All citations for Lakeridge Villa Health Care Center

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 Lakeridge Villa Health Care Center

Last standard health inspection on record

March 6, 2025

Showing 1 to 25 of 85 citations

No harm, with potential for more than minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
No harm, with potential for more than minimal harm
Provide emergency officials' contact information.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
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 March 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
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 March 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
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 March 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
No harm, with potential for more than minimal harm
Provide properly sized and located linen or trash receptacles.
Widespread (many residents). CMS level F.
Fire safety citation K-0754, Miscellaneous Deficiencies. Inspection of March 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
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 March 6, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (April 21, 2025).
No harm, with potential for more than minimal harm
Ensure 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.
Widespread (many residents). CMS level F.
Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of May 7, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 17, 2024).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 7, 2024. Found during a complaint inspection.
The home gave a date the problem would be corrected (May 17, 2024).
No harm, with potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Widespread (many residents). CMS level F.
Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 18, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2022).
No harm, with potential for more than minimal harm
Provide and implement an infection prevention and control program.
Widespread (many residents). CMS level F.
Health citation F-0880, Infection Control Deficiencies. Inspection of March 18, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2022).
No harm, with potential for more than minimal harm
Develop a communication plan.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of March 18, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 7, 2022).
No harm, with potential for more than minimal harm
List the names and contact information of those in the facility.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of March 18, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 7, 2022).
No harm, with potential for more than minimal harm
Provide emergency officials' contact information.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of March 18, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 7, 2022).
No harm, with potential for more than minimal harm
Provide primary/alternate means for communication.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0032, Emergency Preparedness Deficiencies. Inspection of March 18, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 7, 2022).
No harm, with potential for more than minimal harm
Establish emergency prep training and testing.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of March 18, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 7, 2022).
No harm, with potential for more than minimal harm
Establish staff and initial training requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of March 18, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 6, 2022).
No harm, with potential for more than minimal harm
Conduct testing and exercise requirements.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of March 18, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 6, 2022).
No harm, with potential for more than minimal harm
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Widespread (many residents). CMS level F.
Fire safety citation K-0223, Egress Deficiencies. Inspection of March 18, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 7, 2022).
No harm, with potential for more than minimal harm
Install proper backup exit lighting.
Widespread (many residents). CMS level F.
Fire safety citation K-0281, Egress Deficiencies. Inspection of March 18, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 6, 2022).
No harm, with potential for more than minimal harm
Install emergency lighting that can last at least 1 1/2 hours.
Widespread (many residents). CMS level F.
Fire safety citation K-0291, Egress Deficiencies. Inspection of March 18, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 7, 2022).
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 March 18, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (June 7, 2022).

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.