Above average — CMS composite of the measures below.
The next survey window likely opens around September 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lakeside Center For Rehabilitation And Healing during CMS and state inspections, most recent first.
A resident with severe cognitive impairment, Parkinson’s disease, and multiple other diagnoses had an aerosol can of Lysol observed in his room on multiple occasions, first on a bedside table and later on the sink. The resident’s daughter said the family kept it there to spray his room and stated staff had never provided teaching about environmental safety or storing aerosol sprays. Staff interviews showed they knew aerosol cans were not allowed in resident rooms and said they should be removed, but the can remained in the room until an LPN noticed it and took it out.
Incorrect Oxygen Flow Rate: A resident with acute and chronic respiratory failure with hypoxia and severe cognitive impairment was observed wearing a nasal cannula while the oxygen concentrator was set at 2 L/min, despite an active order for 3 L/min continuous oxygen. The care plan and MAR reflected 3 L/min continuous oxygen, and an LPN verified the concentrator was set below the ordered flow rate. The DON stated staff could adjust oxygen if the resident was in distress, and the facility policy required the proper flow of oxygen to be administered.
The facility did not comply with regulations by assigning the DON to work as a charge nurse on multiple occasions when the resident census was above 60. Staffing schedules and interviews confirmed that the DON regularly covered open nursing shifts, especially at night, due to nurse shortages, despite the facility's census being over 110 residents.
Aerosol Spray Can Left in Resident Room
Penalty
Summary
The facility failed to ensure that the resident environment was free from accident hazards for one resident. An aerosol can of Lysol disinfectant spray was observed on the resident’s bedside table on 09/29/2025 and later on the resident’s sink on 09/30/2025 and 10/01/2025. The resident’s daughter stated the can belonged to the resident and that the family left it in the room to spray his room at times. She also stated that staff had never said anything about it and that no family teaching had been provided about environmental safety or storing aerosol sprays and other items that should not be left in a resident’s room. The resident was admitted on 12/12/2023 with diagnoses including hypertension, other specified disorders of the brain, occlusion and stenosis of the right carotid artery, dysphagia following cerebral infarction, Parkinson’s disease, and a need for assistance with personal care. His quarterly MDS dated 09/19/2025 showed a BIMS score of 02 out of 15, indicating severe cognitive impairment. The resident also required set-up or clean-up assistance for eating, was dependent on staff for toileting, was independent with bed mobility, and required partial/moderate assistance with transfers. The resident’s care plan included ADL self-care performance deficit related to Parkinsonism, behavior problems including putting himself on the floor and crawling around, resisting care, refusing medication, and agitation, and impaired cognitive function/dementia. Staff interviews indicated they were aware that aerosol spray cans were not allowed in resident rooms and stated they were to remove them and provide education, but the can remained in the room during repeated observations. On 10/02/2025, the LPN assigned to the resident acknowledged the aerosol can was still on the sink and removed it after it was pointed out.
Incorrect Oxygen Flow Rate
Penalty
Summary
The facility failed to ensure that a resident who required oxygen therapy received oxygen at the ordered flow rate. Resident #31, who had diagnoses including acute and chronic respiratory failure with hypoxia and a BIMS score of 6 indicating severe cognitive impairment, was observed lying in bed wearing a nasal cannula while the oxygen concentrator beside the bed was set at 2 L/min. The resident stated she received 2 liters of oxygen, but the active order in the record directed oxygen at 3 L/min continuous via nasal cannula, along with oxygen saturation checks every shift and other respiratory-related orders. The resident’s care plan also directed oxygen at 3 L/min continuous inhalation via nasal cannula per MD orders, and the September and October 2025 MAR showed nursing signed off as having administered oxygen at 3 L/min continuous every shift. During observation, an LPN verified that the concentrator was set at 2 L/min and confirmed the resident had oxygen orders for continuous use and at bedtime. The DON stated nursing could adjust oxygen flow if the resident was in distress and then notify the physician for a new order. The facility’s oxygen administration policy stated that staff should adjust the delivery device so the proper flow of oxygen is being administered.
DON Assigned as Charge Nurse During High Census
Penalty
Summary
The facility failed to ensure compliance with staffing regulations by allowing the Director of Nursing (DON) to serve as a charge nurse when the facility census exceeded 60 residents. Review of staffing schedules showed that the DON was assigned to work as a floor nurse on multiple occasions when the census was over 110, including specific dates when the census ranged from 112 to 116. Interviews with the staffing coordinator and the DON confirmed that the DON regularly filled open nursing shifts, particularly on the night shift, due to ongoing nurse shortages. The administrator also verified the DON's assignment to floor duties on several dates when the census was well above the regulatory threshold.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Jacksonville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Jacksonville Nursing And Rehab Center | 1.2 mi | ★★★★★ | 0 | 0 |
| Aviata At Harts Harbor | 2.9 mi | ★★★★★ | 26 | 0 |
| Pavilion At Jacksonville, The | 4.7 mi | ★★★★★ | 18 | 0 |
| River City Nursing And Rehab Center | 5 mi | ★★★★★ | 2 | 0 |
| Jacksonville Rehabilitation And Nursing | 5.8 mi | ★★★★★ | 44 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.