Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 105428

Lake Mariam Health And Rehabilitation Center

61 federal citations on record , including 4 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $353,123.

Special Focus Status 4 Immediate Jeopardy

Record summary

Federal record · Q1 2026
61
Total citations
44
Last 3 years
5
Actual harm+
4
Federal penalties
$353,123
Total fines
1
Overall ★ rating

Most common violation categories here

Resident Rights12 Quality of Care10 Environment & Safety10 Care Planning7 Medication & Pharmacy6

Most common F-tags at this facility

F5844 F6563 F6893 F9253 F8122

Citation history

61 on record
SurveyF-TagViolationSeveritySource
Oct 17, 2024F624Prepare residents for a safe transfer or discharge from the nursing home.GComplaint
Oct 17, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
Oct 17, 2024F584Honor 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.EComplaint
May 17, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.KComplaint
Jan 25, 2024F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Jan 25, 2024F837Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.DComplaint
Jan 25, 2024F807Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.DComplaint
Jan 25, 2024F584Honor 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.EComplaint
Jan 25, 2024F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Jan 25, 2024F926Have policies on smoking.DStandard
Jan 25, 2024F924Put firmly secured handrails on each side of hallways.DStandard
Jan 25, 2024F920Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture.DStandard
Jan 25, 2024F918Provide a bathroom in or located near each resident’s room.DStandard
Jan 25, 2024F909Regularly 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
Jan 25, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
Jan 25, 2024F880Provide and implement an infection prevention and control program.EStandard
Jan 25, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EStandard
Jan 25, 2024F849Arrange 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
Jan 25, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
Jan 25, 2024F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.DStandard
Jan 25, 2024F814Dispose of garbage and refuse properly.EStandard
Jan 25, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Jan 25, 2024F808Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.DStandard
Jan 25, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Jan 25, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Jan 25, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DStandard
Jan 25, 2024F732Post nurse staffing information every day.DStandard
Jan 25, 2024F700Try 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.DStandard
Jan 25, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Jan 25, 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
Jan 25, 2024F692Provide enough food/fluids to maintain a resident's health.DStandard
Jan 25, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KStandard
Jan 25, 2024F688Provide 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.DStandard
Jan 25, 2024F687Provide appropriate foot care.DStandard
Jan 25, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Jan 25, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
Jan 25, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Jan 25, 2024F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard
Jan 25, 2024F559Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.DStandard
Jan 25, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard
Aug 18, 2023F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.EComplaint
Aug 18, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Aug 18, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Aug 18, 2023F584Honor 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.EComplaint
Oct 8, 2021F925Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.DStandard
Oct 8, 2021F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.EStandard
Oct 8, 2021F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
Oct 8, 2021F759Ensure medication error rates are not 5 percent or greater.DStandard
Oct 8, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Oct 8, 2021F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 8, 2021F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard
Nov 15, 2019F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Nov 15, 2019F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard
Nov 15, 2019F761Ensure 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
Nov 15, 2019F758Implement 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.EStandard
Nov 15, 2019F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Nov 15, 2019F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Nov 15, 2019F641Ensure each resident receives an accurate assessment.DStandard
Nov 15, 2019F585Honor 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.DStandard
Nov 15, 2019F584Honor 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.EStandard
Nov 15, 2019F565Honor the resident's right to organize and participate in resident/family groups in the facility.EStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 4 civil money penalties totaling $353,123 .

DateTypeFinePayment denial
Oct 17, 2024Fine$12,529—
Jan 25, 2024Fine$12,542—
Jan 25, 2024Fine$296,449—
Aug 18, 2023Fine$31,603—
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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