Nursing Home
LAKE PLEASANT POST ACUTE REHABILITATION CENTER
For profit – Corporation
- 20625 NORTH LAKE PLEASANT ROAD
16
Total Number of Health Deficiencies

1
Number of Administrators Who have Left the Nursing Home
67.2%
Nurse turnover

Turnover in nursing staff may signal problems at the facility and decreases continuity of care.
The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 51.8%
Resident
With a Resident and Family Council

Family councils are one of the most powerful ways for families to protect their loved ones. For more information on family councils, visit NursingHomeFamilyGroups.com.
N
Provider Changed Ownership in Last 12 Months
99.3
Average residents/day
Average number of residents based on daily census.
67.2%
Nurse turnover

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The percentage of nursing staff who stopped working at the home over a 12-month period.
State Average: 51.8%
N/A
Total Number of Penalties

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1
Number of Administrators Who have Left the Nursing Home

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4
Number of Substantiated Complaints

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Reported total of substantiated complaints
N/A
Number of Fines

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Reported nursing home abuse
0.00
Total Amount of Fines in Dollars

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Total Number of Health Deficiencies

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Reported nursing home abuse
5
Total Number of Fire Safety Deficiencies

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Average number of residents based on daily census.
3.52893
Nurse hours/resident/day

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Reported total nurse staffing hours per resident per day.
State Average: 4.1
N
Abuse Icon

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Reported nursing home abuse
N
Provider Changed Ownership in Last 12 Months

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99.3
Average residents/day

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Average number of residents based on daily census.
Direct owners are the layer of ownership closest to the nursing home while indirect owners have a stake in the nursing home but are further removed, like a company that owns the direct owner of a home. All owners listed below are people or companies who have at least a 5% stake in the nursing home. Entities with “managerial control” are those who conduct the day-to-day operations of the nursing home.
Direct owners
The Ensign Group Inc (100%)
Indirect owners
Managerial control
Managing employee(s)
Legal Business Name
Affiliated Entity Name
Ownership Type
Ownership Change in the Past 12 Months
Inspection Reports
23 Total Deficiencies
Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
Infection Control Deficiencies — F0880
Failure to: Provide and implement an infection prevention and control program.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Nutrition and Dietary Deficiencies — F0812
Failure to: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E
Quality of Life and Care Deficiencies — F0696
Failure to: Provide appropriate care/assistance for a resident with a prosthesis.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Resident Rights Deficiencies — F0582
Failure to: Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Resident Rights Deficiencies — F0550
Failure to: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E
Quality of Life and Care Deficiencies — F0692
Failure to: Provide enough food/fluids to maintain a resident's health.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E
Freedom from Abuse, Neglect, and Exploitation Deficiencies — F0610
Failure to: Respond appropriately to all alleged violations.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Freedom from Abuse, Neglect, and Exploitation Deficiencies — F0609
Failure to: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Pharmacy Service Deficiencies — F0758
Failure to: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E
Pharmacy Service Deficiencies — F0757
Failure to: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Nursing and Physician Services Deficiencies — F0725
Failure to: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E
Quality of Life and Care Deficiencies — F0685
Failure to: Assist a resident in gaining access to vision and hearing services.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Quality of Life and Care Deficiencies — F0677
Failure to: Provide care and assistance to perform activities of daily living for any resident who is unable.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Resident Assessment and Care Planning Deficiencies — F0658
Failure to: Ensure services provided by the nursing facility meet professional standards of quality.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E
Resident Rights Deficiencies — F0580
Failure to: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Infection Control Deficiencies — F0886
Failure to: Perform COVID19 testing on residents and staff.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Pharmacy Service Deficiencies — F0757
Failure to: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Resident Assessment and Care Planning Deficiencies — F0641
Failure to: Ensure each resident receives an accurate assessment.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Resident Rights Deficiencies — F0584
Failure to: 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.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E
Resident Rights Deficiencies — F0580
Failure to: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Pharmacy Service Deficiencies — F0757
Failure to: Ensure each resident’s drug regimen must be free from unnecessary drugs.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Some people affected
Seriousness
E
Quality of Life and Care Deficiencies — F0684
Failure to: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Resident Assessment and Care Planning Deficiencies — F0641
Failure to: Ensure each resident receives an accurate assessment.
Severity
No actual harm, with potential for minimal harm
Scope
Some people affected
Seriousness
B
Inspection Reports
3 Total Deficiencies
Inspection reports document deficiencies, which are nursing homes’ failures to meet care requirements. The Centers for Medicare and Medicaid Services releases the last three standard inspection reports, as well as the last 36 months of complaint and infection-control reports.
Resident Rights Deficiency — F0584
Failure to: 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.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Resident Assessment and Care Planning Deficiency — F0842
Failure to: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
D
Nursing and Physician Services Deficiency — F0732
Failure to: Post nurse staffing information every day.
Severity
No actual harm, with a potential for more than minimal harm
Scope
Few people affected
Seriousness
B
Data last updated
All data updated December 2024
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