All citations for Leslie Lakes Retirement 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 Leslie Lakes Retirement Center

Last standard health inspection on record

February 25, 2026

Showing 1 to 10 of 10 citations

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

    Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0342, Smoke Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

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

    Meet other general requirements.

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

    Fire safety citation K-0200, Egress Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

  5. 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.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

  7. 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.

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

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 25, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

  9. 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.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

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

    Meet requirements for the use of electrical equipment.

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

    Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of February 25, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 7, 2026).

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.