4 Reports
Inspection Report — Jan 16, 2026
Routine
Date: Jan 16, 2026
Visit Reason
The page covers the inspection history of Vi at Lakeside Village including 15 surveyor visits from May 8, 2013 to January 16, 2026.
Findings
Across the inspection history, 4 deficiencies were recorded with 1 serious deficiency. The most recent visit on January 16, 2026 recorded no deficiencies.
Citations (4)
Emergency Management Planning — cited July 8, 2024, corrected October 31, 2024
Background Screening Clearinghouse — cited November 4, 2021, corrected January 18, 2022
Resident Care - Social & Leisure Activities — cited September 21, 2017, corrected November 13, 2017
Medication - Administration — cited May 8, 2013, corrected September 5, 2013
Report Facts
Inspections: 15
Visits with deficiencies: 4
Clean visits: 7
Deficiencies: 4
Serious deficiencies: 1
Legal actions: 4
Total fines: 6025
Inspection Report — Aug 15, 2024
Routine
Date: Aug 15, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to housekeeping, maintenance, food preparation, and food service safety at VI at Lakeside Village nursing home.
Findings
The facility failed to maintain a sanitary, orderly, and comfortable environment in multiple resident rooms, common areas, and dining facilities. Food service deficiencies included failure to prepare food according to individual resident dietary needs and inadequate sanitation and temperature control in the kitchen.
Citations (3)
F 0584: The facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for multiple resident rooms, dining room, community shower room, main entrance, and soiled utility room.
F 0805: The facility failed to prepare food in a form designed to meet the individual needs of Resident #23 who had a physician-ordered mechanical soft ground diet; the food served was chopped, not ground as ordered.
F 0812: The facility failed to store, prepare, distribute, and serve food in accordance with professional standards, including inadequate sanitizing solution concentration in the dishwasher, improper food temperatures, unsanitary kitchen conditions, and contaminated serving utensils.
Report Facts
Resident rooms affected: 12
Dining room chairs soiled: 3
Dining room windows soiled: 20
Light fixtures soiled: 5
Food tray stands rusted: 4
Glasses with white film: 26
Sanitizer concentration in dishwasher: 0
Temperature of cooked broccoli: 122
Temperature of cottage cheese: 49
Temperature of shrimp salad: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Administrator | Confirmed surveyor findings and acknowledged housekeeping and maintenance issues | |
| Staff B | Food Service Manager | Observed food preparation and sanitation issues, acknowledged concerns about food texture and kitchen sanitation |
| Staff C | Registered Dietitian | Verified diet orders and sanitation issues, provided diet manual excerpt, and participated in kitchen sanitation review |
| Staff D | Cook | Prepared food samples and demonstrated chopping technique for food texture |
Inspection Report — Jun 15, 2023
Annual Inspection
Date: Jun 15, 2023
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for nursing home care.
Findings
The facility was found deficient in honoring resident preferences for bathing, providing appropriate catheter care, and documenting resident acknowledgment of the Binding Arbitration Agreement. Deficiencies were noted in resident choice accommodation, catheter hygiene, and administrative documentation.
Citations (3)
F 0561: The facility failed to accommodate a resident's choice for showers, as Resident #291 did not receive showers according to her stated preference until the surveyor's intervention.
F 0690: The facility failed to provide adequate catheter care for Resident #5, including improper cleaning technique and failure to secure the catheter, contributing to recurrent urinary tract infections.
F 0847: The facility failed to provide the Binding Arbitration Agreement in writing and lacked evidence that residents or representatives acknowledged understanding the agreement. The census at the time was 47 residents.
Report Facts
Residents present: 47
New admissions: 17
Showers documented but not given: 2
Wipes used: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant (CNA B) | Assigned to Resident #291, involved in shower provision and interview | |
| Certified Nursing Assistant (CNA C) | Documented showers not actually given to Resident #291 | |
| Certified Nursing Assistant (CNA D) | Observed providing catheter care to Resident #5 | |
| Certified Nursing Assistant (CNA E) | Assisted with catheter care for Resident #5 | |
| Registered Nurse (Staff A) | Assigned nurse for Resident #291, confirmed shower provision | |
| Director of Nursing (DON) | Interviewed regarding catheter care deficiency | |
| Outreach Manager (Admissions and Marketing) | Interviewed regarding Binding Arbitration Agreement process |
Inspection Report — Feb 17, 2022
Annual Inspection
Date: Feb 17, 2022
Visit Reason
Annual survey inspection of the nursing home facility to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
3 CMS Surveys
CMS Survey — Feb 17, 2022
Feb 17, 2022
CMS Survey — Jun 15, 2023
Jun 15, 2023
CMS Survey — Aug 15, 2024
Aug 15, 2024
Loading inspection reports...
