Facility profile · CCN 345261
Lotus Village Center For Nursing And Rehabilitatio
55 federal citations on record , including 8 at the Immediate Jeopardy level, and 5 federal enforcement actions totaling $418,422.
Record summary
Federal record · Q1 202655
Total citations
39
Last 3 years
13
Actual harm+
5
Federal penalties
$418,422
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
55 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| May 22, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| May 22, 2025 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| May 22, 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 |
| May 22, 2025 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard |
| May 22, 2025 | F637 | Assess the resident when there is a significant change in condition | D | Standard |
| May 22, 2025 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Apr 10, 2025 | F760 | Ensure that residents are free from significant medication errors. | G | Complaint |
| Apr 10, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Apr 10, 2025 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Apr 10, 2025 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | G | Complaint |
| Oct 24, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Sep 27, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint |
| Aug 7, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint |
| Aug 7, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Aug 7, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint |
| Apr 8, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | E | Complaint |
| Apr 8, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | K | Complaint |
| Apr 8, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint |
| Apr 8, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint |
| Feb 22, 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. | E | Complaint |
| Feb 22, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint |
| Feb 22, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Complaint |
| Feb 22, 2024 | 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. | D | Complaint |
| Feb 22, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | D | Complaint |
| Feb 22, 2024 | F700 | Try 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. | D | Complaint |
| Feb 22, 2024 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Complaint |
| Feb 22, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Feb 22, 2024 | F688 | Provide 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. | D | Complaint |
| Feb 22, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Feb 22, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Feb 22, 2024 | F644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | B | Complaint |
| Feb 22, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Complaint |
| Feb 22, 2024 | F622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | Complaint |
| Feb 22, 2024 | F578 | Honor 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. | F | Complaint |
| Feb 22, 2024 | F561 | Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | E | Complaint |
| Jul 12, 2023 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Complaint |
| Jul 12, 2023 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | K | Complaint |
| Jul 12, 2023 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | K | Complaint |
| Jul 12, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint |
| Sep 14, 2022 | F880 | Provide and implement an infection prevention and control program. | K | Standard |
| Sep 14, 2022 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | G | Standard |
| Sep 14, 2022 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Sep 14, 2022 | 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 |
| Sep 14, 2022 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Sep 14, 2022 | F727 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | E | Standard |
| Sep 14, 2022 | F712 | Ensure that the resident and his/her doctor meet face-to-face at all required visits. | E | Standard |
| Sep 14, 2022 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | E | Standard |
| Sep 14, 2022 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Sep 14, 2022 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Standard |
| Sep 14, 2022 | F688 | Provide 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. | D | Standard |
| Sep 14, 2022 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard |
| Sep 14, 2022 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard |
| Sep 14, 2022 | 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 |
| Sep 14, 2022 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Sep 14, 2022 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
Federal enforcement history
Federal regulators have imposed 5 enforcement actions against this facility, including 4 civil money penalties totaling $418,422 and 1 payment-denial actions spanning 36 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Apr 10, 2025 | Fine | $102,102 | — |
| Apr 10, 2025 | Payment Denial | — | May 8, 2025 · 36 days |
| Sep 27, 2024 | Fine | $16,055 | — |
| Feb 22, 2024 | Fine | $197,071 | — |
| Jul 12, 2023 | Fine | $103,194 | — |
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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