All citations for Lakeshore Post Acute and Rehabilitation 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 Lakeshore Post Acute and Rehabilitation Center

Last standard health inspection on record

August 28, 2025

Showing 1 to 25 of 70 citations

No harm, with potential for more than minimal harm
Address subsistence needs for staff and patients.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 24, 2023).
No harm, with potential for more than minimal harm
Establish roles under a Waiver declared by secretary.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0026, Emergency Preparedness Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 24, 2023).
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 October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 24, 2023).
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 October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 22, 2024).
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 October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 22, 2024).
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 October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 22, 2024).
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 October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 22, 2024).
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 October 26, 2023. Found during a standard inspection.
Past non-compliance: already corrected by the time of the inspection (October 26, 2023).
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 October 26, 2023. Found during a standard inspection.
A waiver was granted (January 22, 2024).
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 October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 22, 2024).
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 October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (January 22, 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 October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 24, 2023).
No harm, with potential for more than minimal harm
Establish procedures for tracking staff and patients during an emergency.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 24, 2023).
No harm, with potential for more than minimal harm
Establish policies and procedures for medical documentation.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 24, 2023).
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 October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 24, 2023).
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 October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 24, 2023).
No harm, with potential for more than minimal harm
Establish methods for sharing information.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0033, Emergency Preparedness Deficiencies. Inspection of October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 24, 2023).
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 October 26, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (November 24, 2023).
No harm, with potential for more than minimal harm
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Widespread (many residents). CMS level F.
Fire safety citation K-0321, Smoke Deficiencies. Inspection of July 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 11, 2022).
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 July 7, 2022. Found during a standard inspection.
A waiver was granted (November 11, 2022).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Widespread (many residents). CMS level F.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of July 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 5, 2022).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Widespread (many residents). CMS level F.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of July 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 2, 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 July 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 22, 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 July 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 10, 2022).
No harm, with potential for more than minimal harm
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Widespread (many residents). CMS level F.
Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of July 7, 2022. Found during a standard inspection.
The home gave a date the problem would be corrected (August 10, 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.