Average — CMS composite of the measures below.
A standard survey is most likely before around December 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 Cedar Lake Nursing Home during CMS and state inspections, most recent first.
Surveyors found unsanitary conditions in the kitchen's ice machine, with visible debris and unclear staff responsibilities for deep cleaning. Dietary staff performed only surface cleaning, while maintenance staff were unsure of their duties, resulting in infrequent and undocumented deep cleaning despite manufacturer guidelines.
A resident with an indwelling Foley catheter was assisted to the toilet by a CNA who failed to don a gown as required by the facility's infection control policy, using only gloves during the transfer and adjustment of the urinary catheter drainage bag. The resident, who required maximum assistance for toileting and had multiple medical conditions, was cognitively intact and had specific physician orders for catheter care. Facility leadership confirmed that both gown and gloves were required for such care activities.
The facility's kitchen operations were found deficient due to unsanitary conditions, including the absence of trash cans at handwash sinks, improper dish machine sanitization, and undated food items. Staff failed to report discrepancies, and a drawer under the tea machine contained a dried brown substance.
The facility failed to ensure accurate MDS assessments for two residents, leading to incorrect documentation of their nutritional status and weight loss. One resident with anorexia and debility lost 11.7% of her weight over six months, while another resident with dementia lost 5.3% in 30 days. The Dietary Manager did not know how to calculate weight loss percentages, resulting in inaccurate assessments. The facility lacked a policy for completing MDS assessments, relying on the MDS 3.0 RAI Manual.
The facility failed to accurately document weight loss for two residents, leading to potential errors in care. A resident with anorexia and another with multiple chronic conditions experienced significant weight loss, but the Dietary Manager inaccurately recorded no weight loss in their reviews. The manager admitted to not knowing how to calculate weight loss percentages, and the facility lacked policies on documentation accuracy, affecting MDS assessments and potentially resident care.
Failure to Maintain Sanitary Conditions in Kitchen Ice Machine
Penalty
Summary
Surveyors observed that the facility failed to maintain sanitary conditions in its only kitchen, specifically regarding the cleaning and maintenance of the ice machine located in the steam table room. During an inspection, visible pink debris and dark brown specks were found on the ice chute, and a paper towel swipe confirmed the presence of these substances. Interviews with dietary and maintenance staff revealed confusion over responsibility for deep cleaning the ice machine, with dietary staff performing only surface cleaning and maintenance staff unsure of their role. The dietary manager, who had been at the facility for a month, was unaware of any recent deep cleaning, and the maintenance supervisor recalled cleaning the machine only once, several months prior. Further review of the manufacturer's maintenance manual indicated that the ice machine should be descaled and sanitized at least every six months, and that extremely dirty machines must be taken apart for thorough cleaning. The administrator confirmed that there was no outside vendor for cleaning and that there was no clear assignment or logging of deep cleaning duties. This lack of regular, thorough cleaning and unclear staff responsibilities led to unsanitary conditions in the kitchen's ice machine.
Failure to Follow Enhanced Barrier Precautions During Catheter Care
Penalty
Summary
The facility failed to maintain an infection prevention and control program as required, specifically in the care of a resident with an indwelling urinary catheter. During an observed transfer of the resident to the toilet, CNA B only donned gloves and did not wear a gown, despite facility policy and infection control guidelines requiring both gown and gloves for high-contact care activities involving residents with indwelling medical devices. The CNA acknowledged that she was supposed to use the PPE provided in the room, which included gowns and gloves, but did not put on the gown. The ADON/IP and DON both confirmed that the facility's policy required staff to wear a gown and gloves during transfers for residents with urinary catheters. The resident involved was an older female with a history of urinary retention, lumbar fracture, osteoarthritis, hypertension, and chronic pain. She had an indwelling Foley catheter in place, with physician orders for catheter care and output monitoring every shift. The resident was cognitively intact and required maximum assistance for toileting. The deficiency was identified through observations, interviews, and record reviews, which confirmed that the required infection control precautions were not followed during direct care activities involving the resident's urinary catheter.
Sanitation Deficiencies in Kitchen Operations
Penalty
Summary
The facility failed to maintain sanitary conditions in its kitchen, which could potentially expose residents to foodborne illnesses. Observations revealed that there were no trash cans at the handwash sinks in the dish room and adjacent to the 3-compartment sink, with only a 55-gallon rolling trash can without a lid available. The dish machine was not sanitizing properly, as indicated by a test strip that came back white instead of purple. The dietary worker did not report this issue, and there was confusion about the difference between two types of sanitizer. Additionally, two thickened liquid cartons in the walk-in cooler were not dated when opened, and a carton of almond milk was out of date but still being used. A drawer under the tea machine was found with a dried brown substance at the bottom. Interviews with staff revealed that they were aware of the requirement to date food packaging upon opening and had been trained on dishwashing procedures, including checking sanitizing solutions. However, discrepancies were not reported, and the dish machine vendor was called only after the issue was identified. The facility's undated policies on dishwashing procedures and food storage were reviewed, indicating the need for chemical sanitizing and dating opened items, but these were not adhered to, leading to the deficiencies observed.
Inaccurate MDS Assessments for Nutritional Status
Penalty
Summary
The facility failed to ensure accurate Minimum Data Set (MDS) assessments for two residents, leading to incorrect documentation of their nutritional status and weight loss. Resident #24, a female with diagnoses including anorexia, debility, and Failure to Thrive, experienced a significant weight loss of 11.2 pounds (11.7%) over six months. However, her MDS assessment inaccurately indicated no weight loss. Similarly, Resident #41, a male with dementia and other chronic conditions, lost 6.6 pounds (5.3%) in 30 days, but his MDS assessment failed to reflect this weight loss. Interviews revealed that the Dietary Manager (DM) responsible for completing Section K of the MDS assessments did not know how to calculate weight loss percentages and was using a report that listed weights without showing gains or losses. The MDS Nurse and DM acknowledged the inaccuracies in the assessments. The Director of Nursing (DON) confirmed the absence of a facility policy for completing MDS assessments, relying instead on the MDS 3.0 RAI Manual. These inaccuracies could potentially result in residents not receiving appropriate care and services.
Inaccurate Documentation of Resident Weight Loss
Penalty
Summary
The facility failed to maintain clinical records in accordance with accepted professional standards and practices, specifically in documenting weight losses for two residents. Resident #24, a female with diagnoses including anorexia, debility, and Failure to Thrive, experienced a significant weight loss of 11.2 pounds (11.7%) over six months. However, the Dietary Manager inaccurately documented that there was no weight loss in the Dietary Quarterly Review. Similarly, Resident #41, a male with dementia, chronic kidney disease, chronic obstructive pulmonary disease, and pneumonia, lost 6.8 pounds (5.4%) in one month, but the Dietary Quarterly Reviews inaccurately indicated no weight loss. The Dietary Manager admitted to not knowing how to calculate the percentage of weight loss and did not seek assistance, leading to incorrect documentation. This incorrect data was used in MDS assessments, potentially affecting the care and services provided to residents. Interviews with the MDS Nurse and the DON confirmed that incorrect assessment data could lead to inappropriate care. Additionally, the facility lacked policies on Dietary Reviews and documentation/charting accuracy, contributing to the deficiency.
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 66 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
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 Malakoff
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Avir At Athens | 8.9 mi | ★★★★★ | 9 | 0 |
| Park Highlands Nursing & Rehabilitation Center | 9 mi | ★★★★★ | 1 | 0 |
| Advanced Rehabilitation And Healthcare Of Athens | 10.5 mi | ★★★★★ | 15 | 3 |
| Kerens Care Center | 13.5 mi | ★★★★★ | 1 | 1 |
| Mabank Nursing Center | 15.5 mi | ★★★★★ | 15 | 0 |
Every risk area ranked, a do-first checklist, and your local survey patterns
Built specifically for Cedar Lake Nursing Home.
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.