Facility profile · CCN 105754
Conway Lakes Health & Rehabilitation Center
31 federal citations on record , including 2 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $94,672.
Record summary
Federal record · Q1 202631
Total citations
21
Last 3 years
3
Actual harm+
6
Federal penalties
$94,672
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
31 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Sep 11, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Sep 11, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Sep 11, 2025 | F761 | 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. | D | Standard |
| Sep 11, 2025 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Jul 2, 2025 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint |
| Jul 2, 2025 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Complaint |
| Jul 2, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Jul 2, 2025 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Jul 2, 2025 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Jun 10, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Feb 1, 2025 | F895 | Have a Compliance and Ethics Program. | F | Complaint |
| Feb 1, 2025 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Feb 1, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Feb 1, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Feb 1, 2025 | F610 | Respond appropriately to all alleged violations. | J | Complaint |
| Aug 22, 2024 | F880 | Provide and implement an infection prevention and control program. | E | Complaint |
| Aug 22, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Aug 22, 2024 | F635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Complaint |
| May 16, 2024 | F694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard |
| May 16, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| May 16, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Feb 9, 2023 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Feb 9, 2023 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard |
| Feb 9, 2023 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Feb 9, 2023 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Feb 9, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Feb 9, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Feb 9, 2023 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard |
| Feb 9, 2023 | F584 | 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. | D | Standard |
| Feb 9, 2023 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | D | Standard |
| Feb 9, 2023 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
Federal enforcement history
Federal regulators have imposed 6 enforcement actions against this facility, including 6 civil money penalties totaling $94,672 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jun 10, 2025 | Fine | $4,147 | — |
| Jun 10, 2025 | Fine | $4,147 | — |
| Jun 10, 2025 | Fine | $6,227 | — |
| Feb 1, 2025 | Fine | $61,636 | — |
| Aug 22, 2024 | Fine | $6,180 | — |
| Aug 22, 2024 | Fine | $12,335 | — |
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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