Inspection visit
Inspection
3 citations recorded
Inspector’s narrative
What the inspector wrote
This survey cited 3 deficiencies. The full statement and the facility’s plan of correction follow, verbatim from the federal record.
F 0584
Level of Harm - Minimal harm
or potential for actual harm
Honor 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.
Based on observations, interviews, and record review, the facility failed to ensure therapy gym equipment
was maintained in a safe and operative manner for one of one sampled therapy rooms.
Residents Affected - Few
Findings included:
An interview was conducted on 8/6/24 at 1:25 p.m. with Resident #6. She said she received physical
therapy three times a week to help with standing and walking. She said the parallel bars in the therapy gym
were not secure. She said one side of the parallel bars moved and the therapist told her the screw was
stripped. She said she used the parallel bars, and she asked the therapy staff to have her stand on the side
of the parallel bars where the screw was not stripped because she did not want to fall. She also said one of
machines in the therapy room was missing a handle. She said she did not use the machine, but she saw
other residents using the machine.
An observation and interview were conducted 8/6/24 at 2:39 p.m. of the therapy gym equipment. There was
one set of parallel bars located in the middle of the room on an elevated surface. The left side of the parallel
bar was able to freely move in and away from the right-side parallel bar. The nu-step machine had a
missing handle. An interview was conducted with Staff B, Physical Therapy Assistant (PTA) he said he had
worked at the facility for two months. He confirmed the left side of the parallel bars was not secure and
moved in and out because the screw to secure the bar did not tighten. He said when residents used the
parallel bars and he would push his body against the left bar while the residents were standing or walking
to ensure the bar did not slide. He also confirmed the nu-step handle was missing from the machine and he
confirmed residents still used the machine but they only utilized the feet function of the machine. He said
the handle on the nu-step machine had been broken for many months, since before he started at the
facility, and the parallel bars had been broken for a couple months.
An interview was conducted on 8/6/24 at 2:41 p.m. with the Rehabilitation Director. She said the left side of
the parallel bars were not secure and the maintence director fixed it. She observed the parallel bars and
confirmed the left bar was still not secure and slid freely in and out towards the right side of the parallel
bars. The Rehabilitation Director said the screw that was in the parallel bars was the fix the maintence
director did prior. She did not know when the last time the Maintence Director fixed the parallel bars but she
said she would put in a work order. She observed the Nu-Step machine and confirmed it was missing a
handle. She said residents did not use the machine. She said the Maintence Director knew about the
missing handle and had the part to fix it. She said she did not know how long it had been broken and she
did not know why maintence had not fixed the machine.
(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 7
Event ID:
105620
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
105620
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/06/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Highlands Lake Center
4240 Lakeland Highlands Rd
Lakeland, FL 33813
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)
F 0584
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
An interview was conducted on 8/6/24 at 4:42 p.m. with the Maintence Director and the Nursing Home
Administrator (NHA). The Maintence Director said he started working at the facility in 2010 and became the
Maintence Director in July of 2024. He said he knew there was a problem with the parallel bars in the
therapy gym. He said he knew the parallel bars was not secure because the knob on the screw was broken.
He said when he fixed it on an unknown date, he just took off the knob and left the screw in place. He
confirmed there was not a work order for the parallel bars. He said the staff would just come up to him or
another maintence employee and tell them what was wrong but now he wanted them to put everything in
the work order tracking system so it could be tracked. The NHA confirmed the residents who were at the
facility for rehabilitation used the parallel bars to stand and walk. He said the expectation would have been
for the therapy staff to take the broken equipment out of service and put a work order into the tracking
system every day until it got fixed. The Maintence Director said the locking screws were used to expand the
parallel bars and secure the bar in place. He said the Nu-Step machine had been broken for a couple
months. The locking mechanism on the arm of the handle of the machine was broken. He stated, I'm having
a hard time finding the part to fix it, so I have glued it back together and I put tape around the broken parts
and the arm of the machine and now I am just waiting for the glue to ferment. The Maintenance Director
said he did not know how long it took for the glue to set. He said there was not a work order in the tracking
system related to the Nu-Step machine. The NHA reviewed the work orders in work order tracking system
going back as far as January of 2024 and confirmed there was not a work order related to the Nu-Step
Machine.
An interview was conducted with the NHA on 8/6/24 at 5:50 p.m. he said the facility did not have a policy
related to maintaining equipment in a safe and working order.
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105620
If continuation sheet
Page 2 of 7
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
105620
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/06/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Highlands Lake Center
4240 Lakeland Highlands Rd
Lakeland, FL 33813
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)
F 0585
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must
establish a grievance policy and make prompt efforts to resolve grievances.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to ensure the grievance process was followed for one (#5) of
eleven sampled residents.
Findings included:
A review of Resident #5's clinical record, the face sheet, documented an admission of 03/02/2022,
readmission of 01/08/2024.
A review of Resident #5's medical diagnosis list included: Parkinson's disease, Diffuse traumatic Brain
injury, epilepsy, unspecified convulsions and muscle wasting.
A review of the Minimum Data Set Annual Assessment, dated 03/27/2024, showed a Brief Interview for
Mental Status score of 6, which indicated severe cognitive impairment.
A phone interview was conducted on 08/06/2024 at approximately 4:15 p.m. with Resident #5's family
member. The family member stated the resident was transferred to the hospital on [DATE]. The resident had
a fever and was shaking on 06/23/2024 but the family member had not been notified of this.
A review of the Grievance form, dated 06/27/2024, documented Resident #5's family member submitted a
complaint: was not notified of resident having a fever. The form was blank in the area that would indicate the
date of the occurrence, the form documented the 3-11 shift; the form did not document who completed the
form; the form did not document the person investigating the complaint. The form follow-up: Staff
interviewed. Nurses and CNAs educated on reporting changes to MD (medical doctor) and family. 1-1
education provided to nurse. Further review of the form showed the section for the NHA (Nursing Home
Administrator) to review and approve the resolution had an illegible signature with no date.
An interview was conducted on 08/06/2024 at 2:30 p.m. with the Director of Nursing (DON). She stated,
[the Unit Manager, Staff D, Licensed Practical Nurse (LPN)] told me the [family member's] concerns about
the temperature. That was when I filled out the grievance. The DON said she had not spoken to the family
member regarding the resolution of the grievance. She stated, [the family member] came in to pack the
resident's belongings, we were still working on the grievance. I do not remember what day it was she came
in. We should have called.
A review of the facility's Standards and Guidelines: Grievances-Resident Rights, issued 04/2017, revised
07/2024, documented the Guideline: The Administrator and staff will make prompt efforts to resolve
grievances to the satisfaction of the resident and/or representative.
Procedure:
1.
Any resident, family member, or appointed resident representative may file a grievance or complaint
concerning the care, treatment, behavior of other residents, staff members, theft of property, or any other
concerns regarding his or her stay at the facility. Grievances may also be voiced or filed
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105620
If continuation sheet
Page 3 of 7
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
105620
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/06/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Highlands Lake Center
4240 Lakeland Highlands Rd
Lakeland, FL 33813
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)
F 0585
regarding care that has not been furnished.
Level of Harm - Minimal harm
or potential for actual harm
2.
Residents, family and resident representatives have the right to voice or file grievances .
Residents Affected - Few
3.
All grievances, complaints or recommendations stemming from resident or family groups concerning issues
of resident care in the facility will be considered. Actions on such issues will be responded to verbally and /
or in writing upon request including a rationale for the response.
. 8. Upon receipt of a grievance and/ or complaint, the Grievance Officer will review and investigate the
allegations and submit a report of such findings to the Administrator within five (5 ) working days of
receiving the grievance and/ or complaint. In the event the facilities investigation exceeds five (5 ) working
days, the resident / responsible party will be notified.
. 10. The Grievance Officer, Administrator and Staff will take immediate action to prevent further potential
violations of resident rights while the alleged violation is being investigated.
11. The Administrator will review the findings with the Grievance officer to determine what corrective
actions, if any, need to be taken.
12. The resident, or person filing the grievance and / or complaint on behalf of the resident, will be informed
(verbally and/ or in writing as per request) of the findings of the investigation and the actions that will be
taken to correct any identified problems.
a. The Administrator, or his or her designee, will make such reports orally within ten (10) working days of
the filings of the grievance or complaint with the facility.
b. A written summary of the investigation will also be provided to the resident upon request, and a copy will
be filed in the business office .
Class III
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105620
If continuation sheet
Page 4 of 7
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
105620
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/06/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Highlands Lake Center
4240 Lakeland Highlands Rd
Lakeland, FL 33813
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)
F 0761
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
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.
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to ensure medications were secured for three
(#6, #7, and #8) out of 11 sampled residents.
Findings included:
1. A review of Resident #6's admission Record revealed she was admitted to the facility on [DATE] from an
acute care hospital with medical diagnoses not limited to, pulmonary embolism, type 2 diabetes,
polyneuropathy, osteoarthritis, chronic pain, right knee effusion, anxiety disorder, and muscle wasting and
atrophy.
An observation and interview were conducted on 8/6/24 at 1:25 p.m. with Resident #6. The resident was
observed to be sitting in her wheelchair next to her bed in front of her over bed table with a multi shelf cart
next to her. On the top shelf of the cart there was a box with a tube in it of triamcinolone Acetonide External
Cream 0.1% The resident said the cream was hers and she liked to keep it there.
A review of Resident #6's quarterly, Minimum Data Set (MDS), dated [DATE], section C, Cognitive Patterns
revealed a brief interview of mental status (BIMS) score of 9 out of 15 which indicated moderate cognitive
impairment.
A review of Resident #6's physician orders revealed an inactive order with a start date of 7/12/24 and an
end date of 7/26/24 for Triamcinolone Acetonide External Cream 0.1 % (Triamcinolone Acetonide (Topical))
apply to face topically two times a day for seb [seborrheic] dermatitis for 14 days.
A review of Resident #6's July medication administration record (MAR) showed, Triamcinolone Acetonide
External Cream 0.1 % (Triamcinolone Acetonide (Topical)) Apply to face topically two times a day for seb
dermatitis for 14 Days with a start Date of 7/12/2024 at 9:00 a.m. and showed the medication was
administered twice a day from 7/13/24 through 7/24/24. On 7/25/24 the documentation revealed the
resident was out on pass.
A review of Resident #6's medical record did not show Resident #6 was assessed to self-administer
Triamcinolone Acetonide External Cream 0.1 %.
2. A review of Resident #7's admission Record revealed she was admitted to the facility on [DATE] from an
acute care hospital. Her diagnoses included but were not limited to cellulitis of right lower limb, other
specified disorders of bone density and structure, gout, prosthetic heart valve, muscle wasting and atrophy,
and muscle weakness.
An observation and interview were conducted on 8/6/24 at 1:27 p.m. with Resident #7. The resident was
observed walking with a walker throughout her room. Her family member was present in the room at the
time of the interview and observation. On Resident #7's over bed tray table located next to her bed was a
bottle of Arthritis Pain Reliever-Acetaminophen 650 mg tablets as well as a bottle of vapor rub. The resident
said, I only take two tablets of the pain medicine at night to help me sleep. The family member picked up the
bottle of arthritis pain medication and said where did you get this
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105620
If continuation sheet
Page 5 of 7
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
105620
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/06/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Highlands Lake Center
4240 Lakeland Highlands Rd
Lakeland, FL 33813
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)
F 0761
Level of Harm - Minimal harm
or potential for actual harm
from? Resident #7's roommate said in the basket and pointed to the closet. Resident #7 confirmed what the
roommate said. Resident #7 said she used to ask for the medication at night but it would take 30 minutes to
get it. During the interview Staff A, Certified Nursing Assistant (CNA) came into the room and removed
Resident #7's meal tray located next to the bottles of acetaminophen and vapor rub and exited the room
leaving the medications bottles on the bedside tray table.
Residents Affected - Few
A review of Resident #7's Medicare-5 day MDS, Section C, dated 6/3/24 revealed a BIMS score of 15 out of
15 which indicated no cognitive impairments.
A review of Resident #7's physician orders revealed an order with a start date of 5/15/24 for
Acetaminophen Tablet 325 MG [milligram] Give 2 tablet by mouth every 4 hours as needed for General
Discomfort Notify physician/midlevel provider if discomfort persists. Do not exceed 3 g [grams]/day. There
was no physician order for vapor rub.
A review of Resident #7's August MAR revealed the resident was not administered her ordered
Acetaminophen. A review of Resident #7's July MAR revealed she was administered her ordered
Acetaminophen three out of 31 days.
A review of Resident #7's medical record did not show a self-administration of medication assessment
related to Acetaminophen.
3. A review of Resident #8's admission Record revealed she was admitted to the facility on [DATE] from and
acute care hospital. Her medical diagnoses included but are not limited to chronic obstructive pulmonary
disease (COPD) with acute exacerbation, mild persistent asthma with status asthmaticus, chronic
respiratory failure with hypoxia, need for assistance with personal care, and muscle wasting and atrophy.
An observation and interview were conducted on 8/6/24 at 12:48 p.m. with Resident #8 revealed she was
sitting in a wheelchair in the hall, outside of her room, with the bedside tray table in front of her. Resident #8
stated she chose to sit outside her room in the hall. An observation of the bedside table revealed three
medications. Further observation of the medications revealed they were next to her lunch meal tray.
Resident #8 stated two of the medications were inhalers and one was a nasal spray. She stated she
self-administered the medications.
An observation and interview were conducted on 8/6/24 at 2:00 p.m. with Resident #8. She was observed
to be sitting outside of her room, in the hallway, in her wheelchair with her bedside tray table in front of her.
She had 3 medications on her bedside tray table, Combivent inhaler, fluticasone nasal spray, and a Advair
inhaler. Resident #8 said she took the Combivent when the staff gave her, her medications in the morning.
She said she took the fluticasone nasal spray when the inside of her nose burned from the oxygen she
wore at night, and she took the Advair when she was wheezing.
A review of Resident #8's quarterly MDS, section C, cognitive patterns, dated 6/16/24 showed she was
assessed to have a BIMS score of 14 out of 15 which indicated no cognitive impairments.
A review of Resident #8's physician orders revealed an order with a start date of 10/25/23 and no end date
for Combivent Respimat Inhalation Aerosol Solution 20-100 MCG [microgram]/ACT [active]
(Ipratropium-Albuterol). 1 puff inhale orally four times a day for Shortness of Breath Rinse mouth with water
after use, spit out, do not swallow. A physician order with a start date of 10/25/23 and no end date for
Advair Diskus Aerosol Powder Breath Activated 250-50 MCG/DOSE (Fluticasone-Salmeterol), 1
(continued on next page)
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105620
If continuation sheet
Page 6 of 7
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
105620
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
08/06/2024
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Highlands Lake Center
4240 Lakeland Highlands Rd
Lakeland, FL 33813
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)
F 0761
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
inhalation inhale orally every 12 hours for Shortness of Breath rinse mouth after use, spit out do not
swallow. A physician's order with a start date of 6/12/24 and an end date of 6/20/24 for Fluticasone
Propionate Suspension 50 MCG/ACT. 1 spray in each nostril one time a day for Allergic rhinitis for 7 Days.
A review of Resident #8's August MAR revealed her ordered Advair was administered twice a day from
August 1st through 5th. Her ordered Combivent was administered four times a day August first through fifth.
There was no documentation in the month of August related to the Fluticasone Propionate nasal spray.
Review of Resident #8's medical record did not reveal a self-administration of medication assessment for
Advair, Fluticasone, or Combivent.
An interview was conducted on 8/6/24 at 3:00 p.m. with the Director of Nursing (DON). She said
medications should not be at the resident's bedside. But if medications were at the bedside the resident
should be assessed for self-administration for medications and the physician's order would say may
self-administer.
Review of the facility's Standards and Guidelines: Medication Administration policy revised on 1/2024
revealed Standard: Medications are ordered and administered safely and as prescribed. Guideline:
Medications will be administered safely and as prescribed by only licensed personnel. Procedure: 1. Only
persons licensed or permitted by this state to prepare, administer, and document the administration of
medications may do so.
.21. Residents may self-administer their own medications only if the Attending Physician, in conjunction
with the Interdisciplinary Care Planning Team, has determined that they have the decision-making capacity
to do so safely .
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
105620
If continuation sheet
Page 7 of 7
Reading this as a family member? Your long-term care ombudsman is a free advocate for residents and families.
Back to topCitations
3 citations recorded*CMS
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
F584 - Safe Environment
Honor 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.
F585 - Grievances
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
F761 - Labeling of Drugs and Biologicals
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.
FAQ · About this visit
Common questions about this visit
What happened during the August 6, 2024 survey of HIGHLANDS LAKE CENTER?
This was a inspection survey of HIGHLANDS LAKE CENTER on August 6, 2024. The surveyor cited 3 deficiencies, recorded on the federal Form 2567 statement of deficiencies.
Were any deficiencies cited at HIGHLANDS LAKE CENTER on August 6, 2024?
Yes, 3 deficiencies were cited, each with a CMS Scope and Severity grade. The first was: "Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receivin..."
What type of survey was this?
This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.
SourceView on CMS Care Compare
Next steps
Concerned about a resident’s care?Find your local ombudsman through the Eldercare Locatoror file a complaint with your state survey agency.
Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.
Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.