Inspection Reports for Lakeland Nursing & Rehab

The State Agency conducted a follow-up revisit at the facility on 11/17/2025 related to the complaint survey conducted on 9/02/2025 through 9/03/2025.

The State Agency found the facility to be in compliance with the requirements of participation in Medicare and Medicaid and recommends the facility be placed back in compliance effective 10/07/2025.

The visit was related to a complaint survey conducted on 9/02/2025 through 9/03/2025. The follow-up found the facility in compliance.

The State Agency conducted a follow-up revisit at the facility on 11/17/2025 related to a complaint survey conducted from 9/2/2025 through 9/3/2025.

The State Agency determined the facility was in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirements, and recommends the facility be placed back into compliance effective 10/7/2025.

The revisit was related to a complaint survey conducted from 9/2/2025 through 9/3/2025. The facility was found to be in compliance upon follow-up.

The State Agency conducted a Complaint Investigation related to Quality of Care, Neglect, and Resident Rights at the facility on 11/17/2025.

During the survey, the facility was found to be in compliance with Medicare and Medicaid participation requirements with no deficiencies cited. However, the facility remains out of compliance due to deficiencies cited in a prior survey on 09/03/2025.

Complaint Investigation (CI MS #2656720) related to Quality of Care, Neglect, and Resident Rights was conducted and found no deficiencies during this visit.

The State Agency conducted a Complaint Investigation (CI), MS #2656720, related to Quality of Care, Neglect, and Resident Rights at the facility.

During the survey, the facility was found to be in compliance with Medicare and Medicaid participation requirements and no deficiencies were cited. However, the facility remains out of compliance due to deficiencies cited on the 09/03/25 survey.

Complaint Investigation MS #2656720 was related to Quality of Care, Neglect, and Resident Rights and was not substantiated as no deficiencies were cited during this investigation.

The State Agency conducted complaint investigations related to nursing services, quality of care/treatment, physical environment, physician services, neglect, and resident rights/discharge rights at the facility.

The facility was found not in compliance with Medicare and Medicaid participation requirements related to resident discharge rights, specifically failing to provide all medications, including as-needed pain medications, to one discharged resident. No deficiencies were cited for other complaint investigations.

Complaint investigations CI MS #475480, CI MS# 2568468, and CI MS# 2583490 were conducted. CI MS #2568468 was substantiated with a deficiency cited related to resident discharge rights and medication provision. The other complaint investigations found no deficiencies.

The State Agency conducted complaint investigations related to nursing services, quality of care/treatment, physical environment, physician services, neglect, and resident rights/discharge rights at Lakeland Nursing and Rehabilitation Center LLC.

The facility was found not in compliance with state licensure requirements related to resident discharge rights by failing to provide all medications, specifically as needed pain medications, for one of four discharged residents. No deficiencies were cited for other complaint investigations.

Complaint Investigations CI MS #475480 and CI MS #2583490 related to nursing services, quality of care, call light function, and physical environment had no deficiencies cited. CI MS #2568468 related to physician services, neglect, and resident rights/discharge rights was substantiated with a deficiency cited.

The inspection was conducted to investigate a complaint regarding the facility's failure to provide all discharge medications, specifically as needed pain medications, to a discharged resident.

The facility failed to ensure resident discharge rights by not providing all medications, specifically Hydrocodone-Acetaminophen tablets, to one of four discharged residents. Interviews and record reviews confirmed the medication was ordered and current at discharge but was not sent with the resident, contrary to facility policy.

The complaint investigation found that Resident #1 did not receive prescribed Hydrocodone-Acetaminophen tablets upon discharge despite current physician orders. The resident complained to the facility post-discharge about the missing medication. The facility policy requires all current medications to be sent with the resident unless otherwise instructed by the physician.

The State Agency conducted a complaint investigation related to admission/transfer/discharge rights, quality of care regarding resident safety/falls, accidents related to unwitnessed falls, and neglect.

The facility was found to be in compliance with Medicare and Medicaid requirements, and no deficiencies were cited during the investigation.

Complaint Investigation (CI MS #28827) was substantiated with no deficiencies cited.

The State Agency conducted a Complaint Investigation (CI), MS #28827, related to admission/transfer/discharge rights, quality of care regarding resident safety/falls, accidents related to unwitnessed falls and neglect.

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint Investigation MS #28827 was related to admission/transfer/discharge rights, quality of care regarding resident safety/falls, accidents related to unwitnessed falls and neglect. The complaint was not substantiated as no deficiencies were cited.

The State Agency conducted three complaint investigations at the facility from 2025-04-07 through 2025-04-08. The investigations were related to abuse and neglect, and staffing concerns on the 3-11 and 11-7 shifts.

The facility was found to be in compliance with Medicare and Medicaid participation requirements with no deficiencies cited during the complaint investigations.

Three complaint investigations were conducted: CI MS #28309 regarding abuse and neglect, and CI MS #28361 and CI MS #28322 regarding staffing on the 3-11 and 11-7 shifts. No deficiencies were cited.

The State Agency conducted a Complaint Investigation at the facility from 4/7/25 through 4/8/25 regarding abuse and neglect and staffing concerns on the 3-11 and 11-7 shifts.

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements with no deficiencies cited.

Complaint Investigation MS #28361, MS #28322, and MS #28309 were conducted. MS #28309 was investigated for abuse and neglect. MS #28361 and MS #28322 were investigated for staffing on the 3-11 and 11-7 shifts. No deficiencies were cited.

The State Agency conducted a follow-up revisit at the facility on 3/11/25 related to the annual recertification and complaint survey conducted from 1/27/25 through 1/30/25.

The State Agency found the facility to be in compliance with the requirements of participation in Medicare and Medicaid and recommends the facility be placed back in compliance effective 3/10/25.

The State Agency conducted a follow-up revisit at the facility on 3/11/25 related to the annual recertification and complaint survey conducted from 1/27/25 through 1/30/25.

The State Agency found the facility to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements, recommending the facility be placed back in compliance effective 3/10/25.

The State Agency conducted a Complaint Investigation (CI), MS #27947, regarding bowel and bladder, grooming, not following physician orders, quality of care, and resident rights.

No deficiencies were cited related to the complaint survey; however, the facility remains out of compliance with state licensure requirements due to deficiencies cited on the 01/30/25 survey.

Complaint Investigation MS #27947 was investigated regarding bowel and bladder, grooming, not following physician orders, quality of care, and resident rights. No deficiencies were cited related to the complaint survey.

The State Agency conducted a Complaint Investigation (CI), MS #27947, regarding bowel and bladder, grooming, not following physician orders, quality of care, and resident rights.

No deficiencies were cited related to the complaint survey; however, the facility remains out of compliance due to deficiencies cited during the 01/30/25 survey.

Complaint Investigation MS #27947 was investigated regarding bowel and bladder, grooming, not following physician orders, quality of care, and resident rights. No deficiencies were cited related to the complaint survey.

The State Agency conducted an annual recertification survey and complaint investigations at the facility from 1/27/25 through 1/30/25 to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance with multiple requirements including safe environment, accuracy of assessments, comprehensive care plans, sufficient nursing staff, medication security, food safety, resident records, and infection prevention and control. Specific deficiencies included torn flooring posing fall risk, inaccurate MDS coding, incomplete care plans, insufficient staffing on several days, medications left unattended, improper food thermometer sanitation, incomplete advance directive documentation, and failure to follow enhanced barrier precautions.

Complaint investigations included CI MS #27735 for medication administration and quality of care with no citations; CI MS #27678 for staffing, grooming, weight loss, bowel and bladder, and falls with citation F725; and CI MS #27680 for sufficient staffing levels with citation F725.

The State Agency conducted an annual recertification survey and complaint investigations at the facility from 1/27/25 through 1/30/25 to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance with multiple requirements including safe environment, accuracy of assessments, comprehensive care planning, sufficient nursing staff, medication security, food safety, resident records, and infection prevention and control. Specific deficiencies were cited related to flooring hazards, inaccurate MDS coding, incomplete care plans, staffing shortages, unsecured medications, improper food thermometer sanitation, incomplete advance directive documentation, and failure to follow enhanced barrier precautions.

Complaint investigations included CI MS #27735 (medications administration and quality of care, no citations), CI MS #27678 (staffing, grooming, weight loss, bowel and bladder, falls; citation F725), and CI MS #27680 (sufficient staffing levels; citation F725).

The State Agency conducted an annual recertification survey and complaint investigations at the facility from 1/27/25 through 1/30/25 to assess compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements.

The facility was found not in compliance with staffing requirements, residents' rights, medication labeling and security, safe food handling, and infection control standards. Specific deficiencies included insufficient nursing staff on multiple days, failure to maintain a homelike environment due to torn flooring, medications left unsecured at bedside, improper food thermometer sanitation, and failure to follow enhanced barrier precautions for infection control.

Complaint investigations were conducted for medication administration and quality of care (no citations), staffing, grooming, weight loss, bowel and bladder, and falls (M225 cited), and sufficient staffing levels (M225 cited).

The State Agency conducted an annual recertification survey and complaint investigations at the facility from 2025-01-27 through 2025-01-30 to assess compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements.

The facility was found not in compliance with staffing requirements, residents' rights, medication labeling and security, safe food handling, and infection control standards. Specific deficiencies included insufficient nursing staff on multiple days, failure to maintain a homelike environment due to torn flooring, medications left unsecured at bedside, improper food thermometer sanitation, and failure to follow Enhanced Barrier Precautions during resident care.

Complaint investigations were conducted for medication administration and quality of care (no citations), staffing, grooming, weight loss, bowel and bladder, falls (M225 cited), and sufficient staffing levels (M225 cited).

The inspection was conducted to assess compliance with regulatory requirements including resident safety, care planning, staffing, medication management, infection control, and other facility operations.

The facility was found deficient in multiple areas including maintaining a safe environment due to torn flooring posing fall risks, inaccurate Minimum Data Set (MDS) assessments, incomplete care plans for impaired vision, insufficient nursing staff on several days, unsecured medications, improper food handling, incomplete documentation of resident rights regarding Advance Directives, and failure to follow Enhanced Barrier Precautions for infection control.

The inspection was conducted due to anonymous complaints and concerns about insufficient nursing staff to meet resident needs on multiple shifts in January 2025.

The facility failed to ensure sufficient nursing staff on four of 14 staffing days reviewed in January 2025, resulting in minimal harm or potential for harm to many residents. Staffing shortages were confirmed through record reviews, interviews, and observations, including one CNA working alone on a unit and medication administration delays.

The visit was complaint-related based on anonymous complaints received on 1/20/25 and 1/21/25, which reported consistent shortages of CNAs on 3-11 and 11-7 shifts, including one CNA working alone on the Central Unit on 1/19/25. The complaint was substantiated by observations and interviews.

The inspection was conducted to assess compliance with the Life Safety Code, specifically regarding smoke barrier wall ratings and construction standards.

The facility failed to provide the required half hour fire rating in the smoke barrier walls, with unsealed holes around data cables observed in two smoke compartments, affecting four of six compartments and 54 residents.

The inspection was conducted to assess compliance with the Life Safety Code (LSC) and emergency preparedness requirements, focusing on smoke barrier construction, smoke barrier doors, and gas equipment storage.

The facility failed to provide the required half-hour fire resistance rating for smoke barrier walls and 20-minute fire resistance rating for smoke barrier doors, affecting multiple smoke compartments and 54 residents. Additionally, improper storage of oxygen cylinders was observed. Corrective actions and monitoring plans were outlined.

The State Agency conducted a complaint investigation regarding low staffing and cold foods at the facility.

The facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. No deficiencies were cited.

Complaint MS #26240 was investigated regarding low staffing and cold foods; the complaint was not substantiated as no deficiencies were found.

The State Agency conducted a Complaint Investigation (CI), MS #26240, regarding allegations of low staffing and cold foods at the facility.

During the survey, the State Agency determined the facility was in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Complaint Investigation MS #26240 was investigated regarding low staffing and cold foods; the complaint was not substantiated as no deficiencies were cited.

The State Agency conducted a desk review of information related to a complaint survey completed on 2024-05-22 to determine compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The information provided by the facility confirmed compliance with the Minimum Standards of Operation, and the facility was recommended to be placed back in compliance effective 2024-07-01.

The visit was complaint-related, reviewing a complaint survey from 2024-05-22. The facility was found compliant and the complaint was effectively resolved.

The State Agency conducted a desk review related to a complaint survey completed on 2024-05-22 to verify corrective measures taken by the facility.

The facility provided information confirming that measures were implemented to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 2024-07-01.

The visit was related to a complaint survey completed on 2024-05-22. The facility's corrective actions were reviewed and found satisfactory, leading to a recommendation for compliance reinstatement.

The State Agency conducted a complaint investigation from 5/19/24 through 5/22/24 regarding multiple complaints involving allegations of employee to resident abuse, quality of care related to call lights, services not provided, staffing, incontinent care, administration, and dietary services.

The facility was found not in compliance with Medicare and Medicaid participation requirements, citing a deficiency related to resident rights. Although abuse allegations were not substantiated, it was determined that residents were not treated with dignity and respect by nursing staff during procedures and medication administration for two residents. The facility took corrective actions including reassigning the nurse and providing staff in-service training.

The complaint investigation involved five complaint investigations (CI MS #25028, #24916, #24971, #24816, and #24480). Allegations included employee to resident abuse, quality of care issues related to call lights, services not provided, staffing, incontinent care, administration, and dietary services. The abuse allegations were not substantiated, but dignity and respect issues were found.

The State Agency conducted a Complaint Investigation from 5/19/24 through 5/22/24 regarding multiple complaint investigations involving allegations of employee to resident abuse, quality of care related to call lights, services not provided, staffing, incontinent care, administration, and dietary services.

The facility was found not in compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements related to residents' rights. Although allegations of abuse were not substantiated, it was determined that nursing staff failed to treat residents with dignity and respect during procedures and medication administration for two residents. The facility took corrective actions including reassigning the nurse and providing staff in-service training.

The complaint investigation involved multiple complaint IDs (MS #25028, #24916, #24971, #24816, #24480). Allegations included employee to resident abuse, quality of care issues, staffing, and dietary services. The abuse allegations were not substantiated but residents were found not treated with dignity and respect. Specific complaints involved Licensed Practical Nurse #1's disrespectful and demanding behavior toward Residents #5 and #6, causing anxiety and discomfort. The facility investigated and reassigned the nurse and provided training.

The inspection was conducted due to complaints from residents regarding disrespectful and demanding behavior by Licensed Practical Nurse (LPN) #1 during medication administration and procedures.

The facility failed to ensure nursing staff treated residents with respect and dignity during procedures and medication administration for two residents. Investigations revealed conflicting views on the nurse's behavior, with residents reporting anxiety and discomfort, while the facility cited personality conflicts and lack of evidence for abuse.

The complaint investigation was triggered by allegations from Resident #5 and Resident #6 regarding disrespectful and demanding behavior by LPN #1. The facility's investigation found the abuse allegations not valid for Resident #5, attributing issues to personality conflicts. Resident #6 reported ongoing anxiety due to the nurse's behavior. The Administrator acknowledged the complaints and moved LPN #1 to another hall after the investigation.

The State Agency conducted a follow-up revisit at the facility on 3/05/24 related to a complaint survey conducted from 1/25/24 through 1/26/24.

The State Agency found the facility to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements and recommends the facility be placed back in compliance effective 3/01/24.

The visit was related to a complaint survey conducted from 1/25/24 through 1/26/24. The facility was found to be in compliance upon follow-up.

The State Agency conducted a follow-up revisit at the facility on 3/05/24 related to a complaint survey conducted from 1/25/24 through 1/26/24.

The State Agency found the facility to be in compliance with the requirements of participation in Medicare and Medicaid and recommends the facility be placed back in compliance effective 3/01/24.

The visit was related to a complaint survey conducted from 1/25/24 through 1/26/24. The facility was found to be in compliance upon follow-up.

The State Agency conducted two complaint investigations at the facility on 03/04/2024 related to quality of care issues including untimely response to call lights, care/services not received per physician instructions, residents left wet or soiled for extended periods, lack of repositioning, no pressure sore precautions, and resident neglect related to pressure sores.

During the survey, the facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. No deficiencies were cited during this investigation, but the facility remains out of compliance due to deficiencies cited on a prior survey dated 01/26/2024.

Two complaint investigations (CI MS #24202 and CI MS #24256) were conducted. CI MS #24202 involved quality of care issues related to call light response and care per physician instructions. CI MS #24256 involved quality of care issues related to residents being left wet, soiled, not repositioned, lack of pressure sore precautions, and resident neglect related to pressure sores. The complaints were investigated and no deficiencies were cited.

The State Agency conducted two complaint investigations on 3/04/2024 related to quality of care/treatment issues including timely answering of call lights, care/services not received per physician instructions, residents left wet or soiled for extended periods, lack of repositioning, no pressure sore precautions, and resident neglect related to pressure sores.

During the survey, the facility was found to be in compliance with Medicare and Medicaid participation requirements and no deficiencies were cited for these complaint investigations. However, the facility remains out of compliance due to deficiencies cited in a prior survey dated 1/26/2024.

Two complaint investigations (CI MS #24202 and CI MS #24256) were conducted. CI MS #24202 investigated quality of care related to call light response and care per physician instructions. CI MS #24256 investigated quality of care related to residents being left wet, soiled, not repositioned, lack of pressure sore precautions, and resident neglect related to pressure sores. No deficiencies were cited from these investigations.

The State Agency conducted four complaint investigations from 1/25/24 through 1/26/24 at the facility for Quality of Care/Treatment, Facility Staffing, Resident Rights, and Neglect.

The facility was found not in compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements, with cited deficiencies related to call lights not being within reach for residents and failure to provide timely assistance with activities of daily living, including incontinent care and transfers.

Four complaint investigations (CI MS #23961, CI MS #23922, CI MS #23923, and CI MS #23924) were conducted related to Quality of Care/Treatment, Facility Staffing, Resident Rights, and Neglect. The facility was found out of compliance with repeat deficiencies.

The State Agency conducted four complaint investigations from 1/25/24 through 1/26/24 for Quality of Care/Treatment, Facility Staffing, Resident Rights, and Neglect.

The facility was found not in compliance with Medicare and Medicaid participation requirements due to deficiencies related to call lights not being within reach for residents, failure to implement comprehensive care plans, and failure to provide necessary assistance with activities of daily living, including incontinent care and transfers.

Four complaint investigations (CI MS #23961, CI MS #23922, CI MS #23923, and CI MS #23924) were conducted related to Quality of Care/Treatment, Facility Staffing, Resident Rights, and Neglect. The facility was found out of compliance due to repeat and new deficiencies.

The inspection was conducted to assess compliance with regulatory requirements related to resident care, including call light accessibility, implementation of individualized care plans, and assistance with activities of daily living.

The facility failed to ensure call lights were within reach for three of five sampled residents and did not implement care plan interventions for four of five sampled residents. Additionally, the facility failed to provide timely assistance with toileting and personal hygiene for one resident, resulting in minimal harm or potential for harm.

The State Agency conducted a Complaint Investigation (CI MS #23781) related to quality of care regarding notification and neglect related to assessment and monitoring.

During the survey, the facility was found to be in compliance with the Minimum Standards for Institutions for the Aged or Infirm, state licensure requirement. There were no deficiencies cited.

Complaint Investigation CI MS #23781 was related to quality of care regarding notification and neglect related to assessment and monitoring. The complaint was not substantiated as no deficiencies were cited.

The State Agency conducted a Complaint Investigation (CI MS 23781) regarding quality of care related to notification and neglect related failure to assessment and monitoring.

During the survey, the State Agency determined the facility was in compliance with Medicare and Medicaid requirements and no deficiencies were cited.

Complaint Investigation CI MS 23781 was investigated regarding quality of care related to notification and neglect related failure to assessment and monitoring; no deficiencies were cited.

The State Agency conducted a Complaint Investigation (CI #23353) from 12/04/23 through 12/05/23 related to Quality of Care/Treatment issues including body odor, inadequate grooming, residents left wet or soiled for extended periods, neglect related to pressure sores, resident rights, and misappropriation of resident property/clothing.

The facility failed to provide adequate Activities of Daily Living (ADL) care, specifically fingernail care, for two of four sampled residents, Resident #1 and Resident #2, who had long, dirty fingernails. Additionally, the facility failed to ensure secure storage of medication, resulting in Resident #1 ingesting zinc oxide ointment intended for topical use. Corrective actions were implemented and the medication storage deficiency was determined to be Past Non-Compliance and corrected prior to the survey.

Complaint Investigation MS #23353 was substantiated for Quality of Care/Treatment issues including inadequate grooming and neglect related to pressure sores. The medication storage deficiency was Past Non-Compliance and corrected prior to the survey.

The State Agency conducted a complaint investigation from 12/04/23 through 12/05/23 related to quality of care/treatment issues including body odor, inadequate grooming, residents left wet or soiled for extended periods, neglect related to pressure sores, resident rights, and misappropriation of resident property/clothing.

The facility was found not in compliance with Medicare and Medicaid participation requirements, citing deficiencies in Activities of Daily Living (ADL) care for dependent residents, specifically inadequate fingernail care for two residents, and failure to securely store medications, evidenced by a resident ingesting zinc oxide ointment left unattended. Corrective actions were implemented prior to the survey.

Complaint Investigation MS #23353 was substantiated with findings related to quality of care including neglect and improper medication storage. The facility was cited for deficiencies F677 and F761. The zinc oxide ingestion incident involved a CNA feeding the ointment to a resident, leading to immediate corrective actions including removal of the CNA, staff in-service training, and audits.

The inspection was conducted to assess compliance with care standards related to Activities of Daily Living (ADL) care, medication storage, and secure handling of drugs and biologicals in the facility.

The facility failed to provide adequate fingernail care for two of four sampled residents, resulting in long, dirty fingernails. Additionally, the facility failed to ensure secure storage of medications, as evidenced by a resident ingesting zinc oxide ointment left unattended at the bedside. The facility implemented corrective actions including staff training and monitoring.

The State Agency conducted a desk review of information related to the annual survey completed on 09/14/2023 to confirm compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The facility was found to be in compliance based on the information provided, and the State Agency recommended the facility be placed back in compliance effective 10/20/2023.

The State Agency conducted a desk review of information related to the annual survey completed on 2023-09-14 to assess compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm.

The facility was confirmed to be in compliance with the Minimum Standards of Operation, and the State Agency recommended the facility be placed back in compliance effective 2023-10-20.

The State Agency conducted a desk review of information related to the annual survey completed on 09/14/23 to verify corrective measures taken by the facility.

The information provided confirmed that the facility had implemented measures to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements. The facility was recommended to be placed back in compliance effective 10/20/23.

The State Agency conducted a desk review of information related to the annual survey completed on 09/14/23 to verify corrective measures taken by the facility.

The facility provided information confirming that measures were put in place to correct the deficient practice and sustain compliance with Medicare and Medicaid requirements. The State Agency recommended the facility be placed back in compliance effective 10/20/23.

The State Agency conducted an annual recertification survey and Complaint Investigation (CI), MS #22398, at the facility from 09/12/23 through 09/14/23. The investigation was related to facility staffing, call bell response, care per physician orders, dietary services, resident rights, and physical environment concerns including offensive odors.

The facility was found not in compliance with Minimum Standards for Institutions for the Aged or Infirm and state licensure requirements. Deficiencies included failure to maintain an odor-free environment, improper use of physical restraints (full-length bed rails without physician orders), inadequate respiratory care practices, improper infection control related to disposal of soiled dressings, and failure to prevent infection risks related to respiratory tubing handling.

Complaint Investigation MS #22398 was conducted related to facility staffing, call bell response, care per physician orders, dietary services, resident rights, and physical environment issues including offensive odors.

The State Agency conducted an annual recertification survey and complaint investigation related to facility staffing, call bell response, care per physician orders, dietary services, resident rights, and physical environment issues including offensive odors.

The facility was found not in compliance with Medicare and Medicaid participation requirements, citing deficiencies related to safe and clean environment, residents' rights to be free from physical restraints, respiratory care, and infection prevention and control.

Complaint investigation MS #22398 related to facility staffing, call bell response, care per physician orders, dietary services, resident rights, and physical environment issues including offensive odors.

The survey was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).

The facility met the applicable provisions of the 2012 Edition of the Life Safety Code, and no LSC deficiencies were cited during this survey.

The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable emergency preparedness requirements with no deficiencies cited.

The State Agency conducted an annual recertification survey and Complaint Investigation related to facility staffing, call bell response, care per physician orders, dietary services, resident rights, and physical environment issues including offensive odors.

The facility was found not in compliance with state licensure requirements, citing issues with resident rights, restraints, oxygen tubing, and infection control. Specifically, strong urine odors were noted in hallways and biohazard rooms, and a resident was found restrained with full-length bed rails without proper physician orders or documentation.

Complaint Investigation MS #22398 was related to facility staffing, call bell response, care per physician orders, dietary services, resident rights regarding dignity and respect, and offensive odors in the facility.

The State Agency conducted an annual recertification survey and Complaint Investigation related to facility staffing, call bell response times, care per physician orders, dietary services, resident rights, and physical environment issues including offensive odors.

The facility was found not in compliance with Medicare and Medicaid participation requirements, citing deficiencies including failure to provide a safe, clean, comfortable, and homelike environment due to strong urine odors in two of three facility halls (Central and North Halls).

Complaint Investigation MS #22398 was related to facility staffing, call bell not answered timely, care not received per physician orders, dietary services, resident rights related to dignity and respect, and physical environment related to offensive odors.

The inspection was conducted to evaluate the facility's compliance with regulations regarding providing a safe, clean, comfortable, and homelike environment free of urine odor in the facility halls.

The facility failed to provide an environment free of urine odor in two of three facility halls (Central Hall and North Hall). Observations and interviews confirmed strong urine odors primarily due to trash and laundry buildup in biohazard rooms on each hall.

The inspection was conducted to assess compliance with regulatory requirements related to resident rights, physical restraints, respiratory care, infection prevention, and environmental conditions at Lakeland Community Care Center.

The facility was found to have multiple deficiencies including failure to maintain a urine odor-free environment in two halls, improper use of physical restraints without physician orders, inadequate respiratory care practices risking infection, and failure to properly dispose of soiled dressings leading to potential infection spread.

The State Agency conducted a Complaint Investigation at the facility for two complaints from 5/15/23 through 5/16/23 related to Quality of Care/Treatment including timing of resident medications, resident abuse, answering the call bell, incontinent care, and accidents related to an unwitnessed fall.

The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm, and no deficiencies were cited during the investigation.

The investigation involved two complaints: CI MS #21102 concerning Quality of Care/Treatment related to timing of resident medications and resident abuse, and CI MS #21415 concerning Quality of Care/Treatment related to answering the call bell, incontinent care, and accidents related to an unwitnessed fall. Both complaints were investigated and no deficiencies were cited.

The State Agency conducted a Complaint Investigation at the facility for two complaints related to quality of care/treatment, including timing of resident medications, resident abuse, answering the call bell, incontinent care, and accidents related to unwitnessed falls.

During the survey, the facility was found to be in compliance with Medicare and Medicaid requirements, and no deficiencies were cited related to the complaints investigated.

The investigation covered two complaints: CI MS #21102 regarding timing of resident medications and resident abuse, and CI MS #21415 regarding answering the call bell, incontinent care, and accidents related to unwitnessed falls. No deficiencies were cited.

The State Agency conducted a complaint investigation at the facility for three complaints involving alleged neglect of a resident, failure to answer the facility telephone, poor quality of care by staff, odors of feces and urine in the building, vomit on the floor, and staff refusing to assist a resident to use the restroom.

During the survey, the State Agency determined the facility was in compliance with the Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm and cited no deficiencies.

The investigation involved three complaints: MS #20872 for alleged neglect, MS #20876 for odors and vomit, and MS #21008 for staff refusing to assist a resident. The facility was found compliant with no deficiencies cited.

The State Agency conducted a complaint investigation at the facility for three complaints involving alleged neglect of a resident, failure to answer the facility telephone, poor quality of care by staff, odors of feces and urine, vomit on the floor, and staff refusing to assist a resident with restroom use.

During the survey, the State Agency determined the facility was in compliance with Medicare and Medicaid requirements and cited no deficiencies.

The investigation involved three complaints: MS #20872 for alleged neglect and poor quality of care, MS #20876 for odors and vomit in the building, and MS #21008 for staff refusing to assist a resident with restroom use. The facility was found compliant with no deficiencies cited.

The State Agency conducted a Complaint Investigation at the facility from 12/27/22 to 12/29/22 regarding multiple complaint numbers MS #20277, MS #19735, and MS #19727.

The facility was found to be in compliance with the Mississippi Regulations for Minimum Standards for Institutions for The Aged or Infirm. Complaints related to abuse, incontinent care, pressure sores, and roaches were not substantiated, and no deficiencies were cited.

Complaint investigation included MS #20277 (not substantiated for abuse), MS #19735 (not substantiated for incontinent care, pressure sores, or roaches), and MS #19727 (not substantiated for incontinent care). No deficiencies cited.

The State Agency conducted a COVID-19 Focused Infection Control Survey and a Complaint Investigation at the facility from 12/27/22 to 12/29/22.

The facility was found to be in compliance with infection control regulations and Medicare and Medicaid participation requirements. No deficiencies were cited related to infection control or the complaint allegations, which were not substantiated.

Complaint investigations MS #20277, MS #19735, and MS #19727 were not substantiated for abuse, incontinent care, pressure sores, or roaches, with no deficiencies cited.

A COVID-19 Focused Infection Control Survey was conducted at the facility by the State Agency from 12/27/22 to 12/29/22 to assess compliance with infection control regulations.

The facility was found to be in compliance with 42 CFR 483.80 infection control regulations and has implemented the CMS and CDC recommended practices to prepare for COVID-19.

The State Agency conducted a Complaint Investigation at the facility from 12/27/22 to 12/29/22 regarding multiple complaint numbers MS #20277, MS #19735, and MS #19727.

The facility was found to be in compliance with Mississippi Regulations for Minimum Standards for Institutions for The Aged or Infirm. Complaints MS #20277, MS #19735, and MS #19727 were not substantiated, and no deficiencies were cited.

Complaint MS #20277 was not substantiated for abuse; MS #19735 was not substantiated for incontinent care, pressure sores, or roaches; MS #19727 was not substantiated for incontinent care.

The State Agency conducted a COVID-19 Focused Infection Control Survey and a Complaint Investigation at the facility from 12/27/22 to 12/29/22.

The facility was found to be in compliance with infection control regulations and Medicare and Medicaid participation requirements. No deficiencies were cited related to infection control or the complaints investigated, which were not substantiated.

Complaint investigations MS #20277, MS #19735, and MS #19727 were not substantiated for abuse, incontinent care, pressure sores, roaches, or incontinent care, with no deficiencies cited.

The State Agency conducted a Complaint Investigation at the facility from 10/20/22 through 10/21/22 regarding complaints MS #19677 and MS #18675.

The facility was found to be in compliance with Mississippi Regulations for Minimum Standards for Institutions for the Aged or Infirm. The complaints regarding incontinence care, following physician orders, staffing, and resident neglect were not substantiated. No deficiencies were cited.

Complaint Investigation MS #19677 and MS #18675 were not substantiated. Complaints involved incontinence care, following physician orders, staffing, and resident neglect.

The State Agency conducted a complaint investigation at the facility from 10/20/22 through 10/21/22 related to complaints MS #19677 and MS #18675 regarding incontinence care, following physician orders, staffing, and resident neglect.

The facility was found to be in compliance with Medicare and Medicaid requirements. The complaints were not substantiated and no deficiencies were cited.

Complaint investigation for MS #19677 and MS #18675 was conducted. The complaints regarding incontinence care, following physician orders, staffing, and resident neglect were not substantiated.

The State Agency conducted a complaint investigation at the facility from 10/20/22 through 10/21/22 related to complaints MS #19677 and MS #18675.

The facility was found to be in compliance with Medicare and Medicaid requirements. The complaints regarding incontinence care, following physician orders, staffing, and resident neglect were not substantiated. No deficiencies were cited.

Complaints MS #19677 and MS #18675 were investigated and not substantiated.

The State Agency conducted a complaint investigation at the facility from 3/16/22 through 3/18/22 related to multiple complaint survey numbers.

The facility was found to be in compliance with the Minimum Standards for Institutions For The Aged or Infirm. None of the complaints regarding pressure sores, infection control, physician orders not followed, family notification, hydration, or pressure sore prevention were substantiated, and no deficiencies were cited.

The State Agency did not substantiate complaints MS #18571, MS #18417, MS #18335, and MS #18254 for issues including pressure sores, infection control, physician orders not followed, family notification, hydration, and pressure sore prevention.

The State Agency conducted a Complaint Investigation at the facility from 3/16/22 through 3/18/22 related to multiple complaint survey numbers.

The facility was found to be in compliance with Medicare and Medicaid requirements. None of the complaints regarding pressure sores, infection control, physician orders, family notification, hydration, or pressure sore prevention were substantiated and no deficiencies were cited.

The State Agency did not substantiate complaints MS #18571, MS #18417, MS #18335, and MS #18254 for issues including pressure sores, infection control, physician orders not followed, family notification, and hydration.

The State Agency conducted a follow-up/revisit survey on 10/15/21 for an annual and complaint survey completed from 8/9/21 through 8/13/21.

The facility was found to be in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm and state licensure requirements effective 10/6/21.

The State Agency conducted a follow-up/revisit survey on 10/15/21 for an annual survey with four complaint investigations.

The facility was found to be in compliance with the requirements for participation in Medicare and Medicaid effective 10/6/21.

The State Agency conducted a follow-up/revisit survey on 10/15/21 for an annual and complaint survey completed from 8/9/21 through 8/13/21.

The facility was found to be in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm and state licensure requirements effective 10/6/21.

The State Agency conducted three complaint investigations (CI #18149, #18007, and #18029) from 10/13/21 through 10/14/21.

The facility was found to be in compliance with the Minimum Standards of Operation for Institutions for the Aged or Infirm and state licensure requirements.

Three complaint investigations were conducted, and the facility was found compliant.

The State Agency conducted a complaint survey for Complaint Investigation (CI) #18149 regarding Resident Rights/denied visitation and Quality of Care/not giving medication according to physician instructions, CI #18007 for Admission, Transfer, & Discharge Rights, and CI #18029 for Quality of Care/staffing on 10/13/21 through 10/14/21.

The complaints investigated during the survey were unsubstantiated.

Complaint Investigation (CI) #18149 for Resident Rights/denied visitation and Quality of Care/not giving medication according to physician instructions, CI #18007 for Admission, Transfer, & Discharge Rights, and CI #18029 for Quality of Care/staffing. Complaints were unsubstantiated.

An Annual Survey and four Complaint Investigations were conducted by the State Agency from 8/9/21 through 8/13/21 to assess compliance with infection control regulations and other standards.

The facility was found not in compliance with infection control regulations related to COVID-19 practices, specifically involving a meal tray contamination incident exposing a resident to potential COVID-19 infection. Several deficiencies were cited during the Annual Survey.

Four complaint investigations were conducted (CI MS #17587, #17976, #17971, and #17967). Three were not substantiated. CI MS #17967 was substantiated for Infection Control related to the meal tray contamination incident.

An Annual Survey and four Complaint Investigations were conducted from 8/9/21 through 8/13/21 to assess compliance with Minimum Standards of Operation and state licensure requirements.

The facility was found not in compliance with residents' rights related to bathing and visitation during a COVID-19 outbreak, and failed to prevent the spread of food-borne illness due to undercooked chicken served. Several residents reported not receiving showers per their preference and visitation was suspended due to COVID-19. The facility took corrective actions including staff in-service and monitoring.

Four complaint investigations were conducted; three were not substantiated and one was substantiated for Infection Control with deficiency cited at the Federal level.

The inspection was conducted as a routine survey to assess compliance with regulatory requirements including resident rights, care planning, infection control, food safety, and discharge notification.

The facility was found deficient in multiple areas including failure to honor resident self-determination regarding bathing preferences, failure to allow visitation during a COVID-19 outbreak, failure to notify residents or representatives in writing of hospital transfers, failure to follow comprehensive care plans for bathing preferences, failure to ensure food safety with undercooked chicken served, and failure to prevent possible spread of infection related to meal tray handling in COVID-19 units.

An Annual Survey and four Complaint Investigations were conducted by the State Agency from 08/09/2021 through 08/13/2021.

The facility was found not to be in compliance with Minimum Standards of Operation for Institutions for the Aged or Infirm and state licensure requirements at M500 and M815. Three complaint investigations were not substantiated, while one complaint investigation was substantiated for Infection Control with a deficiency cited at the Federal level.

Four complaint investigations were conducted: CI MS #17587, CI MS #17976, CI MS #17971, and CI MS #17967. CI MS #17587, CI MS #17976, and CI MS #17971 were not substantiated. CI MS #17967 was substantiated for Infection Control.

The inspection was conducted due to complaints regarding failure to honor residents' rights to showers and visitation, failure to notify residents or representatives of hospitalizations, failure to follow care plans, food safety concerns, and infection control issues.

The facility failed to provide showers per resident choice for five residents during a COVID-19 outbreak, restricted visitation for several residents due to COVID-19, failed to notify residents or representatives timely about hospitalizations for four residents, did not follow comprehensive care plans regarding bathing for five residents, served undercooked chicken posing foodborne illness risk, and failed to prevent possible spread of infection by exposing a resident to a meal tray from a contaminated COVID-19 unit.

The complaint investigation was triggered by allegations that the facility failed to provide showers per resident choice, restricted visitation improperly, failed to notify residents or representatives of hospitalizations, did not follow care plans, served undercooked food, and failed infection control protocols exposing residents to COVID-19.

The survey was conducted to assess compliance with the 2012 Edition of the Life Safety Code (LSC) of the National Fire Protection Association (NFPA).

The facility met the applicable provisions of the 2012 Edition of the Life Safety Code with no deficiencies cited during this survey.

The survey was conducted to assess the facility's compliance with Federal, State, and local emergency preparedness requirements.

The facility met all applicable Federal, State, and local emergency preparedness requirements. No deficiencies were cited during the survey.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency from March 8, 2021 through March 11, 2021.

The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness requirements.

The State Agency conducted multiple complaint investigations related to Quality of Care, Physical Environment, Abuse/Neglect, Staffing, Dietary, Administration, and a COVID-19 survey from 03/08/21 through 03/11/21.

During the survey, the complaints were not substantiated and no deficiencies were cited, including no deficiencies related to the COVID-19 Focused Infection Control survey.

Multiple complaint investigations were conducted for various concerns including Quality of Care, Abuse/Neglect, Staffing, Environmental, Dietary, and Administration. None of the complaints were substantiated.

A COVID-19 Focused Infection Control Survey and multiple complaint investigations were conducted from 03/08/21 through 03/11/21 related to Quality of Care, Physical Environment, Abuse/Neglect, Staffing, Dietary, Environmental, Housekeeping, and Administration concerns.

The facility was found to be in compliance with infection control regulations and CMS/CDC recommended practices for COVID-19. The State Agency did not substantiate the complaints during the survey.

Multiple complaint investigations (CI MS 16580, 16975, 17104, 17107, 17254, 17255, 17506, 17508) were conducted related to Quality of Care, Abuse/Neglect, Staffing, Environmental, Dietary, Housekeeping, and Administration concerns. None of the complaints were substantiated.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency from March 8, 2021 through March 11, 2021.

The facility was found to be in compliance with 42 CFR 483.73 related to emergency preparedness requirements.

The State Agency conducted multiple complaint investigations related to Quality of Care, Physical Environment, Abuse/Neglect, Staffing, Dietary, Administration, and a COVID-19 survey from 03/08/21 through 03/11/21.

During the survey, the complaints were not substantiated and no deficiencies were cited, including no deficiencies related to the COVID-19 Focused Infection Control survey.

Multiple complaint investigations were conducted for various concerns including Quality of Care, Abuse/Neglect, Staffing, Environmental, Dietary, and Administration. None of the complaints were substantiated.

A COVID-19 Focused Infection Control Survey was conducted along with multiple complaint investigations related to Quality of Care, Physical Environment, Abuse/Neglect, Staffing, Dietary, Administration, and Housekeeping concerns from 03/08/21 through 03/11/21.

The facility was found to be in compliance with infection control regulations and implemented recommended COVID-19 practices. The State Agency did not substantiate the complaints during the survey.

Multiple complaint investigations (CI MS 16580, 16975, 17104, 17107, 17254, 17255, 17506, 17508) were conducted from 03/08/21 through 03/11/21. The complaints were not substantiated by the State Agency.

A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and implementation of CMS and CDC recommended practices for COVID-19 preparation.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented the CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency on 12/29/2020 to assess compliance with federal regulations related to emergency preparedness.

The facility was found to be in compliance with 42 CFR §483.73 related to emergency preparedness requirements.

A COVID-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the State Agency on 12/29/2020.

The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).

The State Agency conducted a COVID-19 Infection Control survey along with complaint investigations from 10/12/2020 to 10/14/2020.

The facility was found not in compliance with Minimum Standards for the Aged or Infirm due to environmental concerns (M-1010). No deficiencies were cited related to the COVID-19 Focused Infection Control survey. Several complaints related to quality of care were not substantiated and had no deficiencies cited.

Complaints MS #16607, MS #16711, MS #16738, MS #16791, and MS #16684 were investigated. Complaints MS #16607, MS #16711, MS #16738, and MS #16791 related to quality of care were not substantiated with no deficiencies cited.

A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS) on 10/14/2020.

The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).

The State Agency conducted a COVID-19 Infection Control survey along with complaint investigations (MS #16607, MS #16711, MS #16738, MS #16791, and MS #16684) from 10/12/2020 to 10/14/2020 to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance due to environmental concerns related to unsafe, unclean, and uncomfortable conditions in resident care areas, including debris buildup, soiled floors, walls, doors, and privacy curtains in multiple resident rooms and hallways. No deficiencies were cited related to COVID-19 infection control or quality of care complaints. The facility failed to maintain a safe, clean, comfortable, and homelike environment in 14 of 110 resident rooms and all hallways inspected.

The complaint investigation included multiple complaint numbers (MS #16607, MS #16711, MS #16738, MS #16791, and MS #16684). The State Agency did not substantiate complaints MS #16607, MS #16711, MS #16738, and MS #16791 related to quality of care, with no deficiencies cited. The deficiency cited was related to environmental concerns (F-684).

A COVID-19 Focused Emergency Preparedness Survey was conducted by the Centers for Medicare & Medicaid Services (CMS).

The facility was found to be in compliance with 42 CFR §483.73 related to E-0024 (b)(6).

The State Agency conducted a COVID-19 Infection Control survey along with complaint investigations from 10/12/2020 to 10/14/2020 to determine compliance with Minimum Standards for the Aged or Infirm.

The facility was found not in compliance due to environmental concerns related to housekeeping and cleanliness in resident care areas, including buildup of debris, sticky substances on floors and walls, soiled doors and curtains, and overflowing trash in multiple resident rooms and hallways. No deficiencies were cited related to COVID-19 infection control or quality of care complaints.

The survey included complaints MS #16607, MS #16711, MS #16738, MS #16791, and MS #16684. The complaints related to quality of care were not substantiated and no deficiencies were cited for those. The environmental concerns were substantiated.

The inspection was conducted to assess the facility's compliance with regulations regarding providing a safe, clean, comfortable, and homelike environment for residents.

The facility failed to maintain a safe, clean, and homelike environment in resident care areas, with debris buildup, soiled floors, walls, doorframes, and furniture in multiple resident rooms and hallways. Housekeeping and maintenance deficiencies were noted, and corrective actions including cleaning, repairs, and staff in-service trainings were implemented.

The State Agency conducted a COVID-19 Infection Control survey along with complaint investigations (MS #16607, MS #16711, MS #16738, MS #16791, and MS #16684) from 10/12/2020 to 10/14/2020 to determine compliance with Medicare and Medicaid participation requirements.

The facility was found not in compliance due to environmental concerns cited under F-684. Complaints MS #16607, MS #16711, MS #16738, and MS #16791 related to quality of care were not substantiated and no deficiencies were cited related to the COVID-19 Focused Infection Control survey.

Complaints MS #16607, MS #16711, MS #16738, and MS #16791 related to quality of care were not substantiated. No deficiencies were cited related to these complaints or the COVID-19 Focused Infection Control survey.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and recommended practices for COVID-19 preparation.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices for COVID-19 preparation.

The State Survey Agency conducted a complaint investigation on 7/8/2020.

The investigation was unsubstantiated with no deficiencies cited for Neglect, Physician Services, Quality of Care, Accidents, and Physical Environment. The facility was determined to be in compliance with Medicare and Medicaid requirements for participation.

The complaint investigation was unsubstantiated with no deficiencies cited.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices for COVID-19 preparation.

A Covid-19 Focused Infection Control Survey was conducted by the State Agency to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and had implemented CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Infection Control Survey was conducted to assess compliance with infection control regulations and preparedness for COVID-19.

The facility was found to be in compliance with 42 CFR §483.80 infection control regulations and has implemented CMS and CDC recommended practices to prepare for COVID-19.

A COVID-19 Focused Emergency Preparedness Survey was conducted by Healthcare Management Solutions, LLC on behalf of the Centers for Medicare & Medicaid Services (CMS).

The facility was found to be in compliance with 42 CFR 483.83 related to emergency preparedness requirements.

The State Survey Agency conducted a complaint investigation at the facility on 1/16/2020.

The investigation was unsubstantiated with no deficiencies cited. The facility was found to be in compliance with Medicare and Medicaid requirements for participation.

Complaint investigation was unsubstantiated with no deficiencies cited.

The State Survey Agency conducted a complaint investigation at the facility.

The investigation was unsubstantiated with no deficiencies cited. The facility was found to be in compliance with Medicare and Medicaid requirements for participation.

The complaint investigation was unsubstantiated with no deficiencies cited.

A complaint investigation was conducted at the facility on August 28, 2019.

The investigation was unsubstantiated with no deficiencies cited.

The complaint investigation was unsubstantiated with no deficiencies cited.

A standard annual survey was conducted at Lakeland Nursing and Rehabilitation from April 15, 2019 through April 18, 2019 to assess compliance with Medicare/Medicaid participation requirements.

The facility was found to be in substantial compliance with Medicare/Medicaid requirements. No deficiencies were cited in the Life Safety Code survey or the emergency preparedness survey.

A standard survey was conducted at Lakeland Nursing and Rehabilitation from April 15, 2019 through April 18, 2019 to assess compliance with the Minimum Standards for the Aged and Infirmed.

The standard survey revealed that the facility was in substantial compliance with the requirements of participation in the Minimum Standards for the Aged and Infirmed.