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Facility profile · CCN 145679

Carlton At The Lake, The

60 federal citations on record , including 1 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $241,131.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
60
Total citations
52
Last 3 years
7
Actual harm+
5
Federal penalties
$241,131
Total fines
2
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

60 on record
SurveyF-TagViolationSeveritySource
Nov 21, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Nov 21, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.FComplaint
Nov 7, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 8, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Sep 8, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 25, 2025F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint
Aug 25, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
May 2, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
May 2, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Apr 11, 2025F880Provide and implement an infection prevention and control program.EStandard
Apr 11, 2025F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DStandard
Apr 11, 2025F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.DStandard
Apr 11, 2025F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Apr 11, 2025F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
Apr 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 11, 2025F688Provide 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.EStandard
Apr 11, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Apr 11, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Nov 7, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Nov 7, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 5, 2024F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
Aug 5, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Apr 15, 2024F761Ensure 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.EComplaint
Apr 15, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 15, 2024F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DComplaint
Mar 15, 2024F880Provide and implement an infection prevention and control program.EStandard
Mar 15, 2024F761Ensure 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.EStandard
Mar 15, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Mar 15, 2024F695Provide safe and appropriate respiratory care for a resident when needed.EStandard
Mar 15, 2024F692Provide enough food/fluids to maintain a resident's health.GStandard
Mar 15, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Mar 15, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.EStandard
Mar 15, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Mar 15, 2024F645PASARR screening for Mental disorders or Intellectual DisabilitiesEStandard
Mar 15, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jan 19, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jan 19, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Dec 8, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Nov 2, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.FComplaint
Nov 2, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Nov 2, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 2, 2023F584Honor 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.EComplaint
Nov 2, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Oct 4, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Oct 4, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.FComplaint
Oct 4, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Jul 1, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 1, 2023F688Provide 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.EComplaint
May 8, 2023F919Make sure that a working call system is available in each resident's bathroom and bathing area.DComplaint
May 8, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 8, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
May 8, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 3, 2023F888Ensure staff are vaccinated for COVID-19EStandard
Feb 3, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Feb 3, 2023F880Provide and implement an infection prevention and control program.DStandard
Feb 3, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Feb 3, 2023F761Ensure 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.EStandard
Feb 3, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
Feb 3, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Feb 3, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard

Federal enforcement history

Federal regulators have imposed 5 enforcement actions against this facility, including 4 civil money penalties totaling $241,131 and 1 payment-denial actions spanning 25 days.

DateTypeFinePayment denial
Mar 15, 2024Fine$16,822
Jan 19, 2024Fine$16,052
Nov 2, 2023Fine$11,180
Nov 2, 2023Payment DenialNov 25, 2023 · 25 days
Oct 4, 2023Fine$197,077
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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