Above average — CMS composite of the measures below.
A standard survey is most likely before around November 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 Lourdes Rehabilitation And Healthcare Center during CMS and state inspections, most recent first.
Failure to complete and document ordered wound care for a resident with a stage 4 sacral PU and venous insufficiency. The resident was observed lying supine without wedges or pillows offloading the sacral area, and the TAR/progress notes did not show the ordered daily wound tx was completed on multiple days. Later wound assessment found the wound larger with a new foul odor, and the DON stated staff may have done the tx but it was not documented.
The facility failed to maintain sanitary conditions in the kitchen and ensure proper dishware sanitization, affecting all residents consuming food. Observations included dust and debris in the dry storage room, spoiled bananas attracting fruit flies, and mold-like substances near the ice machine. The dish machine had insufficient temperatures for sanitization, and an unlabeled chemical bottle was found. The Director of Dining acknowledged these issues but could not explain continued use of the faulty dish machine.
The facility failed to properly utilize PPE for residents on transmission-based precautions, particularly for those with C-Diff and COVID-19. Staff were observed reusing gowns inappropriately, and visitors were not consistently wearing PPE. The facility's policies required a new gown for each contact, but this was not followed, indicating a gap in the infection prevention and control program.
A resident with dementia and other disorders was given Xanax for agitation without documented non-pharmacological interventions, contrary to facility policy. Nurse 'D' confirmed the lack of documentation, and the DON stated that such interventions should be documented before administering as-needed medications.
A facility failed to obtain timely laboratory tests for a resident, leading to potential delayed treatment. The resident had orders for urinalysis and urine culture and sensitivity tests, but there were delays and failures in completing these orders. The resident experienced symptoms of burning on urination and urinary frequency, and a nurse practitioner was notified. Despite a positive dip test, there were issues with lab specimen pickup and testing. The facility's policy did not address staff responsibilities for handling urine specimens.
Failure to Document and Complete Sacral Pressure Ulcer Care
Penalty
Summary
Provide appropriate pressure ulcer care and prevent new ulcers from developing was not met for one resident with a stage 4 sacral pressure ulcer and venous insufficiency. The resident was admitted with diagnoses including a stage 4 pressure ulcer of the sacral region, venous insufficiency, dementia, weakness, decreased mobility, bowel and bladder incontinence, and poor intake at times. The care plan identified the resident as at risk for pressure ulcer development and directed staff to follow physician orders for treatment of the skin impairment. The physician order required the sacral wound to be cleansed, skin prep applied to the peri-wound area, FibraCol Plus placed into the wound bed, and a foam dressing applied daily and as needed after lunch. Review of the TAR and progress notes showed no documentation that the wound treatment was completed on three days, and the notes for those days either were absent or stated the treatment was unable to be completed or would be done by another nurse. However, there was no corresponding documentation in the TAR or progress notes showing that the night nurse or midnight nurse completed the treatment as stated. A wound evaluation later showed the sacral wound had increased in size, had a new foul odor, and the treatment was changed by the NP to normal saline, Dakin's moistened gauze, skin prep, and a foam dressing. During observation, the resident was found lying supine in bed without wedges or pillows offloading the sacral area, and the wound care nurse and NP later observed the resident again without offloading devices in place. The DON stated the nurses likely did the treatments but there was no documentation, and also stated the resident should have been provided positioning wedges or pillows to offload pressure.
Sanitation and Equipment Deficiencies in Kitchen
Penalty
Summary
The facility failed to maintain sanitary conditions in the kitchen and ensure proper sanitization of dishware, which could potentially affect all residents consuming food from the kitchen. During a kitchen tour, it was observed that the dry storage room had a buildup of dust, trash, and food debris on the floor under the racks. A box of bananas was found with numerous bananas completely black and split open, attracting fruit flies. The ventilation cover above the ice machine was coated with dust, and the flooring between the ice machine and the wall was soiled with a black mold-like substance. Additionally, there was water leaking from pipes underneath the dish machine, leading to standing water and a buildup of a black, slimy substance on the floor. The floor drain cover in front of the dish machine was clogged with black sludge. An unlabeled spray bottle of an unknown chemical was found in the split kitchenette, and the Director of Dining was unaware of its contents. The high-temperature dish machine in the 300 kitchen was tested and found to have insufficient water temperatures for proper sanitization. The dish machine's wash and rinse temperatures were below the required levels, with documented temperatures ranging from 112 to 128 degrees Fahrenheit for the wash cycle and 125 to 135 degrees Fahrenheit for the rinse cycle, while the required temperatures were 150 and 180 degrees Fahrenheit, respectively. The Director of Dining acknowledged the issue but was unable to explain why the staff continued to use the dish machine despite its failure to properly sanitize dishware.
Improper PPE Use for Residents on Transmission-Based Precautions
Penalty
Summary
The facility failed to properly utilize personal protective equipment (PPE) for residents on transmission-based precautions (TBP), specifically for those with Clostridium Difficile (C-Diff) and COVID-19. Observations revealed that staff reused gowns inappropriately and did not enforce PPE use for visitors. In the case of a resident with C-Diff, staff were seen reusing gowns unless they were soiled, contrary to the facility's policy that required a new gown for each contact. Additionally, a family member was observed in the resident's room without any PPE, despite the resident being on contact precautions. For residents who tested positive for COVID-19, similar issues were noted. In one instance, reusable gowns were left hanging in a resident's room, and staff admitted to reusing them unless they were visibly soiled. This practice was inconsistent with the facility's policy, which required gowns to be bagged and disposed of after each use. The facility's Director of Nursing and Infection Control Preventionist confirmed that the policy required a new gown for each contact, but this was not being followed. The facility's policies on isolation precautions and infection control were not adhered to, as evidenced by the improper handling and reuse of PPE. Staff interviews revealed a lack of understanding or enforcement of the correct procedures for PPE use, particularly in the context of TBP for infectious diseases like C-Diff and COVID-19. This deficiency highlights a significant gap in the facility's infection prevention and control program, as staff and visitors were not consistently following the necessary precautions to prevent the transmission of infectious agents.
Failure to Utilize Non-Pharmacological Interventions Before Administering Anti-Anxiety Medication
Penalty
Summary
The facility failed to ensure non-pharmacological interventions were utilized prior to administering an as-needed anti-anxiety medication to a resident. The resident, who was admitted with diagnoses including dementia, major depressive disorder, and adjustment disorder, was given Xanax for increased agitation related to a roommate's loud TV volume. The medication was administered without documented attempts of non-pharmacological interventions, which is contrary to the facility's policy requiring such measures before administering psychotropic medications. During interviews, Nurse 'D' confirmed administering the medication and acknowledged the lack of documentation regarding non-pharmacological interventions. The Director of Nursing also stated that resident-specific targeted behaviors and non-pharmacological interventions should be documented in the care plan and progress notes before administering as-needed anti-anxiety medications. The facility's policy emphasizes implementing person-centered care approaches, including non-pharmacological interventions, which were not followed in this instance.
Failure to Obtain Timely Laboratory Tests for a Resident
Penalty
Summary
The facility failed to obtain laboratory tests in a timely manner for a resident, resulting in the potential for delayed treatment. The resident had a physician's order for a urinalysis and urine culture and sensitivity lab dated 5/2/24, which was not completed. Another order for the same tests was placed on 5/8/24, but the tests were not documented as completed until 5/13/24. The resident had complained of burning on urination and urinary frequency, and a nurse practitioner was notified. A urine specimen was collected and noted to be cloudy, and a dip test was positive. The specimen was awaiting pickup, but there was a delay in sending it to the lab. A late entry note dated 5/17/24 indicated that the prior urinalysis obtained was not able to be tested, and a new urine sample was collected and sent with a lab technician for culture and sensitivity. The Director of Nursing acknowledged that the order dated 5/2/24 appeared not to have been completed and stated they would investigate the delay for the order dated 5/8/24. The facility's policy on laboratory processes did not address staff responsibilities for obtaining and sending out urine specimens.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 1,071 citations issued within 25 miles in the last 12 months — including the 5 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
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.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Waterford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regency At Waterford | 1.2 mi | ★★★★★ | 3 | 0 |
| The Orchards At Canterbury On The Lake | 2.2 mi | ★★★★★ | 5 | 0 |
| Villa At Pine Place | 3.1 mi | ★★★★★ | 14 | 0 |
| Oakland Manor Nursing And Rehabilitation Center Ll | 4.4 mi | ★★★★★ | 14 | 0 |
| The Villa At Green Lake Estates | 5.7 mi | ★★★★★ | 4 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Lourdes Rehabilitation And Healthcare Center.
100% money-back within 48 hours.
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.