Lake Wales Health and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF600Mar 11, 2022

  Based on review of resident medical records, the Medical Examiner's report, facility policies/procedures; and interviews with the Nursing Home Administrator (NHA), the Director of Nursing (DON), Regional Director of Clinical Reimbursement, nursing staff members, the facility Medical Director, and Resident #2's family member, the facility failed to provide a systematic process to implement their abuse, neglect and exploitation policies for one (Resident #2) of three residents reviewed for accidents. The facility failed to take actions to report, investigate, and prevent accidents to its residents. […]

• Immediate jeopardy, isolatedF689Mar 11, 2022

  Based on review of resident medical records, the Medical Examiner's report, and facility policies/procedures; and interviews with the Nursing Home Administrator (NHA), the Director of Nursing (DON), Regional Director of Clinical Reimbursement, nursing staff members, the facility Medical Director, and Resident #2's family member, the facility failed to provide the level of supervision required to prevent a fall with major and fatal injuries for one (Resident #2) of three residents sampled for accidents. Resident #2 was a [AGE] year-old male admitted to the facility on [DATE] who required extensive assistance from staff to provide all nursing care and services. […]

• Actual harm, isolatedF584Jun 24, 2025

  Based on observations, record reviews and interviews, the facility failed to ensure safe and comfortable temperatures were maintained in residents' bedrooms by failing to repair one of eight rooftop air-conditioning (A/C) units resulting in temperature readings between 89.8- and 90.0-degrees Fahrenheit (F) on 06/23/2025, for one resident (#5) of twenty sampled residents. These failures resulted in physical discomfort for a dependent resident and the likelihood of significant harm due to unsafe temperatures exceeding 81-degrees Fahrenheit. Findings included: During the tour of the facility on 06/23/2025 at 8:32 a.m. Resident #5 was observed in a private bedroom. […]

• Actual harm, isolatedF600Apr 30, 2025

  Based on observations, interviews, and record review, the facility failed to ensure residents were free from neglect related to 1.) not providing physician ordered tube feeding and not providing assistance to get out of bed for 13 days, leading to a decline in functionality for one resident (#7) out of 12 sampled residents and 2.) failing to administer medications in accordance with physician orders for two residents (#7 and #4) out of twelve sampled residents. Findings included: 1. An observation and interview was conducted on 4/30/25 at 10:47 a.m. with a family member of Resident #7. The family member said she was concerned because the resident's tube feeding was supposed to be running all day, and she had been in a few times and it was not running. […]

• Actual harm, isolatedF697Aug 11, 2022

  Based on observation, interview, and record review the facility did not ensure pain management was provided consistent with professional standards of practice, the comprehensive person-centered care plan, and the resident's goals and preferences for one resident (#35) out of three residents sampled for pain. Findings included: An interview was conducted with Resident #35 on 8/8/22 at 1:09 p.m. He stated he was in so much pain last night (8/7/22) at 11:00 p.m. He described his pain as 10/10 on the pain scale. Resident #35 stated he was not able to get his pain medication, because there wasn't any available. He stated this has happened to him four or five times. The resident began to get upset and cry explaining this and stated when this happens it hurts so bad, he feels like he could die. […]