Below average — CMS composite of the measures below.
The next survey window likely opens around May 2027
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 Lakeland Rehab And Healthcare Center during CMS and state inspections, most recent first.
A facility failed to ensure a QMA had a current license while distributing meds to residents. Record review showed the QMA was scheduled and worked on multiple days across 3 resident units, but the licensure binder and Indiana License Registry showed the QMA's license had expired. The ED stated staff should not distribute meds with an expired QMA license and that the facility had no written policy requiring QMAs to work with a current license.
Improper Food Labeling and Wet Pan Storage: A drink cart contained a pitcher of apple juice past its expiration date and an unlabeled pitcher of chocolate milk, and the DM stated the apple juice should have been discarded while the milk should have been labeled. During a kitchen tour, moisture was observed between steam table pans, and the DM stated the pans were wet and that staff were unaware they had to be dried before storage.
Unsanitary Outside Dumpster Area: Surveyors observed two outside dumpsters with litter and debris on the ground beneath them, including a soiled disposable brief, eggshells, an empty hand sanitizer container, and piles of brown debris. The DM stated they did not know which department was responsible for cleaning the dumpster area and acknowledged there should not be litter on the ground. A facility policy stated the area around outside dumpsters should be free from litter.
Failure to identify resident-specific behavioral triggers: A resident with anxiety, depression, irritability, and trauma history was observed tearful and distressed while discussing multiple family losses and conflict with other residents and staff. Records showed psych notes about holiday-related distress, ruminating, accusations of poisoning, and mild paranoia, but the care plan did not include key triggers such as holidays/Thanksgiving, lab draws, grief, or paranoia, and did not list relaxation as an intervention.
A facility failed to report an injury of unknown origin for a resident with severe vascular dementia. The resident was found with a large bruise on her thigh, but staff did not document when the DON or Administrator was informed, and no nursing note was completed. The IDT speculated on the cause, but staff interviews revealed a lack of awareness and inquiry about the bruise. The incident was not reported to the Indiana Department of Health, violating the facility's policy.
A facility failed to develop effective care plans for two cognitively impaired residents involved in inappropriate sexual behaviors. Despite being assessed as having the capacity to consent, their care plans lacked details on permissible interactions and staff interventions. Resident N exhibited aggression and inappropriate behavior towards Resident O, while Resident O had severely impaired cognition. The facility's policy on consent was not adequately followed, leading to deficiencies in care planning and documentation.
A resident reported a lack of WiFi access for two weeks due to facility updates, which was not resolved despite daily inquiries. During a grievance discussion, an employee compared the resident to a child without a toy, undermining her dignity. The resident valued internet access for daily activities and felt disrespected by the comparison.
A resident with mobility issues and a care plan requiring a mechanical lift for transfers was injured after staff attempted to transfer her without the lift. Miscommunication and failure to follow the care plan led to the resident lowering herself to the floor, resulting in an ankle fracture.
Expired QMA License During Medication Distribution
Penalty
Summary
The facility failed to ensure that a Qualified Medical Assistant had a current license while distributing medications to residents. A record review showed that QMA 3 was scheduled to distribute medications and had worked as a QMA on multiple days across three resident units from April through the review period. The facility's Employee Certification and Licensure binder showed that QMA 3's license had expired, and the Indiana License Registry website also indicated the license was expired. In interviews, the Executive Director stated that staff should not distribute medications with an expired QMA license and that the facility did not have a written policy requiring QMAs to work with a current license.
Improper Food Labeling and Wet Pan Storage
Penalty
Summary
Safe and sanitary food and steam table pan storage practices were not ensured for food prepared in the facility kitchen and consumed by 69 of 69 residents. On 5/26/26 at 9:15 AM, a drink cart in the dining room contained a pitcher of apple juice labeled with an expiration date of 5/23/26 and a pitcher of chocolate milk with no label. During a kitchen tour with the Dietary Manager beginning at 9:18 AM, moisture was observed between 3 of 5 steam table pans viewed, and the Dietary Manager stated the pans had probably just come out of the dishwasher. Cook 2 was observed placing the drink cart into the walk-in cooler. The Dietary Manager stated the unlabeled chocolate milk should have been labeled and the apple juice should have been discarded. In interview at 9:26 AM, the Dietary Manager stated the steam table pans were wet but not soiled and was unaware the pans had to be dried before being put away. A current facility policy dated 2001 stated all food items should be labeled, dated, and monitored to ensure usage prior to the use-by date or discarded.
Unsanitary Outside Dumpster Area
Penalty
Summary
The facility failed to ensure sanitation of the outside trash storage area for 2 of 2 outside dumpsters. During a tour of the kitchen with the Dietary Manager, two dumpsters were observed outside the facility. Under the left dumpster, surveyors observed a wet, soiled disposable brief, eggshells too numerous to count, and piles of brown, dry debris too numerous to count. Under the right dumpster, surveyors observed an empty hand sanitizer container and piles of brown, dry debris too numerous to count. In interview, the Dietary Manager stated they were unaware of which department was responsible for cleaning the outside dumpster area and acknowledged there should not be litter on the ground. A current facility policy dated 2001 stated the area surrounding outside dumpsters should be free from litter.
Failure to Identify Resident-Specific Behavioral Triggers
Penalty
Summary
The facility failed to ensure behavioral triggers were identified and assessed for a resident with diagnoses including left side weakness due to a stroke, anxiety disorder, insomnia, irritability and anger, major depressive disorder, and unspecified affective mood disorder. The resident’s annual BIMS score was 15, indicating no cognitive loss. During observation and interview, the resident was tearful while discussing the deaths of their mother and brother, stated they felt alone, described multiple family losses and the deaths of three friends at the facility, and reported conflict with two other residents who antagonized them and accused them of receiving preferential treatment. The resident also reported distrust of staff, alleged that the Dietary Manager shared protected health information with other residents, stated the facility arranged an outside agency evaluation without permission, and alleged a staff member intentionally struck them with another resident’s wheelchair. Record review showed psychiatric notes documenting concern about holidays and the upcoming anniversary of the brother’s death, ruminating on past events, accusations that staff attempted to poison the resident, and mild paranoia related to state examinations and dietary restrictions. The care plan identified trauma related to the deaths of the resident’s father, mother, and brother, and identified triggers such as other residents being assisted before them and the presence of a specific resident, but it did not include holidays, especially Thanksgiving, lab draws, paranoia, grief, or relaxation as an intervention. The Social Service Director stated the resident was paranoid at times and was aware the resident had been verbally abusive to a lab technician, but was not aware the resident blamed the hospital lab for their mother’s death.
Failure to Report Injury of Unknown Origin
Penalty
Summary
The facility failed to report an injury of unknown origin for Resident G, who was diagnosed with severe vascular dementia, mood disorder, and other conditions. On February 2, 2025, staff observed a large purple bruise on Resident G's inner right thigh while assisting her to use the toilet. The bruise measured 15 cm by 4 cm and was dark purple in color. Despite the resident's inability to explain the cause of the bruise, the staff completed a skin and pain assessment and notified the physician and the resident's family. However, there was no documentation of when the Director of Nursing or Administrator was informed, and no nursing note was completed. The Interdisciplinary Team (IDT) reviewed the incident on February 3, 2025, and speculated that the bruise might have resulted from the resident sitting on the armrest of her wheelchair during a self-transfer. A Nurse Practitioner also examined the bruise and suggested it could be from a brief rubbing. Despite these evaluations, staff interviews revealed that those working on the memory care unit were not asked about the bruise's origin and were unaware of its existence. The Director of Nursing confirmed that the incident was not reported to the Indiana Department of Health, and no further investigation was conducted, contrary to the facility's policy on reporting injuries of unknown origin.
Inadequate Care Plan for Sexual Behaviors in Cognitively Impaired Residents
Penalty
Summary
The facility failed to develop and implement an effective care plan regarding sexual behaviors for two cognitively impaired residents, Resident N and Resident O, who resided on the Memory Care Unit. Both residents were involved in inappropriate sexual behaviors, with Resident N showing aggression when separated from Resident O. Despite being assessed as having the capacity to consent to sexual relations, the care plans for both residents did not specify the nature of permissible sexual interactions or the need for staff intervention. Resident N, diagnosed with dementia with severe psychotic disturbance, delusional disorder, and mood disorder, exhibited behaviors such as wandering, verbal aggression, and refusal of care. He was observed engaging in inappropriate sexual behavior with Resident O, including attempting to lead her into his room and putting his hand down her pants. Despite these incidents, the care plan did not include specific interventions to address these behaviors or the need for 15-minute safety checks, which were implemented without documentation in the progress notes. Resident O, with diagnoses of dementia, major depressive disorder, and anxiety, had severely impaired cognition and required assistance with all activities of daily living. She was involved in a reciprocated friendship with Resident N, but her care plan also lacked details on permissible sexual interactions and the need for staff intervention. Staff interviews indicated concerns about her ability to consent, and the facility's policy on resident capacity to consent to sexual relations was not adequately followed, as evidenced by the lack of documentation and specific care plan updates.
Resident's Dignity Compromised During Grievance Reporting
Penalty
Summary
The facility failed to ensure that a resident was treated with respect and dignity when reporting a grievance. Resident D, who had no cognitive impairment or mood and behavior issues according to a recent MDS assessment, reported that she and other residents in a specific hallway had been without WiFi for two weeks due to facility updates. Despite daily inquiries to Employee 7, who was responsible for resolving the issue, Resident D was repeatedly told that the problem was being worked on. However, she later discovered that the internet outage was city-wide and not specific to her hallway. During a conversation about the lack of WiFi access, Employee 7 compared Resident D to a child without their favorite toy, which upset her as she felt it was disrespectful and undermined her dignity. Resident D expressed that having access to the internet was important for her daily activities and personal business, and she felt she should have the same access as others in the facility. Although she felt respected at the facility overall, this interaction with Employee 7 was a negative experience. Employee 7 confirmed the WiFi issue during an interview, and the Regional Director of Operations acknowledged the problem needed immediate resolution. The facility's policy on Resident Rights emphasizes the importance of treating residents with respect and dignity, allowing them to voice grievances and receive reasonable responses.
Inadequate Supervision Leads to Resident Fall and Injury
Penalty
Summary
The facility failed to provide adequate supervision and staff assistance to prevent a fall for a resident, identified as Resident B, who had diagnoses including weakness, unsteadiness on feet, and morbid obesity. The resident's care plan required the use of a mechanical lift for transfers, but on the day of the incident, staff attempted to transfer her without it. The resident was able to ambulate short distances with supervision but required maximal assistance for transfers, as noted in her care plan. On the day of the incident, the resident was being prepared for transport to the hospital due to respiratory acidosis and decreased kidney function. A CNA and a QMA assisted the resident onto the toilet using a gait belt and grab bars, but the QMA left the room, leaving the CNA alone with the resident. The CNA attempted to assist the resident off the toilet without the mechanical lift, which was against the care plan instructions. The resident lowered herself to the floor, resulting in a fracture to her left ankle. Interviews with staff revealed that there was a miscommunication regarding the resident's transfer abilities. The COTA had instructed that the resident could be transferred with assistance from two staff members, but the CNA attempted the transfer alone. The resident's care plan was not followed, leading to the fall and subsequent injury. The facility's policy on fall management and risk was not adequately implemented, contributing to the incident.
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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 Angola
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Northern Lakes Nursing And Rehabilitation Center | 0 mi | ★★★★★ | 9 | 2 |
| Pines Of Dekalb | 15.5 mi | ★★★★★ | 2 | 0 |
| Betz Nursing Home | 17.5 mi | ★★★★★ | 1 | 0 |
| Lutheran Life Villages | 18 mi | ★★★★★ | 2 | 0 |
| Park View Care Center | 18.2 mi | ★★★★★ | 9 | 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.