All citations for Menifee Lakes Post Acute

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 Menifee Lakes Post Acute

Last standard health inspection on record

March 13, 2025

Showing 51 to 73 of 73 citations

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

    Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2023).

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

    Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

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

    Health citation F-0773, Administration Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2023).

  3. 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.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 18, 2023).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2023).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2023).

  6. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of May 18, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 6, 2023).

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

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, Resident Rights Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

  8. 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 September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

  10. 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 September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

  12. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2019).

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

    Conduct risk assessment and an All-Hazards approach.

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

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

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

    Establish policies and procedures for medical documentation.

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

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

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

    Conduct testing and exercise requirements.

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

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

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

    Use approved construction type or materials.

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

    Fire safety citation K-0161, Construction Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

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

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

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

    Have generator or other power source capable of supplying service within 10 seconds.

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of September 19, 2019. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 19, 2019).

  23. No harm, with potential for minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of March 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 26, 2025).

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.