Facility profile · CCN 265735
Hidden Lake Health Care Center
81 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $123,610.
Record summary
Federal record · Q1 202681
Total citations
38
Last 3 years
6
Actual harm+
3
Federal penalties
$123,610
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
81 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jun 30, 2025 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Feb 25, 2025 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Complaint |
| Feb 25, 2025 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
| Dec 11, 2024 | F570 | Assure the security of all personal funds of residents deposited with the facility. | E | Complaint |
| Dec 11, 2024 | F567 | Honor the resident's right to manage his or her financial affairs. | E | Complaint |
| Oct 8, 2024 | F585 | Honor 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. | D | Complaint |
| Aug 30, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint |
| Aug 30, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Aug 19, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Aug 19, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Aug 19, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Aug 19, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Aug 19, 2024 | F585 | Honor 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. | D | Complaint |
| Aug 19, 2024 | 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. | E | Complaint |
| Aug 19, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Aug 19, 2024 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Aug 19, 2024 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | E | Standard |
| Aug 19, 2024 | F814 | Dispose of garbage and refuse properly. | E | Standard |
| Aug 19, 2024 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard |
| Aug 19, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard |
| Aug 19, 2024 | F803 | Ensure 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. | F | Standard |
| Aug 19, 2024 | 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 |
| Aug 19, 2024 | F727 | Have 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. | E | Standard |
| Aug 19, 2024 | F700 | Try 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. | E | Standard |
| Aug 19, 2024 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Aug 19, 2024 | F693 | Ensure 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. | D | Standard |
| Aug 19, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| Aug 19, 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 |
| Aug 19, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Aug 19, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Aug 19, 2024 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard |
| Aug 19, 2024 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard |
| Aug 19, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Jun 4, 2024 | F742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Complaint |
| Jun 4, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint |
| Jun 4, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint |
| Aug 9, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 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 | Complaint |
| Oct 28, 2022 | F909 | Regularly 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. | F | Standard |
| Oct 28, 2022 | F888 | Ensure staff are vaccinated for COVID-19 | C | Standard |
| Oct 28, 2022 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | F | Standard |
| Oct 28, 2022 | F882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard |
| Oct 28, 2022 | F880 | Provide and implement an infection prevention and control program. | K | Standard |
| Oct 28, 2022 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard |
| Oct 28, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Oct 28, 2022 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Standard |
| Oct 28, 2022 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | F | Standard |
| Oct 28, 2022 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Standard |
| Oct 28, 2022 | 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. | E | Standard |
| Oct 28, 2022 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Oct 28, 2022 | F732 | Post nurse staffing information every day. | C | Standard |
| Oct 28, 2022 | F727 | Have 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. | E | Standard |
| Oct 28, 2022 | 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. | E | Standard |
| Oct 28, 2022 | F700 | Try 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. | F | Standard |
| Oct 28, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Oct 28, 2022 | F688 | 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. | F | Standard |
| Oct 28, 2022 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Oct 28, 2022 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Standard |
| Oct 28, 2022 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | Standard |
| Oct 28, 2022 | F625 | Notify 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. | E | Standard |
| Oct 28, 2022 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard |
| Oct 28, 2022 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Standard |
| Oct 28, 2022 | F570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard |
| Aug 27, 2019 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Standard |
| Aug 27, 2019 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Aug 27, 2019 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Aug 27, 2019 | 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. | E | Standard |
| Aug 27, 2019 | F758 | Implement 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. | E | Standard |
| Aug 27, 2019 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Aug 27, 2019 | F730 | Observe each nurse aide's job performance and give regular training. | E | Standard |
| Aug 27, 2019 | F727 | Have 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. | F | Standard |
| Aug 27, 2019 | F698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | E | Standard |
| Aug 27, 2019 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Aug 27, 2019 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard |
| Aug 27, 2019 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Aug 27, 2019 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Aug 27, 2019 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard |
| Aug 27, 2019 | F625 | Notify 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. | B | Standard |
| Aug 27, 2019 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | B | Standard |
| Aug 27, 2019 | 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. | E | Standard |
| Aug 27, 2019 | F575 | Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | C | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $123,610 and 1 payment-denial actions spanning 51 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Aug 19, 2024 | Fine | $96,420 | — |
| Aug 19, 2024 | Payment Denial | — | Sep 25, 2024 · 51 days |
| Jun 4, 2024 | Fine | $27,190 | — |
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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