Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 455889

Lily Springs Rehabilitation And Healthcare Center

56 federal citations on record , including 5 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $100,728.

5 Immediate Jeopardy

Record summary

Federal record · Q1 2026
56
Total citations
47
Last 3 years
7
Actual harm+
4
Federal penalties
$100,728
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care12 Resident Rights11 Care Planning10 Medication & Pharmacy7 Infection Control5

Most common F-tags at this facility

F6565 F7615 F6774 F8804 F6893

Citation history

56 on record
SurveyF-TagViolationSeveritySource
Jan 7, 2026F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Nov 26, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Nov 26, 2025F558Reasonably accommodate the needs and preferences of each resident.DComplaint
Nov 19, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Aug 22, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jul 10, 2025F880Provide and implement an infection prevention and control program.EComplaint
May 5, 2025F880Provide and implement an infection prevention and control program.EStandard
May 5, 2025F741Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents.EStandard
May 5, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JStandard
May 5, 2025F679Provide activities to meet all resident's needs.EStandard
May 5, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
May 5, 2025F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DStandard
May 5, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Apr 12, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Mar 3, 2025F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DComplaint
Mar 3, 2025F839Employ staff that are licensed, certified, or registered in accordance with state laws.EComplaint
Mar 3, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Mar 3, 2025F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.JComplaint
Mar 3, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.JComplaint
Mar 3, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Oct 8, 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.DComplaint
Oct 8, 2024F620Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.EComplaint
Aug 21, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DComplaint
Aug 21, 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.DComplaint
Aug 21, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jul 19, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Jun 13, 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.DComplaint
Jun 13, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EComplaint
Jun 13, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.GComplaint
Apr 4, 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
Apr 4, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Apr 4, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Apr 4, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.GComplaint
Mar 19, 2024F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.KComplaint
Jan 31, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Jan 31, 2024F919Make sure that a working call system is available in each resident's bathroom and bathing area.DStandard
Jan 31, 2024F880Provide and implement an infection prevention and control program.EStandard
Jan 31, 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.DStandard
Jan 31, 2024F758Implement 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.DStandard
Jan 31, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Jan 31, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Jan 31, 2024F641Ensure each resident receives an accurate assessment.DStandard
Jan 31, 2024F637Assess the resident when there is a significant change in conditionDStandard
Jan 31, 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.EStandard
Jan 31, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard
Jul 29, 2023F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DComplaint
May 3, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Nov 30, 2022F947Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.EStandard
Nov 30, 2022F880Provide and implement an infection prevention and control program.EStandard
Nov 30, 2022F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Nov 30, 2022F814Dispose of garbage and refuse properly.EStandard
Nov 30, 2022F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Nov 30, 2022F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard
Nov 30, 2022F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Nov 30, 2022F761Ensure 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 30, 2022F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 4 civil money penalties totaling $100,728 .

DateTypeFinePayment denial
Apr 12, 2025Fine$8,281—
Mar 3, 2025Fine$42,563—
Mar 19, 2024Fine$35,363—
May 3, 2023Fine$14,521—
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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