Above average — CMS composite of the measures below.
A standard survey is most likely before around October 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 Lake City Scranton Healthcare Center during CMS and state inspections, most recent first.
Residents were not given the opportunity or support to organize and participate in resident and family groups, as required. The facility did not facilitate or respect the formation and participation of these groups.
Two residents who were dependent on staff for ADLs, including bathing and grooming, did not consistently receive necessary care. One resident with significant physical impairments was observed with poor hygiene and lacked documentation of regular bathing, while another physically dependent but cognitively intact resident experienced missed showers, matted hair, and prolonged periods in soiled briefs. Staff interviews and records confirmed delays, omissions, and incomplete documentation of care.
A deficiency was cited for not ensuring a resident's right to dignity, self-determination, communication, and the exercise of their rights. The report does not specify the exact circumstances or individuals involved.
Surveyors identified multiple infection control deficiencies, including the lack of disposable towels at a kitchen handwashing sink, absence of a water management program to prevent Legionella, and failure by two CNAs to perform hand hygiene or use required PPE when repositioning a resident with a pressure ulcer on Enhanced Barrier Precautions.
A resident with Alzheimer's and diabetes, requiring maximum assistance with personal hygiene, was observed with long, dirty fingernails despite documentation of consistent ADL care. An LPN acknowledged the resident's nails were neglected, highlighting a failure in providing necessary grooming services.
The facility failed to maintain clean oxygen units for three residents, leading to potential health risks. A resident with intact cognition and another with severe cognitive impairment both had soiled oxygen units with dusty filters. Additionally, a resident requiring continuous oxygen therapy had an oxygen concentrator with an unknown brown substance. The DON acknowledged the unsanitary conditions, noting that housekeeping and the Unit Manager were responsible for cleaning.
The facility failed to protect residents from abuse, as evidenced by incidents involving altercations between residents. A cognitively intact resident was involved in a verbal altercation that escalated to physical contact, while a severely cognitively impaired resident accused another of theft and physically assaulted them. Another resident, also severely impaired, was observed swatting at a fellow resident, resulting in visible injuries. Staff intervened in each case, but the incidents highlight a failure to ensure resident safety.
The facility failed to thoroughly investigate a resident-to-resident altercation involving two residents with dementia. The incident report lacked crucial details, and only two witness statements were included. Staff interviews revealed that one resident had been exhibiting problematic behaviors following a medication change, but this was not communicated to the DON before the altercation. The Administrator used an outdated form for reporting and acknowledged the resident's history of picking on others, which was not documented in the care plan.
Failure to Support Resident and Family Group Participation
Penalty
Summary
The facility failed to honor the right of residents to organize and participate in resident and family groups. This deficiency was identified when it was observed that residents were not provided the opportunity or support to form or participate in such groups within the facility. The report notes that the facility did not facilitate or respect the organization and participation of these groups as required.
Failure to Provide and Document Required ADL Care for Dependent Residents
Penalty
Summary
The facility failed to provide necessary care and assistance with activities of daily living (ADLs), specifically bathing and grooming, to two residents who were unable to complete these tasks independently. One resident, admitted with significant physical impairments including hemiplegia, muscle weakness, and a self-care deficit, was observed with several days of beard growth and reported not having received a brief change since the previous night. Documentation revealed that this resident received only one bed bath and two showers during the month, with multiple days lacking any record of bathing or grooming care. The care plan indicated the resident required staff assistance for all ADLs, but there was no documentation of refusals for most days, and staff interviews confirmed gaps in care provision and documentation. Another resident, who was cognitively intact but physically dependent on staff for bathing and toileting, also did not consistently receive scheduled showers or proper hygiene care. Documentation for this resident showed multiple days without any record of bathing or skin care, and observations revealed matted hair and prolonged periods in soiled briefs. The resident expressed embarrassment over her appearance and reported delays in receiving toileting care. Staff interviews confirmed that care was often delayed or not provided due to staffing constraints and the resident's specific preferences for how care should be delivered, with refusals not always properly documented. Throughout the review, it was noted that staff did not consistently follow facility policy regarding the assessment, provision, and documentation of ADL care. There were repeated failures to offer or document care as required, and staff acknowledged that care was sometimes delayed or omitted due to workload or resident refusals. The lack of timely and appropriate ADL care, as well as incomplete documentation, contributed to the deficiency identified by surveyors.
Failure to Honor Resident Rights
Penalty
Summary
A deficiency was identified regarding the failure to honor the resident's right to a dignified existence, self-determination, communication, and the exercise of their rights. The report notes that the facility did not ensure these resident rights were upheld, but does not provide specific details about the actions or inactions that led to this deficiency, nor does it mention any particular events or residents involved.
Infection Control Failures in Hand Hygiene, Water Management, and PPE Use
Penalty
Summary
The facility failed to implement appropriate infection prevention and control measures in several key areas. In the kitchen, disposable towels were not available at the employee handwashing sink, contrary to the facility's own sanitation and hand hygiene policies. This was confirmed through observation and staff interview, where the Certified Dietary Manager acknowledged that disposable towels should always be available and that staff are expected to coordinate with housekeeping to replenish them. Additionally, the facility had not implemented a water management program to reduce the risk of Legionella and other pathogens in the water system, as required by facility policy. The Maintenance Director confirmed that no such program was in place, although he possessed a copy of the CDC Toolkit related to water management. The facility also failed to ensure proper use of personal protective equipment (PPE) and hand hygiene during resident care. During an observation of wound care for a resident with a sacral pressure ulcer who was on Enhanced Barrier Precautions (EBP), two CNAs entered the resident's room to reposition her without cleaning their hands or donning gowns and gloves, as required by facility policy for residents with wounds. Both CNAs admitted in interviews that they did not use the required PPE or perform hand hygiene before repositioning the resident for wound care.
Failure to Provide Adequate Nail Care for Resident
Penalty
Summary
The facility failed to provide adequate assistance with activities of daily living (ADL) for a resident who was dependent on staff for personal care, specifically fingernail care. The resident, who had Alzheimer's disease and diabetes mellitus, was admitted to the facility and required assistance with grooming due to weakness, decreased mobility, and cognitive impairment. The care plan indicated that the resident needed staff assistance for grooming, and the Minimum Data Set (MDS) assessment confirmed that the resident required maximum assistance with personal hygiene. Despite documentation indicating that personal care and ADL care were consistently provided, observations on multiple occasions revealed that the resident had long fingernails with black material underneath, indicating a lack of proper nail care. During an interview, an LPN acknowledged that the resident's fingernails were very long and dirty, despite the resident being cooperative with nail care. This oversight in providing necessary grooming services placed the resident at risk for diminished self-worth, self-esteem, feelings of embarrassment, and potential medical issues.
Unsanitary Oxygen Units in LTC Facility
Penalty
Summary
The facility failed to maintain clean and sanitary oxygen units for three residents, leading to potential health risks. Resident 68, who had intact cognition and used oxygen as needed for shortness of breath, was observed with a soiled oxygen unit and a dusty filter on multiple occasions. Licensed Practical Nurse 7 confirmed the unsanitary condition of the equipment. Resident 69, with severe cognitive impairment and continuous oxygen usage, also had a soiled oxygen unit with a significant amount of dust on the filter, as observed over two days. Resident 42, who was cognitively intact and required continuous oxygen therapy and BiPap at night, had an oxygen concentrator with an unknown brown substance on the filter area. The Director of Nurses acknowledged the unsanitary condition of the oxygen units and filters for all three residents, noting that housekeeping staff were responsible for cleaning the outside of the units and the Unit Manager was to ensure the filters were cleaned. The issue was recognized during an observation and interview with the Director of Nurses.
Failure to Protect Residents from Abuse
Penalty
Summary
The facility failed to ensure residents were free from abuse, as evidenced by incidents involving two residents, R66 and R11, among others. In one incident, R66, who was cognitively intact, was involved in a verbal altercation with another resident, R235, which escalated when R235 swung his arm and grazed R66's face. Staff intervened promptly, separating the residents and monitoring them for injuries. The altercation was reportedly instigated by R66, who was taunting R235, although R235 was described as normally sweet and patient. Another incident involved R11, who was severely cognitively impaired and exhibited behavioral symptoms. R11 accused R66 of stealing her purse and physically assaulted him by slapping his stomach, chest, and face. R66 reported the incident to the nursing staff. R11's care plan noted her risk for mood and behavior issues due to dementia, with interventions to manage her aggressive behavior. A third incident involved R187, who was also severely cognitively impaired. R187 was observed making swatting motions towards R11's face and head, resulting in visible red scratches and marks. The staff separated the residents and assessed them for injuries. The incident occurred after a decrease in R187's medication, which coincided with a change in behavior. The facility notified the appropriate authorities and took immediate action to address the situation.
Inadequate Investigation of Resident Altercation
Penalty
Summary
The facility failed to conduct a thorough investigation into an alleged resident-to-resident altercation involving two residents, identified as R187 and R11. Both residents were diagnosed with unspecified dementia with psychotic disturbances and were severely cognitively impaired, as indicated by their Brief Interview for Mental Status (BIMS) scores. The incident report lacked essential details such as the date and time of the altercation, and only included statements from two witnesses, a CNA and an LPN. There was no documentation of the staff member who performed body audits or interviews, nor were these documents signed or dated. Interviews with staff revealed that R187 had been exhibiting bossy and nosey behaviors towards other residents following a medication adjustment. On the day of the incident, R187 and R11 had been arguing, but this was not communicated to the Director of Nursing prior to the altercation. The Administrator acknowledged using an outdated form for the five-day summary report to the state and confirmed that R187 had a history of picking on other residents, although this behavior was not documented in the resident's care plan. The lack of comprehensive documentation and communication contributed to the facility's failure to adequately investigate and address the altercation.
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What surveyors actually found near you
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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 Scranton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Dr Ronald E Mcnair Nursing & Rehabilitation Center | 6.3 mi | ★★★★★ | 8 | 0 |
| The Palms At Florence | 13.4 mi | ★★★★★ | 0 | 0 |
| Carlyle Senior Care Of Kingstree | 18.3 mi | ★★★★★ | 7 | 0 |
| Veteran Village | 18.6 mi | ★★★★★ | 0 | 0 |
| Southland Health Care Center | 18.8 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.