Inspection·December 11, 2025

F 0687 Provide appropriate foot care. Level of Harm - Minimal harm or potential for actual harm Based on observation, interviews, and record review, the facility failed to ensure that eight (Residents #1, #2, #3, #4, #5, #6, #7, and #8) of eight residents reviewed for foot care were provided with foot care consistent with professional standards of practice, including assisting residents in making necessary appointments with qualified healthcare providers such as podiatrists. Failure to provide appropriate foot care can result in ingrown toenails, fungal infections, skin infections, and can potentially impact the resident's dignity and sense of self-worth.The findings include:1.On 12/11/25 at 9:45 AM, Resident #1 was observed in her room with Certified Nursing Assistant (CNA) B. When asked if anyone had looked at her feet or if she had seen a Podiatrist, Resident #1, replied, No. CNA B removed the resident's socks. Her toenails were very thick and discolored. The resident then gave permission to photograph her toenails. (Photographic evidence obtained)A review of Resident #1's Physician's orders revealed that no order (current, past, or discontinued) was found for podiatry care/visit/referral.2. On 12/11/25 at 9:48 AM, an interview was conducted with resident #2's daughter in the resident's room. When asked about Podiatry care, she stated her mother had not seen a Podiatrist. When asked to see her mother's toenails, she uncovered her feet. The resident's toenails were long and thick. The daughter gave permission to photograph Resident #2's toenails. (Photographic evidence obtained)A review of Resident #2's Physician's orders revealed that no order (current, past, or discontinued) was found for podiatry care/visit/referral.3. On 12/11/25 at 9:58 AM, Resident #3 was interviewed in his room. The resident was sitting in his wheelchair with his shoes and socks on. When asked about his toenails, he stated they are not cut here. He stated he would like to have them cut because they are very long. A review of Resident #3's Physician's orders revealed that no order (current, past, or discontinued) was found for podiatry care/visit/referral.4. On 12/11/25 at 10:03 AM, Resident #4 was interviewed in his room. The resident was in his bed covered with a blanket. When asked about his care, he stated it was ok. When asked about his toenails, he stated they were very tender and removed the blanket. The resident's toenails were very long and thick. Resident #4 gave permission to photograph his toenails. (Photographic evidence obtained) A review of Resident #4 medical record revealed a Podiatry note: Thick and elongated toenails (Appt time: 2/26/2025 12:30:00 PM) (Arrival time: 9:33 AM) physician removed borders of toenails that were painful on right and left feet. There were no other notes in electronic chart regarding foot/toenail care.5. On 12/11/25 at 12:30 PM, a brief interview was conducted with Resident #5. He stated that he would like to have his nails cut because they bothered him. His toenails were observed to be very long. The resident gave permission to photograph his toenails. (Photographic evidence obtained) A review of Resident #5's Physician's orders revealed that no order (current, past, or discontinued) was found for podiatry care/visit/referral.6. On 12/11/25 at 12:33 PM, a brief interview was conducted with Resident #6. He stated his last podiatry visit was in February, and now he is having transportation difficulties. The resident stated his toenails were hurting his skin and painful and he needed to have them cut. His toenails were observed to be very long. The resident gave permission Residents Affected - Some (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 105262 Printed: 05/28/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 105262 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/11/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Blue Lake Post Acute 991 E New York Ave Deland, FL 32724 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)