Below average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
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 Elderwood Of Uihlein At Lake Placid during CMS and state inspections, most recent first.
The facility failed to properly label and store medications, with issues such as expired dates on opened bottles, incorrect labeling of insulin pens, and unattended medication cups at a resident's bedside. Observations revealed systemic problems in medication management, with staff unaware of self-medication procedures and not adhering to the facility's medication administration policy.
The facility did not maintain cleanliness in food service areas, as observed during a survey. The main kitchen had soiled appliances and surfaces, including a slicer and cooking line drawers, while a kitchenette had a dirty microwave. The cleaning checklist required these items to be clean, but they were not, as confirmed by staff interviews.
The facility did not properly dispose of garbage and refuse, as observed during a survey. The side doors of two outdoor dumpsters were left open, and the sides were soiled with food drips. Litter was found around the dumpsters, in the outdoor employee break area, and the loading dock area. An administrator acknowledged the issue during an interview.
A resident with severe cognitive impairment and frail skin suffered a skin tear due to a CNA's failure to follow the care plan, which required the use of Geri sleeves during care. The CNA did not read the Kardex before providing care, leading to the omission of the necessary intervention.
The facility failed to maintain the dignity and privacy of residents, as evidenced by incidents involving public insulin administration, improper clothing, and exposure. A resident received an insulin shot in a common area without consent, another was seen with clothing on incorrectly, and a third exposed themselves with an open door. Staff did not ensure privacy or correct these issues promptly.
A resident was found with over-the-counter topical pain medications in their room without an assessment or physician order for self-administration, as required by facility policy. The resident, who was cognitively intact and had multiple diagnoses, stated they purchased and applied the medications themselves. The facility's policy mandates an interdisciplinary team review and physician order for self-administration, which was not conducted, leading to a deficiency.
The facility did not maintain a clean and comfortable environment due to roof leaks in building #1. Observations showed a tarp in the Unit One data room, water-stained ceiling tiles in the janitor closet and activities room, and drain hoses in the core area. The administrator acknowledged the issue but had not yet secured a contractor for repairs.
A resident with rheumatoid arthritis and difficulty walking experienced a significant change in condition after sustaining a left arm fracture, rendering them unable to stand or walk. Despite these changes, the facility did not complete a Significant Change MDS assessment. Interviews revealed that the DON acknowledged the need for the assessment, but it was not conducted, resulting in a deficiency.
The facility failed to timely update care plans for two residents after significant events. One resident's care plan was not revised after a fall and fracture, while another's was not updated following multiple altercations. This indicates a lapse in adhering to care planning policies.
A resident with limited English proficiency was not provided with adequate interpreter services, leading to a deficiency in maintaining their communication abilities. The facility's staff were not trained in using translation devices or services, relying instead on personal devices and gestures. This lack of training and awareness resulted in ineffective communication with the resident.
A resident with a history of rheumatoid arthritis and muscle weakness returned to the facility after being treated for a left upper arm fracture. The facility failed to conduct and document an assessment by a qualified person upon the resident's return, as required by professional standards and the care plan. The DON acknowledged the oversight during an interview.
Two residents did not receive proper respiratory care as their oxygen tubing was not labeled or dated according to facility policy. Observations showed that the tubing was not changed as scheduled, and Certified Nurse Aides were improperly handling oxygen equipment, which should have been managed by licensed nursing staff. The Director of Nursing acknowledged the issue, indicating a need for further staff education.
A recertification survey revealed that a LTC facility failed to follow its infection prevention and control practices. Staff were observed not wearing personal protective equipment or sanitizing hands between tasks, despite policies requiring these measures. Interviews with staff highlighted inconsistencies in understanding and implementing infection control protocols, contributing to the deficiency.
Medication Management Deficiencies
Penalty
Summary
The facility failed to ensure that drugs and biologicals were labeled and stored according to professional standards of practice. Specifically, there were several instances of improper medication management observed during the recertification survey. An opened medication bottle was found with an expired date, and other opened medication bottles lacked open dates. Insulin pens were labeled with incorrect expiration dates, and a pre-poured medication cup was found at a resident's bedside. These issues were identified in 2 out of 3 medication carts reviewed, indicating a systemic problem with medication management in the facility. During observations, a resident was found with multiple empty medication cups and a cup with pills at their bedside, suggesting that medications were left unattended. Interviews with staff revealed a lack of awareness regarding residents who self-medicate, and discrepancies in following the facility's medication administration policy were noted. The Director of Nursing acknowledged that nurses are expected to stay with residents until medications are taken and not leave medications at the bedside. However, the survey findings showed that these procedures were not consistently followed, leading to the deficiencies noted in the report.
Deficiency in Food Service Safety Standards
Penalty
Summary
The facility failed to ensure that food was stored, prepared, distributed, or served in accordance with professional standards for food service safety. During a recertification survey, observations revealed that several appliances and surfaces in the main kitchen were soiled with food particles or oily dust. Specifically, the slicer, cooking line drawers, bulk food bins, cupboard doors, two exterior windows, window sills, window screens, exterior window fan grills, and an ABC-rated fire extinguisher were found to be unclean. Additionally, in the Unit Four Resident Kitchenette, the interior of the microwave oven was soiled with food particles. The facility's Cooks Cleaning Check List, which was undated, indicated that the slicer should be cleaned and free of debris, and utensil drawers should be clean inside and out. Interviews with the Director of Dining Services and the Administrator confirmed awareness of these issues.
Improper Disposal of Garbage and Refuse
Penalty
Summary
The facility failed to properly dispose of garbage and refuse, as observed during a recertification survey. Specifically, the side doors of two outdoor garbage dumpsters were left open, and the sides of these dumpsters were soiled with food drips. Additionally, the grounds surrounding the dumpsters were littered. These observations were made during a survey on September 30, 2024, at 12:02 PM, where litter was found in the outdoor employee break area, around the dumpsters, and the loading dock area. An interview conducted at 12:27 PM with an administrator confirmed awareness of the issue.
Failure to Implement Care Plan Results in Resident Injury
Penalty
Summary
The facility failed to ensure the development and implementation of a comprehensive person-centered care plan with measurable objectives and timeframes for a resident with severe cognitive impairment and multiple medical conditions. The resident, who required full dependence and one-person assistance for upper body dressing, had a care plan that included the use of Geri sleeves to protect their frail skin during care. However, the Certified Nurse Aide responsible for the resident's care did not implement this intervention, resulting in a skin tear on the resident's right forearm. The incident occurred because the Certified Nurse Aide did not read the Kardex, which contained the care instructions, before providing care. This oversight led to the omission of the Geri sleeves, which were necessary to prevent skin injuries. The facility's policy required that care plans be incorporated into daily nursing care, but in this instance, the care plan was not followed, leading to the resident's injury.
Failure to Maintain Resident Dignity and Privacy
Penalty
Summary
The facility failed to ensure the dignity and respect of its residents, as evidenced by several incidents involving three residents. Resident #48, who has type 2 diabetes, dementia, and hypertension, was administered an insulin injection in the common dining area without being asked if they were comfortable with the procedure being done publicly. The nurse lifted the resident's shirt, exposing their abdomen to others in the area, which violated the resident's right to privacy and dignity. Resident #100, diagnosed with unspecified dementia, hypertension, and mobility issues, was observed walking around the facility with their shirt on inside out and backwards. Despite the expectation that staff would assist residents in correcting their clothing, this was not addressed promptly. The resident was also seen topless in a public area, indicating a lack of immediate intervention by staff to maintain the resident's dignity and appropriate attire. Resident #113, who has Alzheimer's disease, dementia, and hypertensive chronic kidney disease, was seen removing their pants and undergarments in their room with the door open, exposing themselves to the common area. Staff interviews revealed that it was expected for staff to ensure privacy by closing doors and blinds, but this was not done, compromising the resident's dignity and privacy.
Failure to Assess Resident for Self-Administration of Medications
Penalty
Summary
The facility failed to ensure that a resident was assessed by the interdisciplinary team to determine their ability to safely self-administer medications. Resident #73, who was cognitively intact and had diagnoses including chronic obstructive pulmonary disease, polyneuropathy, and diabetes, was observed with four over-the-counter topical pain relief medications in their room. The resident stated they purchased and applied these medications themselves for joint pain. However, there was no documented assessment or physician order allowing the resident to self-administer these medications, as required by the facility's policy. The facility's policy on self-administration of medication requires that residents who wish to self-administer medications must be reviewed and approved by the interdisciplinary care planning team and have an order from the attending physician. Additionally, medications should be stored in a locked drawer in the resident's room, and their use should be monitored by licensed nursing staff. The Director of Nursing was unaware of the resident's possession of these medications and confirmed that the resident had not been assessed for self-administration, nor was there a physician order in place. This oversight led to a deficiency in ensuring the resident's ability to safely manage their medications.
Facility Fails to Address Roof Leaks
Penalty
Summary
The facility failed to maintain a clean, sanitary, comfortable, and homelike environment in building #1, as evidenced by multiple roof leaks. Observations during the recertification survey revealed several areas affected by the leaks. In Unit One, a large tarp was hanging from the ceiling in the data room, and the janitor closet had water-stained ceiling tiles. Additionally, the activities room also had a water-stained ceiling tile. In the core area, there were two locations where drain hoses were attached to ceiling tiles, draining into catch-buckets. These observations indicate a lack of necessary maintenance services to address the roof leaks. During an interview, the facility's administrator acknowledged the issue and mentioned that efforts were being made to secure a contractor to repair the roof leaks before winter. However, at the time of the survey, the deficiency remained unaddressed, compromising the residents' right to a safe, clean, and comfortable environment.
Failure to Complete Significant Change MDS Assessment
Penalty
Summary
The facility failed to complete a Significant Change Minimum Data Set (MDS) assessment for a resident who experienced a significant change in condition. The resident, who was admitted with diagnoses of rheumatoid arthritis, muscle weakness, and difficulty walking, was cognitively intact and able to communicate effectively. On 4/11/2024, the resident was diagnosed with a left arm fracture, and by 4/12/2024, the resident was no longer able to stand or walk. Despite these significant changes, the facility did not complete the required MDS assessment to reflect the resident's new condition. Interviews conducted during the survey revealed that the resident's representative and the Director of Nursing acknowledged the resident's fall and subsequent inability to use a walker due to the fracture. The Director of Nursing confirmed that these changes in the resident's status warranted a Significant Change MDS assessment, which was not completed. The Registered Nurse interviewed stated that they did not see a Significant Change MDS for the resident and believed that two significant changes were necessary before conducting such an assessment. This oversight resulted in a deficiency related to the facility's failure to assess the resident's significant change in condition.
Deficiency in Timely Care Plan Revisions
Penalty
Summary
The facility failed to ensure that care plans were reviewed and revised in a timely manner by the interdisciplinary team for two residents following significant events. Resident #128 experienced an unwitnessed fall, resulting in a fracture, but the care plan was not updated to reflect this incident until over a month later. Despite the resident's fall and subsequent diagnosis of a fracture, the care plan for safety was not revised promptly, indicating a lapse in the facility's adherence to its care planning policy. Resident #2 was involved in multiple resident-to-resident altercations with another resident, identified as the aggressor. Despite these incidents, the care plan for Resident #2 was not updated to address the altercations or to implement interventions to prevent future occurrences. The facility's failure to revise the care plan following these incidents suggests a lack of timely response to behavioral issues that could impact resident safety and well-being. The facility's policy required the interdisciplinary team to review and revise care plans after each assessment, including significant changes. However, the care plans for both residents were not updated in accordance with this policy, highlighting deficiencies in the facility's care planning process. This oversight was identified during a recertification survey, which revealed that the facility did not meet the regulatory requirements for timely care plan revisions.
Deficiency in Language Assistance for Resident with Limited English Proficiency
Penalty
Summary
The facility failed to provide adequate and consistent interpreter services for a resident with limited English proficiency, leading to a deficiency in maintaining or improving the resident's language and communication abilities. The resident, who was cognitively intact, primarily spoke Creole and was not provided with effective communication tools or trained staff to assist in their language needs. The facility's policy on language assistance was not effectively implemented, as staff were not trained in using available translation devices or services. During the survey, it was observed that the nursing staff relied on personal devices like Google Translate or gestures to communicate with the resident, which was not in line with professional standards of care. The staff were unfamiliar with the use of the facility's tablet translator and language line, and there were no visible instructions or signs in the resident's room to facilitate communication. The lack of training and awareness among staff members regarding the use of these tools contributed to the communication barrier. Interviews with various staff members revealed a lack of consistent training and knowledge about the available language services. Some staff deferred the responsibility of training to others, and there was confusion about the use of the language line and electronic devices. The deficiency was further highlighted by the absence of proper documentation and instructions in the resident's care plan, which initially lacked a pin code for the language service. This oversight in providing necessary language assistance services resulted in the resident's inability to effectively communicate their needs and preferences.
Failure to Assess Resident Post-Hospitalization
Penalty
Summary
The facility failed to ensure that a resident received appropriate treatment and care according to professional standards of practice, the comprehensive person-centered care plan, and the resident's choices. Specifically, the facility did not conduct an assessment by a qualified person when the resident returned to the facility after being diagnosed and treated for a left upper arm fracture in the Emergency Department. The resident, who was admitted with diagnoses of rheumatoid arthritis, muscle weakness, and difficulty walking, was cognitively intact according to the Minimum Data Set dated 8/7/2024. The Comprehensive Care Plan for Safety, revised on 8/29/2024, indicated the resident was at risk for falls due to impaired gait. An incident report dated 4/6/2024 documented an unwitnessed fall where the resident reported tenderness in the left arm. The resident was initially assessed by a Registered Nurse and was found to have normal range of motion. However, on 4/11/2024, the Director of Nursing noted swelling, bruising, and pain in the resident's left arm, leading to an x-ray order. The hospital report confirmed a distal humerus fracture. Despite this, the electronic medical record lacked documentation of an assessment upon the resident's return to the facility. During an interview, the Director of Nursing acknowledged that an assessment should have been conducted and documented upon the resident's return.
Deficiency in Oxygen Tubing Management
Penalty
Summary
The facility failed to ensure that two residents received necessary respiratory care consistent with professional standards. Specifically, the supplemental oxygen tubing for both residents was not labeled or dated to reflect when it was last changed, as required by the facility's policy. Resident #29, who had diagnoses including hypertensive heart disease and chronic obstructive pulmonary disease, was observed multiple times with oxygen tubing that was not labeled or dated correctly. Similarly, Resident #35, with chronic respiratory failure and other conditions, was also observed with unlabeled and undated oxygen tubing, and the nasal cannula was improperly positioned. The facility's policy required that oxygen tubing be labeled and dated, and changed at least weekly or more often if soiled. However, observations revealed that the tubing for both residents was not changed according to the schedule documented in their Treatment Administration Records. Interviews with staff, including Certified Nurse Aides and Licensed Practical Nurses, revealed inconsistencies in the understanding and execution of the policy. Certified Nurse Aides reported changing the tubing and tanks themselves, contrary to the policy that only licensed nursing staff should perform these tasks. Further interviews with nursing staff and the Director of Nursing confirmed that the facility's procedures were not followed, as Certified Nurse Aides were not authorized to handle oxygen equipment. The Director of Nursing acknowledged the issue and indicated a need for additional staff education. The deficiency was identified as a failure to adhere to the facility's established protocols for oxygen administration, leading to improper labeling and changing of oxygen tubing for the residents involved.
Infection Control Deficiency in LTC Facility
Penalty
Summary
The facility failed to adhere to its infection prevention and control practices, as observed during a recertification survey across all four units. The facility's policy required staff to frequently wash their hands, especially after handling soiled or contaminated objects, and to wear protective gloves or equipment when in contact with body fluids or residents on transmission-based precautions. However, observations revealed that staff did not consistently follow these protocols. For instance, a Support Aide was seen cleaning a room with a contact precaution sign without wearing personal protective equipment and failed to sanitize their hands between tasks, such as disposing of bed linen and assisting a resident. During lunch observations, it was noted that some Certified Nurse Aides did not sanitize their hands between distributing meals to residents, contrary to the facility's infection control policy. Interviews with staff, including Registered Nurses and Certified Nurse Aides, highlighted inconsistencies in understanding and implementing the required infection control measures. Some staff members acknowledged the need for personal protective equipment and hand hygiene but admitted to not always following these practices. The facility's policy on transmission-based precautions outlined specific requirements for gown and glove use during high-contact activities, especially for residents with multi-drug resistant organisms or those at increased risk. Despite this, staff interviews revealed a lack of consistent adherence to these precautions, with some staff members not wearing personal protective equipment when required and failing to wash hands between resident interactions. The Director of Nursing and other staff confirmed the existence of signs indicating different levels of precautions but noted that staff did not always comply with the protocols, contributing to the deficiency in infection control practices.
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 citations issued around you in the last 12 months — including the 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 Lake Placid
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Essex Center For Rehabilitation And Healthcare | 19.3 mi | ★★★★★ | 0 | 0 |
| Tupper Lake Center For Nursing And Rehabilitation | 24.2 mi | ★★★★★ | 0 | 0 |
| Wake Robin-linden Nursing Home | 36.7 mi | ★★★★★ | 1 | 0 |
| Clinton County Nursing Home | 38.6 mi | ★★★★★ | 0 | 0 |
| Plattsburgh Rehabilitation And Nursing Center | 38.6 mi | ★★★★★ | 0 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
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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.