All citations for LECOM At Village Square, Llc

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 LECOM At Village Square, Llc

Last standard health inspection on record

December 18, 2025

Showing 1 to 11 of 11 citations

  1. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 2, 2024).

  2. 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 2, 2024).

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

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 2, 2024).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 2, 2024).

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

    Implement a program that monitors antibiotic use.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0881, Infection Control Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 2, 2024).

  6. No harm, with potential for minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

  7. No harm, with potential for minimal harm

    Address patient/client population and determine types of services needed.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0007, Emergency Preparedness Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

  8. No harm, with potential for minimal harm

    Establish policies and procedures for sheltering.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0022, Emergency Preparedness Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

  9. No harm, with potential for minimal harm

    Establish policies and procedures for medical documentation.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

  10. No harm, with potential for minimal harm

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

  11. No harm, with potential for minimal harm

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of December 7, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 31, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.