Lake City Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Lake City Healthcare and Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 27, 2022

  Based on observation, interview, and record review the facility failed to ensure food was prepared and stored in a safe and sanitary manner. Findings include: An initial observation of the main kitchen was completed with Staff A, Dietary Aide, beginning at 7/24/2022 at 9:45 AM. There was an undated plastic bag of chicken and a tray of individual servings of coleslaw stored in the walk-in refrigerator and an opened bag of cookies stored on a shelf in the kitchen. There was undated cheese, lettuce and delicatessen meats stored in a salad bar. There was food debris on the interior shelf of the salad bar. There was brown and tan substances and food debris build up on the fryer and a grey substance build up on the stove top. […]

• No harm, potential for more than minimal, widespreadF761Feb 24, 2021

  Based on observation, interview and record review the facility failed to ensure that all drugs and biologicals used in the facility were stored and labeled in accordance with current professional standards for 5 of 5 medication carts and failed to secure medications in accordance with current professional standards. Findings: 1. During an observation of Medication Cart #1 on 2/21/2021 at 9:35 AM it showed the medication cart was unlocked, and unattended for five minutes. The medication cart could not be observed by staff. […]

• No harm, potential for more than minimal, widespreadF812Feb 24, 2021

  Based on observation, interview, and policy and procedure review the facility failed to ensure the proper sanitation practices were utilized to prevent the potential for Food Borne Illness affecting the entire resident population. Findings: 1. During a tour of the facility on 2/21/2021 at 9:30 AM with Staff H, Cook and Staff I, Dishwasher showed the dishwashing machine was in process of washing the facility residents' breakfast dishes. Staff was observed to attempt to get the part per million of the chemical cleaner/sanitizers for the dishwasher clean and rinse cycles with the paper test strips. There was no color change on the strips. No chemicals registered on the test strip. The attempt was repeated two more times and there was no change in the color of the test strips. […]

• No harm, potential for more than minimal, patternF812Aug 12, 2026

  Based on observation, interview, and record review the dietary department failed to store, prepare, and serve food in a sanitary manner for the resident for 1 of 2 observations of the kitchen. Findings include:During an initial tour of the kitchen on 8/9/2026 at 9:10AM with Staff S [NAME] there was a pitcher of lemonade that was placed on top of the ice machine and a bowl of oatmeal placed on top of the serving area for plates. A clear bag of sausage links was placed on to of a plastic cart. […]

• No harm, potential for more than minimal, patternF684Apr 10, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents received appropriate wound care for 2 of 4 residents reviewed for skin and wound care, Residents #23 and #49, and 1 of 8 residents reviewed for medication management, Resident #65. Findings include: 1) During an observation on 4/7/2025 at 10:19 AM, Resident #49 was sitting in a chair, dressed in street clothes. The resident had one dressing on his abdomen with drainage, which was dated 4/4, one dressing on his wrist, of dry gauze, dated 4/4, one dressing on his upper thigh with no apparent drainage, under an elastic wrap, with no date visible, and one dressing on his lower back, which could not be fully observed. […]