Facility profile · CCN 115424
Lake Crossing Health Center Pac Llc
25 federal citations on record , and 5 federal enforcement actions totaling $19,321.
Record summary
Federal record · Q1 202625
Total citations
20
Last 3 years
0
Actual harm+
5
Federal penalties
$19,321
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
25 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 28, 2025 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Aug 28, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Aug 28, 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. | E | Standard |
| Aug 28, 2025 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Aug 28, 2025 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| Aug 28, 2025 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard |
| Aug 28, 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 | Standard |
| Aug 28, 2025 | 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 |
| Aug 28, 2025 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| Apr 7, 2024 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | Complaint |
| Apr 7, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Complaint |
| Apr 7, 2024 | F851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Complaint |
| Apr 7, 2024 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Complaint |
| Apr 7, 2024 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint |
| Apr 7, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Complaint |
| Apr 7, 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 |
| Apr 7, 2024 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | F | Complaint |
| Apr 7, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Complaint |
| Apr 7, 2024 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint |
| Apr 7, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| May 13, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard |
| May 13, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| May 13, 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. | D | Standard |
| May 13, 2022 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard |
| May 13, 2022 | F570 | Assure the security of all personal funds of residents deposited with the facility. | C | Standard |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 5 civil money penalties totaling $19,321 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 8, 2024 | Fine | $3,798 | — |
| Jan 2, 2024 | Fine | $3,176 | — |
| Dec 11, 2023 | Fine | $7,409 | — |
| Nov 20, 2023 | Fine | $1,764 | — |
| Oct 30, 2023 | Fine | $3,174 | — |
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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