected 2023-02-24

    Potential for more than minimal harm

  25. EF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2022-12-08 · Health · corrected 2023-02-24

    Potential for more than minimal harm

  26. EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2022-12-08 · Health · corrected 2023-02-24

    Potential for more than minimal harm

  27. DF0680Ensure the activities program is directed by a qualified professional.2022-12-08 · Health · corrected 2023-02-24

    Potential for more than minimal harm

  28. DF0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.2022-12-08 · Health · corrected 2023-02-24

    Potential for more than minimal harm

  29. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2022-12-08 · Health · corrected 2023-02-24

    Potential for more than minimal harm

  30. EF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-12-08 · Health · corrected 2023-02-24

    Potential for more than minimal harm

  31. DF0697Provide safe, appropriate pain management for a resident who requires such services.2022-12-08 · Health · corrected 2023-02-24

    Potential for more than minimal harm

  32. EF0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.2022-12-08 · Health · corrected 2023-02-24

    Potential for more than minimal harm

  33. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2022-12-08 · Health · corrected 2023-02-24

    Potential for more than minimal harm

  34. DF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.2022-12-08 · Health · corrected 2023-02-24

    Potential for more than minimal harm

  35. EF0622Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.2021-07-15 · Health · corrected 2021-08-19

    Potential for more than minimal harm

  36. DF0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.2021-07-15 · Health · corrected 2021-08-19

    Potential for more than minimal harm

  37. DF0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted2021-07-15 · Health · corrected 2021-08-19

    Potential for more than minimal harm

  38. EF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.2021-07-15 · Health · corrected 2021-08-19

    Potential for more than minimal harm

  39. DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2021-07-15 · Health · corrected 2021-08-19

    Potential for more than minimal harm

  40. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2021-07-15 · Health · corrected 2021-08-19

    Potential for more than minimal harm

  41. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2021-07-15 · Health · corrected 2021-08-19

    Potential for more than minimal harm

  42. EF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2021-07-15 · Health · corrected 2021-08-19

    Potential for more than minimal harm

  43. GF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2021-07-15 · Health · corrected 2021-08-19

    Actual harm

  44. DF0694Provide for the safe, appropriate administration of IV fluids for a resident when needed.2021-07-15 · Health · corrected 2021-08-19

    Potential for more than minimal harm

  45. EF0695Provide safe and appropriate respiratory care for a resident when needed.2021-07-15 · Health · corrected 2021-08-19

    Potential for more than minimal harm

  46. EF0758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.2021-07-15 · Health · corrected 2021-08-19

    Potential for more than minimal harm

  47. DF0759Ensure medication error rates are not 5 percent or greater.2021-07-15 · Health · corrected 2021-08-19

    Potential for more than minimal harm

  48. DF0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.2021-07-15 · Health · corrected 2021-08-19

    Potential for more than minimal harm

  49. DF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2021-07-15 · Health · corrected 2021-08-19

    Potential for more than minimal harm

Ownership

OwnerTypeRolePercentSince
HAVEN HEALTH GROUP LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST2015-03-01
ROBERTSON, BRETTIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST2015-02-01
SAMUELIAN, ROBERTIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST2015-03-01
SAMUELIAN, SPENCERIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST2015-03-01
SAMUELIAN, STEPHENIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST2015-03-01
WEST, CHRISTIANIndividual5% OR GREATER DIRECT OWNERSHIP INTEREST2015-03-01
CLARK GLOBALMED, LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2025-01-13
HEALTH GROUP MANAGEMENT LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2024-11-25
CLARK, RANDOLPHIndividualOPERATIONAL/MANAGERIAL CONTROL2015-03-01
ESPINOSA, STEPHANIEIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-13
FAIR, RYANIndividualOPERATIONAL/MANAGERIAL CONTROL2019-08-21
FRAGOSO, LINDSAYIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-13
HANSEN, CALEBIndividualOPERATIONAL/MANAGERIAL CONTROL2023-06-20
LONGHURST, STOCKIndividualOPERATIONAL/MANAGERIAL CONTROL2020-11-15
ROBERTSON, BRETTIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-13
SAMUELIAN, ROBERTIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-13
SAMUELIAN, SPENCERIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-13
SAMUELIAN, STEPHENIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-13
SEASTRAND, JASONIndividualOPERATIONAL/MANAGERIAL CONTROL2015-03-01
WEST, CHRISTIANIndividualOPERATIONAL/MANAGERIAL CONTROL2025-01-13
ESPINOSA, STEPHANIEIndividualCORPORATE OFFICER2024-10-14
FRAGOSO, LINDSAYIndividualCORPORATE OFFICER2021-05-10
HAVEN HEALTH PROPERTIES LLCOrganization5% OR GREATER MORTGAGE INTEREST2015-03-01
HAVEN LAKESIDE REAL ESTATE LLCOrganization5% OR GREATER MORTGAGE INTEREST2015-03-01

Other facilities in LAKESIDE

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.