Lake Woods Nursing & Rehabilitation Center

Inspection history (43)

• May 20, 2024 · D

  Citation F0657

  Federal surveyors cited this nursing home on 2024-05-20 under CMS tag F0657 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. The deficiency was recorded as corrected on 2024-06-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-20.GOV

• May 20, 2024 · D

  Citation F0842

  Federal surveyors cited this nursing home on 2024-05-20 under CMS tag F0842 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. The deficiency was recorded as corrected on 2024-06-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-20.GOV

• May 20, 2024 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2024-05-20 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-07-24. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-20.GOV

• May 20, 2024 · D

  Citation F0677

  Federal surveyors cited this nursing home on 2024-05-20 under CMS tag F0677 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide care and assistance to perform activities of daily living for any resident who is unable. The deficiency was recorded as corrected on 2024-06-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-20.GOV

• May 20, 2024 · D

  Citation F0882

  Federal surveyors cited this nursing home on 2024-05-20 under CMS tag F0882 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. The deficiency was recorded as corrected on 2024-06-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-20.GOV

• May 20, 2024 · D

  Citation F0609

  Federal surveyors cited this nursing home on 2024-05-20 under CMS tag F0609 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. The deficiency was recorded as corrected on 2024-06-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-20.GOV

• May 20, 2024 · G

  Citation F0686

  Federal surveyors cited this nursing home on 2024-05-20 under CMS tag F0686 (CMS scope/severity G: isolated, actual harm) for Provide appropriate pressure ulcer care and prevent new ulcers from developing. The deficiency was recorded as corrected on 2024-06-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-20.GOV

• May 20, 2024 · D

  Citation F0803

  Federal surveyors cited this nursing home on 2024-05-20 under CMS tag F0803 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. The deficiency was recorded as corrected on 2024-06-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-20.GOV

• May 20, 2024 · D

  Citation F0689

  Federal surveyors cited this nursing home on 2024-05-20 under CMS tag F0689 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-06-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-20.GOV

• May 20, 2024 · D

  Citation F0825

  Federal surveyors cited this nursing home on 2024-05-20 under CMS tag F0825 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide or get specialized rehabilitative services as required for a resident. The deficiency was recorded as corrected on 2024-06-18. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-05-20.GOV

• February 22, 2024 · E

  Citation F0755

  Federal surveyors cited this nursing home on 2024-02-22 under CMS tag F0755 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. The deficiency was recorded as corrected on 2024-03-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-22.GOV

• February 22, 2024 · E

  Citation F0697

  Federal surveyors cited this nursing home on 2024-02-22 under CMS tag F0697 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Provide safe, appropriate pain management for a resident who requires such services. The deficiency was recorded as corrected on 2024-03-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-22.GOV

• February 22, 2024 · E

  Citation F0689

  Federal surveyors cited this nursing home on 2024-02-22 under CMS tag F0689 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2024-03-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-22.GOV

• February 22, 2024 · D

  Citation F0550

  Federal surveyors cited this nursing home on 2024-02-22 under CMS tag F0550 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. The deficiency was recorded as corrected on 2024-03-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-22.GOV

• February 22, 2024 · E

  Citation F0761

  Federal surveyors cited this nursing home on 2024-02-22 under CMS tag F0761 (CMS scope/severity E: pattern, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2024-03-29. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-02-22.GOV

• September 12, 2023 · D

  Citation F0684

  Federal surveyors cited this nursing home on 2023-09-12 under CMS tag F0684 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide appropriate treatment and care according to orders, resident’s preferences and goals. The deficiency was recorded as corrected on 2023-10-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-12.GOV

• September 12, 2023 · D

  Citation F0725

  Federal surveyors cited this nursing home on 2023-09-12 under CMS tag F0725 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. The deficiency was recorded as corrected on 2023-10-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-12.GOV

• September 12, 2023 · J

  Citation F0689

  Federal surveyors cited this nursing home on 2023-09-12 under CMS tag F0689 (CMS scope/severity J: isolated, immediate jeopardy) for Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. The deficiency was recorded as corrected on 2023-06-26. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-09-12.GOV

• April 27, 2023 · D

  Citation F0756

  Federal surveyors cited this nursing home on 2023-04-27 under CMS tag F0756 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. The deficiency was recorded as corrected on 2023-05-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-27.GOV

• April 27, 2023 · F

  Citation F0880

  Federal surveyors cited this nursing home on 2023-04-27 under CMS tag F0880 (CMS scope/severity F: widespread, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2023-05-23. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-04-27.GOV

Penalties

Total fines on file: $67,541

Staffing

Latest: 3.87 nurse staffing hours per resident per day (2026-06-01)

Ownership

For profit - Corporation

1. Parent organization: The Peplinski Group INC

   chain · PAC 4385741883