Above average — CMS composite of the measures below.
The next survey window likely opens 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 Lakeside Health & Rehab Center during CMS and state inspections, most recent first.
Surveyors found a walk-in refrigerator with a circulatory fan cover coated in gray/brown debris and condensation dripping onto a container of sliced tomatoes stored below. Brown standing water was also present on the floor beneath the fan. The Dietary Manager was unaware of the debris and stated the refrigerator was last cleaned after the previous food delivery. The issue was identified in one of three refrigerators and had the potential to affect food served to some residents.
A resident with multiple cardiac and renal diagnoses, including CHF and atrial fibrillation, was not accurately coded for heart failure on the MDS assessment despite having physician orders and a care plan addressing these conditions. The MDS Coordinator and DON confirmed the omission and acknowledged the need for correct coding of relevant diagnoses.
Prescription-strength lotion, antifungal powder, and betadine solution were found unsecured on a cognitively impaired resident's bedside table without physician orders or documentation, and the resident was unable to self-administer medications. Additionally, Latanoprost eye drops were not stored according to manufacturer guidelines, with an unopened bottle kept at room temperature instead of refrigerated and an opened bottle lacking a date of opening in a medication cart. Nursing staff and leadership confirmed these practices did not follow facility policy or manufacturer instructions.
Two shower rooms were found with a black/gray substance on tiles and in cracks, with housekeeping staff either not cleaning or believing the standard cleaner was ineffective, despite it being able to remove the substance. A resident's wheelchair had torn vinyl armrests causing irritation, and although nursing staff noticed the damage, they did not report it for repair. Facility leadership expected timely reporting and maintenance, but lapses in staff action led to these deficiencies.
A facility failed to perform FSBS checks for a diabetic resident due to a lack of proper documentation in the MAR. The resident, who was on Metformin, had an order for FSBS checks that was not executed because the order did not include the necessary supplemental documentation to alert nursing staff. This oversight was identified during a chart audit by the DON.
A resident with moderately impaired cognition and bedbound status was unable to access the light switch behind her bed due to a broken switch cord. Despite being reported verbally to the Maintenance Manager three months prior, the issue remained unresolved, requiring the resident to depend on staff for light control. The facility's staff and management acknowledged the oversight and the need for timely reporting and repair of such deficiencies.
A resident with a left hand contracture was not provided with a palm guard as ordered by a physician and recommended by OT. Despite multiple observations and staff interviews, the palm guard was not applied, and staff were unaware of its use. The DON acknowledged the oversight in ensuring the device was applied according to orders.
The facility failed to manage Latanoprost eye drops properly, with an undated opened bottle found on one medication cart and two expired bottles on another. Staff interviews revealed a lack of awareness of storage guidelines, and management admitted oversight in checking medication carts.
Unclean Walk-In Refrigerator Fan and Condensation Dripping onto Stored Food
Penalty
Summary
A deficiency was identified when surveyors observed that the circulatory fan cover in the walk-in refrigerator had a thick build-up of gray/brown, crumbly debris covering its entire surface. Condensation droplets were present on the bottom of the fan, and drops of condensation had fallen onto a covered container of sliced tomatoes stored directly beneath the fan. Additionally, brown standing water was observed on the floor beneath the fan. The Dietary Manager confirmed she was unaware of the debris and stated that the walk-in refrigerator was last cleaned after a food delivery, which occurred a week prior to the observation. Further observations revealed that the fan cover remained unchanged two days after the initial finding. The Dietary Manager acknowledged that water should not drip onto stored food and confirmed the affected food container was removed. The deficiency was noted for one of three refrigerators in the kitchen and had the potential to affect food served to some of the 103 residents in the facility.
Failure to Accurately Code Resident Diagnosis on MDS Assessment
Penalty
Summary
The facility failed to accurately complete a comprehensive assessment for one resident in the area of diagnoses. The resident was admitted with multiple significant medical conditions, including congestive heart failure, end stage renal disease, atrial fibrillation, and hypertensive heart and chronic kidney disease with heart failure and stage 5 chronic kidney disease. Physician orders included medications for heart failure and atrial fibrillation, and a care plan was initiated to address cardiovascular risk, including interventions such as medication administration, monitoring for edema, and weight monitoring. Despite these documented diagnoses and interventions, the admission Minimum Data Set (MDS) did not include heart failure as a diagnosis. During interviews, the MDS Coordinator acknowledged that the resident had a diagnosis of congestive heart failure and reviewed the resident's records, confirming that the diagnosis was not coded correctly on the MDS. The MDS Coordinator explained her usual practice for coding diagnoses and recognized the error in this case. The Director of Nursing also confirmed that all MDS assessments should be coded correctly for relevant diagnoses.
Unsecured Medications and Improper Storage of Latanoprost
Penalty
Summary
Surveyors identified that prescription-strength ammonium lactate lotion, antifungal powder, and betadine solution were found unsecured on a resident's bedside table. The resident, who had severe cognitive impairment and no active orders for these medications or treatments, was unable to self-administer medications. The items included a prescription lotion with a discard date, an antifungal powder prescribed to another resident, and an opened bottle of betadine solution. Staff interviews confirmed that there were no physician orders or documentation for these items, and that the resident did not have an order for self-administration. Nursing staff and the Director of Nursing acknowledged that these medications should have been stored in a locked cart and not left at the bedside. Additionally, during a medication storage audit, an unopened bottle of Latanoprost ophthalmic solution was found stored at room temperature in a medication cart, contrary to manufacturer guidelines requiring refrigeration until opened. An opened bottle of Latanoprost was also found in the cart without a date indicating when it was opened, making it unclear how long it had been stored at room temperature. Nursing staff were unable to provide information on how long the medications had been improperly stored or when the opened bottle was first used. Interviews with nursing staff and facility leadership confirmed that the facility's policy and manufacturer guidelines were not followed regarding the storage and dating of Latanoprost. The Director of Nursing and Administrator both stated that medications should be stored according to policy and manufacturer instructions, including proper dating and refrigeration, but these procedures were not adhered to in the instances observed.
Failure to Maintain Clean Shower Rooms and Wheelchair in Good Repair
Penalty
Summary
The facility failed to maintain a clean and sanitary environment in two of three shower rooms observed. During inspections, a black/gray substance was found covering the tile floor, cracks, and walls of the 100-hall and 300-hall shower rooms. The Environmental Service Manager acknowledged that daily cleaning and monitoring of the shower rooms was required but admitted to not having checked the 100-hall shower room on the day of observation. Housekeeping staff assigned to the 300-hall shower room reported being aware of the substance but believed the standard cleaner would not remove it, although it was later demonstrated that the substance could be removed with the available cleaning product. Additionally, the facility failed to maintain a resident's wheelchair in good repair. The resident, who had intact cognition and used a wheelchair as a primary mobility device, was observed with both arms in contact with torn and ripped vinyl armrests, which he reported had been in disrepair since admission and caused him itchiness and irritation. Nursing staff were aware of the damaged armrests but did not report the need for repair to maintenance. The Assistant Maintenance Manager stated that repair needs were typically identified through work orders or verbal notification, and he did not routinely check residents' wheelchairs unless notified by staff. Interviews with facility leadership, including the DON and Administrator, confirmed that all staff were expected to report repair needs for mobility devices and maintain a clean environment. However, the lack of timely reporting and follow-through resulted in the deficiencies observed in both the shower room cleanliness and the condition of the resident's wheelchair.
Failure to Perform FSBS Checks for Diabetic Resident
Penalty
Summary
The facility failed to check a finger-stick blood sugar (FSBS) for one resident who was reviewed for unnecessary medications. The resident, who was admitted with multiple diagnoses including diabetes, had an order for Metformin, an anti-diabetic medication, but initially had no orders for FSBS checks. The resident was noted to be a non-insulin dependent diabetic receiving Metformin twice a day. On a subsequent review, a physician order was found that required FSBS checks every morning and at bedtime starting the day after the resident's admission. However, the FSBS was not obtained on the morning it was supposed to start. The failure to perform the FSBS was due to the order not being properly documented in the Medication Administration Record (MAR), which would have alerted the nursing staff to perform the FSBS. The issue was identified when the Director of Nursing audited the resident's chart and discovered the missing FSBS documentation. The Unit Manager confirmed the order but failed to ensure the necessary supplemental documentation was included, which led to the oversight. This deficiency was noted in the Medication Error Report, and the facility acknowledged the lapse in following the physician's orders for blood sugar monitoring.
Inaccessible Light Switch for Bedbound Resident
Penalty
Summary
The facility failed to accommodate the needs of a resident who was unable to access the light switch located behind her bed. The resident, who had been in the room since August 16, 2023, was identified as having moderately impaired cognition and was bedbound, unable to walk more than 10 feet. During an observation on September 23, 2024, it was noted that the switch cord for the light fixture was broken and inaccessible from the bed, requiring the resident to rely on nursing staff to control the light, which was inconvenient for her. Interviews with staff revealed that the broken switch cord had been reported verbally to the Maintenance Manager about three months prior, but it had not been fixed. The Maintenance Manager admitted to not noticing the broken switch cord during his daily walkthroughs and relied on staff to report repair needs. The Director of Nursing and the Administrator both expressed expectations for staff to be attentive to residents' living environments and report repair needs promptly. Despite these expectations, the deficiency persisted, leaving the resident without the ability to control her light fixture independently.
Failure to Apply Splinting Device as Ordered
Penalty
Summary
The facility failed to follow a physician's order to apply a splinting device, specifically a palm guard, for a resident with a contracture in the left hand. The resident, who was admitted with a diagnosis including contracture to the left hand, was recommended by Occupational Therapy to wear a palm guard for 8 hours daily to manage the contracture. Despite these recommendations and a physician's order dated April 2024, observations on multiple occasions in September 2024 revealed that the resident was not wearing the palm guard. Interviews with staff, including the Director of Rehabilitation and an Occupational Therapist, confirmed that the palm guard was not being applied as ordered. Further interviews with nursing staff indicated a lack of awareness and oversight regarding the application of the palm guard. A Nursing Assistant assigned to the resident's care stated he had never seen the palm guard, and a nurse admitted she had not checked to ensure the palm guard was applied daily. The Director of Nursing acknowledged that the palm guard should have been applied according to the physician's order and OT recommendations, and that the nursing staff should have verified its application. The resident's representatives also reported not seeing the palm guard on the resident for months.
Deficiency in Medication Management for Latanoprost Eye Drops
Penalty
Summary
The facility failed to properly manage the storage and labeling of Latanoprost eye drops, leading to deficiencies in medication management. During a medication storage audit, it was observed that a bottle of Latanoprost eye drops on the 100 hall medication cart was opened but not dated, and the nurse present was unaware of how long the medication had been stored at room temperature. Additionally, two opened bottles of Latanoprost on the 700 hall medication cart were found with dates indicating they had been stored beyond the manufacturer's recommended period of six weeks at room temperature. Interviews with nursing staff and management revealed a lack of awareness and adherence to the manufacturer's guidelines for storing Latanoprost eye drops. The Unit Manager admitted to an oversight in checking the medication carts and acknowledged that many nursing staff were unclear about the storage guidelines. The Director of Nursing and the Administrator both expressed expectations that expired medications should be removed from the carts and that opened medications should be dated, but these practices were not consistently followed, leading to the presence of expired medications in the facility.
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 206 citations issued within 25 miles in the last 12 months — including the 7 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 Huntersville
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Huntersville Health & Rehabilitation Center | 1.2 mi | ★★★★★ | 5 | 0 |
| Huntersville Oaks | 2.3 mi | ★★★★★ | 0 | 0 |
| Autumn Care Of Cornelius | 3.9 mi | ★★★★★ | 2 | 0 |
| University Place Nursing And Rehabilitation Center | 9.7 mi | ★★★★★ | 2 | 0 |
| Rockwell Park Rehabilitation And Healthcare Center | 9.8 mi | — | 11 | 1 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Lakeside Health & Rehab 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.