All citations for The Lakes

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.

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Last standard health inspection on record

November 21, 2024

Showing 1 to 25 of 40 citations

  1. Immediate jeopardy to resident health or safety

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 16, 2024).

  2. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of December 18, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 3, 2025).

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

    Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0222, Egress Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2024).

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

    Properly provide smoke detection systems in areas open to corridors.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0347, Smoke Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2024).

  6. 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 September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2024).

  7. 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 September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2024).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of November 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 19, 2024).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 19, 2024).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of November 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 19, 2024).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of November 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 19, 2024).

  12. 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 November 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 19, 2024).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of November 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 19, 2024).

  14. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 19, 2024).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of November 21, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 19, 2024).

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

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

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

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 11, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 4, 2024).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 12, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 18, 2024).

  18. 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 September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2023).

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2024).

  20. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2024).

  21. 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.

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

    Fire safety citation K-0741, Miscellaneous Deficiencies. Inspection of September 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 20, 2024).

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

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

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of June 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2022).

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of June 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2022).

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

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

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

    Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of June 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2022).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of June 8, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 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.