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 47 citations

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).
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 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
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 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
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Widespread (many residents). CMS level F.
Fire safety citation K-0521, Services 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
Have simulated fire drills held at unexpected times.
Widespread (many residents). CMS level F.
Fire safety citation K-0712, Miscellaneous 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
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous 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
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Widespread (many residents). CMS level F.
Fire safety citation K-0914, Gas, Vacuum, and Electrical Systems 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 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 18, 2022. Found during a standard inspection.
A waiver was granted (June 7, 2022).
No harm, with potential for more than minimal harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Pattern (more than a few residents). CMS level E.
Health citation F-0550, Resident Rights 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
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Pattern (more than a few residents). CMS level E.
Health citation F-0584, Resident Rights 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
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Pattern (more than a few residents). CMS level E.
Health citation F-0756, Pharmacy Service 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
Ensure 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.
Pattern (more than a few residents). CMS level E.
Health citation F-0761, Pharmacy Service 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
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.
Pattern (more than a few residents). CMS level E.
Health citation F-0807, 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).

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.