Lakes of Clermont Health and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 20, 2023

  Based on observation, interview, and reviews of manufacturer recommendation, and FDA (Food and Drug Administration) safety guide, the facility failed to ensure that residents were free from accidents and hazards by failing to provide adequate supervision for a resident during use of a mechanical lift for obtaining weights. On October 17, 2023, Resident #4 was observed in her room unattended and unsupervised while suspended by a sling of a mechanical lift, hanging in the air over the floor next to her bed. It is unknown how long the resident had been suspended by the sling. The facility's failure to provide supervision and leaving Resident #4 unattended led to the determination of Immediate Jeopardy at a scope and severity of isolated (J). […]

• No harm, potential for more than minimal, widespreadF812Jan 6, 2022

  Based on observations, interviews, and record review, the facility failed to ensure foods placed in the walk-in and reach-in coolers were labeled and dated, failed to ensure food service was conducted in a sanitary manner, and failed to ensure kitchen equipment was maintained in a clean manner. Findings: During an initial tour conducted on 01/03/22 at 9:06 AM with the Certified Dietary Manager (CDM) the following was observed: 1. In the walk-in cooler there was a tray with two plastic wrapped containers of meat without a food label or date. A container of strawberries with a fuzzy substance growing on the product. 2. One of two reach-in coolers had sandwiches without a food label or date. […]

• No harm, potential for more than minimal, patternF761Jan 6, 2022

  Based on observations, interview, and record review the facility failed to ensure expired medications were not stored with active use medications, failed to label medications according to standards of practice, and failed to ensure medications were stored under proper temperature. (Photographic Evidence Obtained). Findings: During an observation of the 200-unit medication storage room on 1/4/22 at 8:48 AM with the Director of Nursing (DON) and Staff G, Licensed Practical Nurse (LPN) 200 Unit Manager (UM), 16 [MEDICATION(S)] (PPD) solution syringes were expired. […]

• No harm, potential for more than minimal, isolatedF684Feb 26, 2026

  Based on observation, interview, and record review, the facility failed to obtain physician orders to provide wound care for 1 of 2 residents, Residents #45, reviewed for skin conditions.Findings include:During an observation on 2/23/2026 at 11:20 AM, Resident #45 was sitting in his wheelchair in his room. There was a dressing on Resident #45's right forearm with dark color dried substance matter on the dressing. The dressing did not have a date or initials (photographic evidence obtained).During an interview on 2/23/2026 at 11:20 AM, Resident #45 stated, This is a skin tear on my arm, but I do not recall how I got it.During an observation on 2/24/2026 at approximately 8:05 AM, Resident #45 was sitting up in his bed. There was a dressing on his right forearm with dark substance matter. […]

• No harm, potential for more than minimal, isolatedF695Feb 26, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents received respiratory in accordance with professional standard of practice for 1 of 2 residents, Resident #96, reviewed for respiratory services.Findings include:During an observation on 2/23/2026 at 9:53 AM, Resident #96 was lying in bed, receiving oxygen via nasal cannula at 3 liters per minute. The resident was not in acute respiratory distress at the time of observation.During an interview on 2/23/2026 at 9:54 AM, Resident #96 stated, I don't need any oxygen. My oxygen is usually 97 and 98%. […]