Lake City Center for Nursing and Healing LLC

In the surveyor’s words

From the most serious findings on record at Lake City Center for Nursing and Healing LLC, in the surveyor’s own words.

• Actual harm, isolatedF656Sep 30, 2022

  Based on record review, interview, and policy review the facility failed to develop a comprehensive care plan for one of three sampled residents (R) (R#9) reviewed for pressure ulcers. Findings include: Review of the undated facility policy titled, Comprehensive Person-Centered Care Plan documented, .Each resident will have a person-centered plan of care to identify problems, needs, strengths, preferences, and goals that will identify how the interdisciplinary team will provide care.Baseline care plan- initial plan of care to be used upon admission and with a change in resident condition until the completion of the comprehensive care plan. […]

• Actual harm, isolatedF686Sep 30, 2022

  Based on record review, interview, and facility policy review, the facility failed to provide the necessary care to prevent pressure ulcer development for one of three sampled residents (R) (R#9) reviewed for pressure ulcers. The facility's failure to provide care, consistent with professional standards of practice, resulted in the resident developing facility-acquired, avoidable unstageable and Deep Tissue Injury (DTI) pressure ulcers. Findings include: Review of the undated facility policy titled, Weekly Skin Audit revealed, A skin audit will be documented on residents weekly. Any identified skin condition will be documented, and treatment initiated. Physician and family will be notified of any abnormalities. […]

• No harm, potential for more than minimal, widespreadF725Jul 30, 2026

  Based on observations, resident interviews, staff interviews, record review, and policy review, the facility failed to provide sufficient nursing staff to meet the needs of residents. Specifically, the facility had multiple vacant nursing positions and did not have an established, planned staffing level to determine the number and type of nursing staff needed to meet residents' needs. During the review period, residents experienced delays in activities of daily living (ADL) care, repeated delays in medication administration, and a failure to provide ordered nursing services, including enteral nutrition. The facility census was 208 residents. Findings included:1. 1. […]

• No harm, potential for more than minimal, widespreadF812Apr 19, 2026

  Based on observations, staff interviews, and review of the facility's policy titled Food Receiving and Storage, the facility failed to ensure food safety protocols and maintain sanitary conditions for two of two resident refrigerators on Hall 100 and Hall 800 and failed to discard expired food in the dry storage area. The deficient practices had the potential to place 201 residents (R) who received an oral diet from the kitchen at risk of contracting a foodborne illness.Findings Include:Review of the facility's policy titled Food Receiving and Storage, issued April 2025, documented: POLICY: Foods shall be received and stored in a manner that complies with safe food handling practices. GUIDELINES: .6. […]

• No harm, potential for more than minimal, widespreadF725Jul 18, 2024

  Based on staff interviews and review of the Facility Assessment Tool and the Payroll-Based Journal (PBJ) Staffing Data Report Quarter (Q) 2 2024, the facility failed to ensure there were adequate nursing staff to serve their residents. The deficient practice had the potential to adversely affect the care and services provided to the facility residents. The facility census was 212 residents. Findings include: Review of The Facility Assessment Tool (FAT) 2024 revealed the facility was licensed for 242 beds. The facility's current census was 212 residents. The FAT revealed the average hourly staffing needs per day were 84 hours for licensed nurses providing direct care, 233 hours for nurses' aides. […]