Above 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 Lake Pointe Health Care during CMS and state inspections, most recent first.
The facility did not promptly notify providers of critical lab results for three residents with positive urine cultures, resulting in delays of several days before antibiotics were ordered and administered. The DON confirmed that lab results received before weekends were not addressed until the following week, despite the presence of on-call physicians, and the facility's policy requires urgent reporting and documentation of such findings.
A facility failed to follow its smoking policy, allowing a resident with intact cognition and multiple health issues to have cigarettes and a lighter in their room. The resident required supervision for smoking, but smoking supplies were found unsecured on their overbed tray, contrary to the facility's guidelines that required such items to be stored in a locked area.
A facility failed to follow infection control practices during medication administration for a resident with peripheral vascular disease and malignant neoplasm of the stomach. An LPN dropped a Gabapentin capsule on the medication cart, picked it up, and administered it to the resident, contrary to the facility's policy requiring dropped medications to be discarded. The DON confirmed the correct procedure was not followed.
A resident with a history of falls and severe cognitive impairment did not have the prescribed bed rails for mobility, as ordered by a physician, leading to a deficiency. Observations and staff interviews confirmed the absence of bed rails, despite the facility's policy on fall prevention.
A resident with dementia and a need for assistance with personal care did not receive the prescribed two-handled cup for beverages, as observed during coffee time and lunch meals. Staff interviews confirmed the oversight, highlighting non-compliance with the care plan.
A facility failed to properly monitor a resident requiring dialysis care, resulting in a deficiency. The resident, with multiple health conditions including chronic kidney disease, was not consistently monitored for dialysis site infection or blood pressure. Documentation of pre and post-dialysis assessments was inadequate, with the last Dialysis Communication Form dated months prior. Interviews with staff confirmed the assessments were not completed as required by facility policy.
A resident with vascular dementia and a history of exit-seeking behavior left a facility unsupervised by entering a locked elevator with visitors and exiting through the front door. The resident was missing for nearly three hours before being found by police at a local high school. The facility failed to reassess the resident's elopement risk after a previous incident, contributing to the deficiency.
Delayed Provider Notification of Critical Lab Results for UTIs
Penalty
Summary
The facility failed to ensure timely notification of critical laboratory results to the ordering practitioner for three residents who were being evaluated or treated for urinary tract infections (UTIs). In each case, there was a significant delay between when positive urine culture results were received and when the physician was notified and antibiotics were ordered. For one resident with chronic obstructive pulmonary disease, stroke, and malnutrition, a urine culture positive for Enterococcus faecalis was reported, but antibiotic therapy was not ordered until four days later. Another resident with Alzheimer’s disease and other comorbidities had a positive urine culture for E. coli, but antibiotics were not started until four days after the results were available. A third resident with acute kidney failure and other conditions had laboratory testing completed in the emergency room, but the facility did not follow up on the results until seven days later, when antibiotics were finally ordered. The Director of Nursing confirmed that the delays occurred, noting that some results were received on a Friday and not addressed until the following week, despite the facility having on-call physicians available during weekends. The facility’s policy states that delays in reporting and acting on laboratory results can adversely affect diagnosis and treatment, and requires nurses to promptly report critical findings to the prescriber and document this in the progress notes. The failure to promptly notify practitioners and act on critical lab results led to delays in the initiation of appropriate antibiotic therapy for the affected residents.
Failure to Adhere to Smoking Policy for Resident
Penalty
Summary
The facility failed to ensure staff followed the smoking policy and provided safe smoking practices for a resident. The resident, who had intact cognition, was readmitted with multiple diagnoses including chronic respiratory failure and type 2 diabetes mellitus. The care plan indicated a history of nicotine use, and interventions included completing a smoking evaluation and providing safe smoking devices if required. However, the smoking assessment revealed the resident required supervision for smoking and was unable to light his own cigarette. During an observation, a pack of cigarettes and a lighter were found on the resident's overbed tray, which was confirmed by a registered nurse and the Director of Nursing (DON) as a violation of the facility's smoking policy. The policy stated that smoking supplies should be kept in a locked and secured place when not in use by residents. The DON confirmed that residents were not permitted to have smoking supplies in their rooms, indicating a failure to adhere to the facility's guidelines for safe smoking practices.
Infection Control Breach During Medication Administration
Penalty
Summary
The facility failed to maintain proper infection control practices during medication administration, affecting one resident. Resident #46, who had diagnoses including peripheral vascular disease and malignant neoplasm of the stomach, was observed receiving medication inappropriately. During a medication administration, an LPN dropped a Gabapentin capsule on the medication cart, picked it up, and placed it in a medicine cup. The LPN then opened the capsule, mixed its contents with applesauce, and administered it to the resident. The LPN confirmed administering the medication after it was dropped, which was against the facility's policy that required dropped medications to be discarded. The Director of Nursing also confirmed that the correct procedure was to dispose of dropped medications and obtain a new dose.
Failure to Implement Fall Interventions as Ordered
Penalty
Summary
The facility failed to implement fall interventions as per physician orders for a resident, leading to a deficiency. The resident, who was admitted with diagnoses including dementia, history of falling, and muscle weakness, was identified as being at risk for falls. The resident's care plan included interventions such as keeping the bed in the lowest position and using assistive devices. However, after a fall incident, a physician ordered bilateral bed rails for mobility, which were not implemented. Observations on two separate occasions revealed that the resident did not have the prescribed bed rails attached to their bed. Interviews with a housekeeper and a certified nurse aide confirmed the absence of bed rails, despite the physician's order. The facility's policy on fall prevention and management indicated that interventions should be in place to prevent further falls, which was not adhered to in this case. This deficiency was investigated under a specific complaint number.
Failure to Provide Assistive Devices for Resident
Penalty
Summary
The facility failed to provide assistive devices as per physician orders and the plan of care for a resident who required assistance with eating and drinking. The resident, who was admitted with diagnoses including dementia, weakness, and a need for assistance with personal care, had a care plan that specified the use of a two-handled cup with a lid for all liquids. Despite this, observations on two separate occasions revealed that the resident was given beverages in disposable cups without handles, contrary to the physician's orders. Interviews with staff, including a housekeeper and an activities leader, confirmed that the resident did not receive the appropriate assistive devices during coffee time and lunch meals. The dietitian also verified that the resident was supposed to receive a two-handled cup to aid in their independence with drinking. This deficiency was identified during an investigation under a specific complaint number, indicating non-compliance with the required standards of care.
Failure to Monitor Dialysis Care for a Resident
Penalty
Summary
The facility failed to ensure proper monitoring of a resident requiring dialysis care, specifically Resident #33, who was affected by this deficiency. The resident, who had multiple diagnoses including stage five hypertensive chronic kidney disease and Alzheimer's dementia, was on dialysis treatments. The care plan for the resident included communication with the dialysis center regarding various health parameters and required evaluations following dialysis treatments. However, the facility did not consistently monitor the dialysis site for signs of infection as per the physician's order, and there was a lack of documented blood pressure monitoring since early September 2024. Additionally, the facility did not maintain adequate documentation of pre and post-dialysis assessments. The last available Dialysis Communication Form was from June 2024, and there were only a few documented pre/post dialysis evaluations in the electronic medical record. Interviews with facility staff, including LPNs and the DON, confirmed that the required assessments were not being completed as per the facility's policy. The facility's policy on Hemodialysis Care and Monitoring outlined specific requirements for pre and post-dialysis evaluations, which were not adhered to, leading to the deficiency.
Resident Elopes Due to Inadequate Supervision
Penalty
Summary
The facility failed to provide adequate supervision to prevent a resident with moderately impaired cognition and a diagnosis of vascular dementia with behavioral disturbances from leaving the facility unsupervised. The resident, who had a previous incident of attempting to exit the facility, was able to enter a locked elevator on the second floor with a group of community members and exit the locked front entrance with the group without staff knowledge. This resulted in the resident being missing for up to two hours and 45 minutes, ultimately being found by law enforcement at a local high school approximately three miles from the facility. The resident was last observed in the facility at approximately 3:00 P.M. and was not found for medication administration, prompting the initiation of an elopement protocol. The resident was found by the police at 5:15 P.M. and returned to the facility at 5:44 P.M. with no injuries or change in condition. The facility's failure to reassess the resident's elopement risk after a previous exit-seeking behavior on the day before the incident contributed to the deficiency. Additionally, there was no documentation of immediate interventions to address the resident's exit-seeking behaviors following the previous incident. The facility's environment required codes to access the elevator and exit the front doors, but the resident was able to bypass these security measures by leaving with a group of visitors. The staff were unaware of the resident's absence until the elopement protocol was initiated, indicating a lack of adequate supervision and monitoring of residents at risk for elopement.
Removal Plan
- Resident #50 was not able to be located in the facility and an elopement protocol was initiated by Licensed Practical Nurse (LPN) #130.
- All other facility residents were accounted for during a head count.
- Local law enforcement was notified to assist in the search for the resident who ultimately located Resident #50 at a local high school.
- The Administrator and Physician #700 were notified of Resident #50's elopement from the facility.
- Resident #50 was returned to the facility and was assessed by LPN #130 with no injuries or change in condition.
- Resident #50 was placed on one-on-one direct care of staff pending an investigation.
- Resident #50 remained on one-on-one care with staff until discharge from the facility.
- Resident #50 was re-assessed for elopement and unsafe wandering risk by LPN #130 and was placed at risk for elopement.
- Resident #50's care plan was updated to include the resident's elopement risk.
- The DON began education with all staff members regarding the facility's elopement management policy.
- All staff members completed education by the DON.
- LPN #130 notified Resident #50's responsible party to provide information regarding the resident's elopement from the facility.
- Registered Nurse (RN) #210 obtained statements from staff working at the time Resident #50 eloped from the facility.
- Wandering observation tools were completed on all residents by LPN #100, LPN #130, and RN #210, and overseen by the DON, to identify any other residents at risk for elopement.
- All facility elopement books were reviewed to ensure accuracy and all resident care plans were reviewed and revised as necessary to ensure all interventions were current and in place.
- Unit Manager LPN #150 completed an elopement drill with no concerns identified.
- Assistant Director of Nursing (ADON) #535, in collaboration with the DON, completed elopement drills with all staff following protocols and no concerns noted.
- Results of the elopement drills were reviewed in Quality Assurance and Performance Improvement (QAPI) meetings.
- The facility QAPI committee held meetings with Physician #700 in attendance to discuss results of the elopement drills with no further concerns.
What surveyors are citing around you — mapped
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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 396 citations issued within 25 miles in the last 12 months — including the 4 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
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Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Lorain
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Oak Hills Nursing Center | 0.4 mi | ★★★★★ | 4 | 0 |
| Anchor Lodge Nursing Home Inc | 1.3 mi | ★★★★★ | 10 | 0 |
| Amherst Manor Nursing Home | 2.7 mi | ★★★★★ | 0 | 0 |
| Autumn Aegis Nursing Home | 2.7 mi | ★★★★★ | 0 | 0 |
| Kingston Health Center Of Vermilion | 5.3 mi | ★★★★★ | 2 | 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.