Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

HAVEN OF LAKESIDE

LAKESIDE, AZ · 112 certified beds · Last Life Safety survey November 19, 2025

CMS Certification Number 035277 · first certified November 2010

Ownership

Operated by HAVEN HEALTH · For profit - Limited Liability company

No change of ownership on CMS record since January 1, 2016, when the records begin.

4
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
1
Inspection & testing records
Of the citations on file

Position within AZ

4 citations — more than 30% of the 140 certified nursing homes in AZ. Compared within AZ rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 1. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens January 2027 — about 4 months from now. This facility’s last Life Safety survey was November 2025. Facilities in AZ are typically surveyed 14–22 months after the last one (median 18), measured over 143 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 4 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in AZ, and nationally. Surveyors differ markedly between states, so the AZ figure is the meaningful one.

This facility4AZ median8National median11
Citations on file over three years, compared
MeasureCitations
This facility4
Median facility in AZ8
Median facility nationally11

Survey history

Citations at each Life Safety survey
02022-1222024-0622025-11
Citations at each Life Safety survey
Survey dateCitations
December 8, 20220
June 6, 20242
November 19, 20252

Most-cited tags

Most-cited tags at this facility
K-03411K-02111K-03511K-03631
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0341Install a fire alarm system that can be heard throughout the facility.12025-11-19
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12024-06-06
K-0351Install an approved automatic sprinkler system.12024-06-06
K-0363Install corridor and hallway doors that block smoke.12025-11-19

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

November 19, 2025 — 2 citations

Citations issued on November 19, 2025
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (March 23, 2026)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (March 23, 2026)

June 6, 2024 — 2 citations

Citations issued on June 6, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (June 25, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (June 30, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.