Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 195177

Lakeshore Manor Nursing & Rehab

48 federal citations on record , including 6 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $477,593.

6 Immediate Jeopardy

Record summary

Federal record · Q1 2026
48
Total citations
41
Last 3 years
7
Actual harm+
6
Federal penalties
$477,593
Total fines
1
Overall ★ rating

Most common violation categories here

Care Planning12 Quality of Care11 Resident Rights7 Nutrition & Dietary4 Infection Control4

Most common F-tags at this facility

F8804 F8424 F5843 F6563 F6413

Citation history

48 on record
SurveyF-TagViolationSeveritySource
Dec 10, 2025F880Provide and implement an infection prevention and control program.DStandard
Dec 10, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Dec 10, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Dec 10, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Dec 10, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Dec 10, 2025F584Honor 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.DStandard
Jul 2, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Jul 2, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DStandard
Feb 24, 2025F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Feb 24, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.KComplaint
Feb 24, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Feb 24, 2025F641Ensure each resident receives an accurate assessment.DComplaint
Jan 12, 2025F880Provide and implement an infection prevention and control program.DStandard
Jan 12, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Jan 12, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Jan 12, 2025F641Ensure each resident receives an accurate assessment.DStandard
Jan 12, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.JStandard
Jan 12, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JStandard
Jan 12, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Aug 27, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Aug 27, 2024F770Provide timely, quality laboratory services/tests to meet the needs of residents.DComplaint
Aug 27, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EComplaint
Aug 27, 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
Jul 17, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Jul 17, 2024F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Jul 9, 2024F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DComplaint
Jul 9, 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.DComplaint
Jul 9, 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.EComplaint
Jul 9, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Jul 9, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 9, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Mar 13, 2024F695Provide safe and appropriate respiratory care for a resident when needed.DComplaint
Dec 4, 2023F880Provide and implement an infection prevention and control program.EComplaint
Oct 26, 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.DComplaint
Oct 16, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Sep 14, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 8, 2023F880Provide and implement an infection prevention and control program.EComplaint
Aug 8, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.LComplaint
Aug 8, 2023F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.LComplaint
Aug 8, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.LComplaint
Aug 8, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 5, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Apr 5, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FComplaint
Apr 5, 2023F693Ensure 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.EComplaint
Apr 5, 2023F679Provide activities to meet all resident's needs.EComplaint
Apr 5, 2023F641Ensure each resident receives an accurate assessment.DComplaint
Apr 5, 2023F585Honor 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.DComplaint
Apr 5, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint

Federal enforcement history

Federal regulators have imposed 6 enforcement actions against this facility, including 4 civil money penalties totaling $477,593 and 2 payment-denial actions spanning 122 days.

DateTypeFinePayment denial
Jan 12, 2025Fine$220,275—
Jan 12, 2025Payment Denial—Feb 13, 2025 · 55 days
Dec 4, 2023Fine$4,963—
Jul 13, 2023Fine$248,122—
Jul 13, 2023Payment Denial—Aug 26, 2023 · 67 days
Apr 17, 2023Fine$4,233—
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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