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Facility profile · CCN 525654

Heritage Lakeside

95 federal citations on record , including 3 at the Immediate Jeopardy level, and 2 federal enforcement actions totaling $115,181.

3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
95
Total citations
59
Last 3 years
6
Actual harm+
2
Federal penalties
$115,181
Total fines
1
Overall ★ rating

Most common violation categories here

Most common F-tags at this facility

Citation history

95 on record
SurveyF-TagViolationSeveritySource
Oct 20, 2025F610Respond appropriately to all alleged violations.DComplaint
Oct 20, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 7, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Oct 7, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jul 2, 2025F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FComplaint
Jul 2, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Apr 8, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jan 15, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Jan 15, 2025F880Provide and implement an infection prevention and control program.DStandard
Jan 15, 2025F790Provide routine and 24-hour emergency dental care for each resident.DStandard
Jan 15, 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.EStandard
Jan 15, 2025F732Post nurse staffing information every day.CStandard
Jan 15, 2025F699Provide care or services that was trauma informed and/or culturally competent.DStandard
Jan 15, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jan 15, 2025F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Jan 15, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Jan 15, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Jan 15, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jan 15, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Jan 15, 2025F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.CStandard
Jan 15, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Oct 22, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Sep 23, 2024F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.FComplaint
Sep 23, 2024F880Provide and implement an infection prevention and control program.EComplaint
Sep 23, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Sep 23, 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.DComplaint
Sep 23, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Sep 23, 2024F692Provide enough food/fluids to maintain a resident's health.JComplaint
Sep 23, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Sep 23, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Sep 23, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Sep 23, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Sep 23, 2024F583Keep residents' personal and medical records private and confidential.DComplaint
Sep 23, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jul 23, 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.DComplaint
Jul 23, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DComplaint
Jul 23, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Jul 23, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Jul 23, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 23, 2024F659Provide care by qualified persons according to each resident's written plan of care.DComplaint
Jul 23, 2024F610Respond appropriately to all alleged violations.DComplaint
Jul 23, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Jun 17, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
May 22, 2024F880Provide and implement an infection prevention and control program.DComplaint
Mar 7, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Mar 7, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Mar 7, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Dec 13, 2023F880Provide and implement an infection prevention and control program.FStandard
Dec 13, 2023F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard
Dec 13, 2023F758Implement 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
Dec 13, 2023F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.FStandard
Dec 13, 2023F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Dec 13, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Dec 13, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard
Dec 13, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Oct 11, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 16, 2023F839Employ staff that are licensed, certified, or registered in accordance with state laws.FComplaint
Aug 16, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 16, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Mar 2, 2023F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EComplaint
Mar 2, 2023F880Provide and implement an infection prevention and control program.LComplaint
Mar 2, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Mar 2, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Mar 2, 2023F740Ensure each resident must receive and the facility must provide necessary behavioral health care and services.DComplaint
Mar 2, 2023F732Post nurse staffing information every day.CComplaint
Mar 2, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Mar 2, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Mar 2, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Mar 2, 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.DComplaint
Mar 2, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Mar 2, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 2, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Mar 2, 2023F637Assess the resident when there is a significant change in conditionDComplaint
Mar 2, 2023F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DComplaint
Mar 2, 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.CComplaint
Oct 26, 2022F880Provide and implement an infection prevention and control program.EStandard
Oct 26, 2022F849Arrange 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
Oct 26, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Oct 26, 2022F814Dispose of garbage and refuse properly.DStandard
Oct 26, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
Oct 26, 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
Oct 26, 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
Oct 26, 2022F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Oct 26, 2022F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Oct 26, 2022F730Observe each nurse aide's job performance and give regular training.CStandard
Oct 26, 2022F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
Oct 26, 2022F692Provide enough food/fluids to maintain a resident's health.DStandard
Oct 26, 2022F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Oct 26, 2022F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EStandard
Oct 26, 2022F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 26, 2022F638Assure that each resident’s assessment is updated at least once every 3 months.EStandard
Oct 26, 2022F637Assess the resident when there is a significant change in conditionDStandard
Oct 26, 2022F636Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.DStandard
Oct 26, 2022F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
Oct 26, 2022F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DStandard

Federal enforcement history

Federal regulators have imposed 2 enforcement actions against this facility, including 1 civil money penalties totaling $115,181 and 1 payment-denial actions spanning 105 days.

DateTypeFinePayment denial
Jun 17, 2024Fine$115,181
Jun 17, 2024Payment DenialJul 16, 2024 · 105 days
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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