All citations for Lake Regional Health Systems

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Lake Regional Health Systems

Last standard health inspection on record

September 11, 2025

Showing 1 to 7 of 7 citations

  1. No harm, with potential for more than minimal harm

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of January 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2024).

  2. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of January 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  3. No harm, with potential for more than minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of January 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 18, 2024).

  4. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of January 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 8, 2024).

  5. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2024).

  6. No harm, with potential for more than minimal harm

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0700, Quality of Life and Care Deficiencies. Inspection of January 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 7, 2024).

  7. No harm, with potential for minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Widespread (many residents). CMS level C.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of January 18, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 5, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.