Lakeside Health and Rehab

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

34.3% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that worse than the national rate. This is CMS’s risk-adjusted rate over 77 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 51.2% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 41 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.14 therapist hours per resident per day in 2026Q1 — more than 11% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 16% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 85 beds and averages 77.0 residents a day — about 91% occupied, or roughly 8 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.99 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.22 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.64 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.22 hrs/resident/day on weekends vs 4.30 on weekdays — 25% thinner on weekends — a notable drop. RN hours go from 0.26 to 0.11 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 51% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Immediate jeopardy · Jcited before2025-07-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observations, interviews, record review, document review, and facility policy review, the facility failed to ensure adequate supervision was provided to prevent elopement for 1 (Resident #1) of 3 sampled residents reviewed for accidents/supervision. The lack of an effective monitoring plan resulted in Resident #1 eloping from the facility and being found outside of the facility by a passerby on 7/14/2025. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) was related to the State Operations Manual, Appendix PP, 483.25 (Quality of Care) at a scope and severity of J. The IJ began on 7/14/2025 at 11:45 AM, when Resident #1 exited the facility without staff knowledge via a bedroom window. The Administrator and the Director of Nursing Services were notified of the IJ [immediate jeopardy] on 7/23/2025 at 3:59 PM. A Removal Plan was requested. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-10-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, facility document review, and record review, the facility failed to ensure staff provided supervision for 1 (Resident #66) of 1 sampled resident reviewed for elopement. The lack of supervision resulted in Resident #66 eloping from the facility and facility staff being unaware of the whereabouts of the resident for approximately three hours and twenty minutes. Resident #66 was found inside an event center approximately 900 feet from the facility. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) was related to State Operations Manual, Appendix PP, 483.25 (Quality of Care) at a scope and severity of J. The findings are: Upon review of the admission Record, the facility admitted Resident #66 on 07/22/2024 with a diagnosis of previous cerebral infarction (disrupted blood flow to the brain). Upon review of the Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 07/29/2024,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Potential for harm · E2026-05-01 · tag F0550 — failed to protect resident dignity and rights — pattern
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Number of residents sampled: Number of residents cited: Based on record review and interview, the facility failed to ensure residents' rights to privacy were protected. Specifically, photographs and videos were taken of residents by an employee and released for public viewing without consent for five (Residents #42, #91, #92, #93, and #94) of five residents reviewed for privacy. The findings include: On 04/30/2026 at 3:26 PM, this surveyor received an email from the complainant which contained photographs and videos of residents who once resided at the facility. The complainant stated the photographs and videos were observed on Certified Nursing Assistant (CNA) #9's social media page. The complainant stated they called the facility after reviewing the photos and videos but could not recall who they spoke with or the date the phone call occurred. Review of CNA #9's employee file revealed a Privacy Training Acknowledgement form with the printed name and signature of CNA #9, dated 07/17/2024. This form also revealed CNA #9 received information on the facility's privacy policies and the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-01 · tag F0726 — failed to have competent, trained nursing staff — pattern
  Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Number of residents sampled: Number of residents cited: Based on observations, interviews, record review, and facility policy review, it was determined that the facility failed to ensure a member of the nursing staff operated within their scope of practice for two (Resident #33 and Resident #89) of two residents reviewed. The findings include: Review of a facility document titled [Facility] Steps of Action dated 05/01/2026 revealed a reportable was completed for Medication Aide-Certified (MA-C) #1 allegedly working outside of their scope of practice by obtaining a Urine Analysis (UA) approximately two weeks prior to 04/30/2026, flushing a PICC line with normal saline, obtaining a blood sugar on a resident prior to that being in the scope of practice for a MA-C and allegations of MA-C #1 being in the narcotic draw on the [NAME] Hall in April of 2026. Document signed and dated by the Administrator. Review of a facility document titled Job Description-MA-C undated revealed Assume the authority, responsibility and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-05-01 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Number of residents sampled: Number of residents cited: Based on record review and interviews, the facility failed to report to the State Survey Agency an allegation of abuse in a timely manner for one (Resident #81) of two residents reviewed for abuse. The findings include: Review of an admission Record revealed the facility admitted Resident #81 on 10/13/2025 and re-admitted Resident #81 on 12/16/2025 with diagnoses that included depression, and anxiety disorder. Review of a significant Change Minimum Data Set (MDS) with an Assessment Reference Date of 12/22/2025 revealed Resident #81 had a Brief Interview of Mental Status score of 15 which indicated Resident #81 was cognitively intact. The MDS also revealed Resident #81 was dependent on one staff for chair to bed transfers. Review of a Care Plan initiated on 11/04/2025 revealed Resident #81 required assistance by one staff to transfer between surfaces. Review of a Grievance Form dated 02/14/2026, signed by the Administrator revealed that Resident #81 stated that Certified Nursing Assistant (CNA) #3 spoke to Resident #81 in a…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-11-17 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure a wall, stained ceiling tile, door, floor tile and bed frame were maintained. This failed practice affected 4 sampled Residents (Resident #5, #7, #13, and #42) and the potential to affect 17 residents who resided in the secured unit, according to a list provided by the Administrator on 11/17/23 at 11:35 am. The findings are: 1. On 11/14/23 at 2:59 PM Resident #5 was lying in be with eyes closed. The bed mattress was tilting to resident's right. Roommate was awake and stated, Are you the lady from the state? Nobody has come in to change that bed out yet. Changing the mattress hasn't helped her. They've done that 2-3 times already. It's painful for old people to not have a comfortable bed. a. On 11/15/23 at 1:30 PM the Surveyor accompanied the Maintenance Supervisor (MS) to Resident #5 room. Both residents were out of the room. The Surveyor asked the MS to look at Resident #5's bed and see if it looked level and asked if any staff had informed him of the tilt. The MS answered, No, this is the first I've heard about this…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-11-17 · tag F0677 — failed to help fully-dependent residents with daily care — pattern
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review and interview, the facility failed to ensure nail care was regularly provided to maintain good hygiene and prevent potential injuries or infections for 3 (Resident #19, #38, & #75) sampled residents requiring assistance with nail care. The findings are: 1. Resident #19 had diagnoses of: Type 2 Diabetes Mellitus with unspecified complications, Age-Related Nuclear Cataract, Right Eye, and Non-ST-Elevation (NSTEMI) Myocardial Infarction. A 5-day Minimum Data Set (MDS) with an Assessment Review Date (ARD) of 10/6/23 documented a Brief Interview for Mental Status (BIMS) score of 10 (8-12 moderately impaired). 2. Needed some help - Resident needs partial assistance from another person to complete any activities . required for bathing, dressing, using the toilet, or eating prior to the current illness, exacerbation, or injury . a. A care plan with an initiation date of 3/7/23 and 3/8/23 documented, . [name] has an Activities of Daily Living (ADL) self-care performance deficit related…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2023-11-17 · tag F0761 — failed to label and store drugs safely — pattern
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to ensure residents gastrostomy tube feeding formula and water were labeled properly for 1 Resident #45 sampled resident who required enteral feeding and failed to ensure items in the Medication Storage room and medication cart were within expiration dates. This had the potential to affect 3 residents who receive enteral tube feeding on a list provided by Nurse Consultant on 11/16/23 at 09:15 a.m. and residents that resided on East, [NAME] and the Secured Unit on the Resident Matrix list provided the administrator on 11/13/23 at 10:15 am. The findings are: 1. Resident #45 had the diagnosis of Dysphasia, Abnormal Weight Loss, and Adult Failure to Thrive. a. On 11/14/23 at 2:14 p.m., Resident #45 was sitting up in bed, watching television. The tube feeding was in a bag with black marking of [initials] 11/14 at 0943, 1000 mL [milliliters] written on it. There wasn't a label or identification [ID] on the bag, as to what was being infused. b. On 11/15/23 at 8:20 a.m., upon second observation, the tube feed bag was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$41,902 in federal fines across 3 penalties.

• $18,980 — penalty dated 2026-05-01
• $14,901 — penalty dated 2025-07-25
• $8,021 — penalty dated 2024-10-24

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Who owns this facility

CMS files one row per role, so the 29 rows in the source record cover these 13 parties — each is shown once here with every role it holds. Nothing is omitted.

5 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $1.2M paid to related parties — landlords or management companies under common ownership — equal to about 16% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AR