Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 555797

Gordon Lane Care Center

103 federal citations on record .

Record summary

Federal record · Q1 2026
103
Total citations
88
Last 3 years
0
Actual harm+
0
Federal penalties
$0
Total fines
2
Overall ★ rating

Most common violation categories here

Medication & Pharmacy22 Quality of Care22 Resident Rights15 Care Planning12 Infection Control9

Most common F-tags at this facility

F7558 F8807 F6846 F7615 F6564

Citation history

103 on record
SurveyF-TagViolationSeveritySource
Aug 4, 2025F881Implement a program that monitors antibiotic use.DComplaint
Aug 4, 2025F880Provide and implement an infection prevention and control program.DComplaint
Aug 4, 2025F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.DStandard
Aug 4, 2025F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Aug 4, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Aug 4, 2025F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.DStandard
Aug 4, 2025F813Have a policy regarding use and storage of foods brought to residents by family and other visitors.DStandard
Aug 4, 2025F761Ensure 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.DStandard
Aug 4, 2025F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Aug 4, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Aug 4, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Aug 4, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Aug 4, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Aug 4, 2025F694Provide for the safe, appropriate administration of IV fluids for a resident when needed.DStandard
Aug 4, 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
Aug 4, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Aug 4, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Aug 4, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Aug 4, 2025F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
Aug 4, 2025F628Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DStandard
Aug 4, 2025F605Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DStandard
Aug 4, 2025F578Honor 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.DStandard
Aug 4, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Aug 4, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Aug 4, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.BStandard
Jun 18, 2025F880Provide and implement an infection prevention and control program.DComplaint
Jun 2, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Jun 2, 2025F610Respond appropriately to all alleged violations.DComplaint
Feb 5, 2025F761Ensure 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.BComplaint
Nov 21, 2024F880Provide and implement an infection prevention and control program.BComplaint
Nov 21, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.BComplaint
Oct 2, 2024F758Implement 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.DComplaint
Oct 2, 2024F610Respond appropriately to all alleged violations.DComplaint
Oct 2, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 3, 2024F880Provide and implement an infection prevention and control program.DComplaint
Sep 3, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Sep 3, 2024F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.BComplaint
Jun 26, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BComplaint
Jun 26, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jun 26, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.BComplaint
Apr 12, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Apr 12, 2024F908Keep all essential equipment working safely.DStandard
Apr 12, 2024F880Provide and implement an infection prevention and control program.EStandard
Apr 12, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Apr 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Apr 12, 2024F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Apr 12, 2024F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Apr 12, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Apr 12, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.DStandard
Apr 12, 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
Apr 12, 2024F760Ensure that residents are free from significant medication errors.DStandard
Apr 12, 2024F759Ensure medication error rates are not 5 percent or greater.DStandard
Apr 12, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Apr 12, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Apr 12, 2024F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.DStandard
Apr 12, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 12, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Apr 12, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Apr 12, 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.DStandard
Apr 12, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Apr 12, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Apr 12, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 12, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Apr 12, 2024F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.BStandard
Apr 12, 2024F558Reasonably accommodate the needs and preferences of each resident.DStandard
Apr 12, 2024F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Apr 12, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.BStandard
Dec 13, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Dec 13, 2023F578Honor 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.DComplaint
Oct 24, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Oct 24, 2023F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DComplaint
Oct 24, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Oct 2, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Aug 24, 2023F880Provide and implement an infection prevention and control program.DComplaint
Aug 24, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 24, 2023F836Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.DComplaint
Aug 24, 2023F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Aug 24, 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.DComplaint
Aug 24, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Aug 24, 2023F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DComplaint
Aug 24, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Aug 24, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 24, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 24, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.BComplaint
Aug 24, 2023F583Keep residents' personal and medical records private and confidential.BComplaint
Aug 24, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Aug 2, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
May 18, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 8, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Mar 18, 2022F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DStandard
Mar 18, 2022F881Implement a program that monitors antibiotic use.DStandard
Mar 18, 2022F880Provide and implement an infection prevention and control program.DStandard
Mar 18, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Mar 18, 2022F805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.DStandard
Mar 18, 2022F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Mar 18, 2022F761Ensure 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.DStandard
Mar 18, 2022F758Implement 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.DStandard
Mar 18, 2022F757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard
Mar 18, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Mar 18, 2022F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
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.

Concerned about care at Gordon Lane Care Center?

An attorney who focuses on nursing-home abuse and neglect can review the facility's record with you — citation patterns, scope/severity levels, complaint-driven findings — and tell you whether the law recognizes what happened.

  • Consultation is free and confidential
  • You pay nothing unless there is a recovery
  • Your note is shared only with vetted plaintiff attorneys
Free · Confidential · Nationwide network
Free Consultation Request
Tell us about your family's situation
A plaintiff attorney will review your note and respond within one business day.