Deficiency Index

Lakeside Health & Rehab Center

Huntersville, North Carolina · CCN 345541

20 surveys since 2011. The first finding at harm level was recorded in 2015.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
64
Surveys
20
Harm or worse
7
Immediate jeopardy
5
The record, 2011–2025
’11’15’20’25
No harm recordedHarm or worseNot surveyed
Immediate jeopardy5

Findings at the most serious level CMS records.

Beyond CMS’s monthly file16/20

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
114
Ownership
Government - Federal
Chain
SABER HEALTHCARE GROUP
County
Mecklenburg
Medicare-certified since
2007

CMS ratings

Overall
4
Health inspection
3
Staffing
2
Quality measures
5

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=19, floor 20).

Last survey on record

Dec 11, 2025

333 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.444.67
Registered-nurse hours per resident day0.63—
Annual nurse turnover77.2%37.9%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$6,380 across 1 penalty

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG16.7%H—I—
No harm, potential for more than minimalD1280.0%E16.7%F—
No harm, potential for minimalA—B16.7%C—
CMS’s current file: 15 of the 64 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F6412×

    Ensure each resident receives an accurate assessment.

  • F7612×

    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.

  • F5501×

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  • F5581×

    Reasonably accommodate the needs and preferences of each resident.

  • F5841×

    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.

In the surveyor’s words

From the most serious findings on record at Lakeside Health & Rehab Center, in the surveyor’s own words.

  • Actual harm, isolatedF791May 25, 2023

    Based on record review resident interview and staff interviews, the facility failed to provide expedited dental care for a resident with broken dentures for 1 of 1 resident reviewed for dental services (Resident #12). As a result of Resident #1 not having her dentures she was unable to chew her physician ordered diet which resulted in decreased intake and weight loss. Findings included: Review of the facilities Dental Services Policy dated 11/28/17 and revised on 8/11/20 revealed the facility will promptly, within 3 days, refer residents with lost or damaged dentures for dental services. […]

  • No harm, potential for more than minimal, widespreadF563Jul 29, 2021

    Based on observations, record review and interviews with family, residents and staff, the facility imposed a restricted visitation schedule that limited indoor and outdoor visitation of family and friends to 30 minutes per visit for 4 of 4 residents reviewed for visitation (Resident #61, #326, #75, and #10). Findings included: 1. The Resident Council Meeting minutes dated 06/29/21 read in part, visitation remains the same: virtual visits, window visits and indoor visits in the two visitation rooms, and outdoor visitation. All need to be scheduled and must be scheduled 24 to 48 hours in advance. […]

  • No harm, potential for more than minimal, patternF812Dec 11, 2025

    Based on observations and interviews, the facility failed to clean a circulatory fan cover in the walk-in refrigerator and prevent condensation from forming and dripping onto stored food, which resulted in water standing on the floor of the walk-in refrigerator. This issue was identified for 1 of 3 refrigerators (walk-in) observed in the kitchen. The deficient practice had the potential to affect food served to some of the 103 residents residing in the facility. The findings included:On 12/8/25 at 9:48 AM, an observation of the walk-in refrigerator was conducted with the Dietary Manager. The circulatory fan cover contained a thick build-up of gray/brown debris that was crumbly to touch and covered the entire fan cover. […]

  • No harm, potential for more than minimal, patternF761Jul 29, 2021

    Based on observations and staff interviews, the facility failed to date an opened medication vial and discard an expired medication vial in 1 of 2 medication rooms ([MEDICATION(S)] Ridge) and failed to discard a single-dose medication vial and date an opened multi-dose medication vial in 2 of 5 medication carts (300 medication cart and Ashbury medication cart). The findings included: 1. An observation was made on 7/29/21 at 11:35 AM of the [MEDICATION(S)] Ridge medication room with Nurse #3. An opened and undated vial of [MEDICATION(S)], a medication used to aid in diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Another opened vial of [MEDICATION(S)] dated 6/2/21 when it was opened was also in the medication refrigerator with half of the vial available for use. […]

  • No harm, potential for more than minimal, isolatedF584Dec 11, 2025

    Based on observations, record review, and interviews with resident and staff, the facility failed to maintain a clean shower room for 2 of 3 shower rooms observed. The facility also failed to maintain a wheelchair in good repair for 1 of 4 residents reviewed for mobility devices (Resident #99). The findings included: 1.a. An observation conducted on 12/10/25 at 10:14 AM of the 100-hall shower room with the Environmental Service Manager revealed a black/gray substance covering the tile floor of the resident shower stall. The black/gray substance covered the surface area in the middle of the shower stall near the shower drain and extended up the right side of the shower wall leading to the shower control knobs. […]

Read 25 findings in full →The most serious and the most recent: 25 of 64 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 11, 2025Standard and complaint4 findings
  • Sep 27, 2024Standard and complaint4 findings
  • Aug 8, 2023Complaint1 finding
  • May 25, 2023Standard and complaint6 findings · 1 harm
  • Jul 29, 2021Standard4 findings
  • Sep 29, 2020Infection control1 finding · 1 harm
  • Mar 21, 2019Standard6 findings
  • Dec 7, 2018Complaint3 findings · 2 harm
Show the 12 earlier surveys
  • Nov 8, 2018Complaint2 findings · 2 harm
  • Mar 16, 2018Standard and complaint5 findings
  • Feb 1, 2017Standard and complaint3 findings
  • May 26, 2015Complaint1 finding
  • Apr 17, 2015Complaint2 findings
  • Mar 10, 2015Complaint3 findings · 1 harm
  • Dec 19, 2014Standard and complaint4 findings
  • Aug 8, 2013—4 findings
  • Jun 21, 2012—5 findings
  • May 10, 2012—2 findings
  • Oct 19, 2011—1 finding
  • May 26, 2011—3 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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