Independent · Federal inspection records, searchable
Not a law firm · Not a government agency
Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 675438

Lakeshore Village Nursing And Rehabilitation

48 federal citations on record , including 7 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $135,984.

7 Immediate Jeopardy

Record summary

Federal record · Q1 2026
48
Total citations
48
Last 3 years
8
Actual harm+
3
Federal penalties
$135,984
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care12 Resident Rights9 Nutrition & Dietary7 Medication & Pharmacy5 Care Planning5

Most common F-tags at this facility

F6893 F8123 F5582 F6772 F7612

Citation history

48 on record
SurveyF-TagViolationSeveritySource
Dec 11, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 10, 2025F692Provide enough food/fluids to maintain a resident's health.JComplaint
May 10, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JComplaint
Feb 20, 2025F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Feb 20, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.EComplaint
Feb 20, 2025F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard
Feb 20, 2025F803Ensure 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.FStandard
Feb 20, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Feb 20, 2025F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.EStandard
Feb 20, 2025F558Reasonably accommodate the needs and preferences of each resident.EStandard
Sep 10, 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
Aug 21, 2024F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Aug 21, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Jun 29, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
May 16, 2024F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Dec 16, 2023F926Have policies on smoking.EComplaint
Dec 16, 2023F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Dec 16, 2023F838Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.DComplaint
Dec 16, 2023F835Administer the facility in a manner that enables it to use its resources effectively and efficiently.LComplaint
Dec 16, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint
Dec 16, 2023F761Ensure 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
Dec 16, 2023F759Ensure medication error rates are not 5 percent or greater.DComplaint
Dec 16, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Dec 16, 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.KComplaint
Dec 16, 2023F699Provide care or services that was trauma informed and/or culturally competent.DComplaint
Dec 16, 2023F695Provide safe and appropriate respiratory care for a resident when needed.EComplaint
Dec 16, 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
Dec 16, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EComplaint
Dec 16, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
Dec 16, 2023F679Provide activities to meet all resident's needs.EComplaint
Dec 16, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Dec 16, 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
Dec 16, 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
Dec 16, 2023F578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DComplaint
Dec 16, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Dec 16, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Dec 16, 2023F880Provide and implement an infection prevention and control program.KStandard
Dec 16, 2023F868Have the Quality Assessment and Assurance group have the required members and meet at least quarterlyFStandard
Dec 16, 2023F810Provide special eating equipment and utensils for residents who need them and appropriate assistance.DStandard
Dec 16, 2023F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Dec 16, 2023F791Provide or obtain dental services for each resident.DStandard
Dec 16, 2023F770Provide timely, quality laboratory services/tests to meet the needs of residents.KStandard
Dec 16, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Dec 16, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Dec 16, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Dec 16, 2023F655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedEStandard
Dec 16, 2023F640Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.DStandard
Jun 26, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.KComplaint

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $135,984 .

DateTypeFinePayment denial
May 10, 2025Fine$23,593—
Dec 16, 2023Fine$83,814—
Jun 26, 2023Fine$28,577—
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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