Lakeside Center For Rehabilitation And Healing
Inspection Findings
F-Tag F0727
F 0727 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on
a full time basis.
Based on record review and interviews, the facility failed to ensure the Director of Nursing (DON) did not serve in the position of a charge nurse when the facility's census was greater than 60. Review of the facility staffing schedule dated 8/14/25 revealed that the DON was scheduled to work 7:00 pm - 7:00 am on the 500/600 hall cart. The census was noted as 116. During an interview on 8/14/25 at 11:55 am, the certified nursing assistant (CNA)/staffing coordinator, stated she used the facility census to plan for the staffing. She confirmed that the DON was scheduled to work tonight (8/14/25). She explained that the facility had a nurse shortage therefore the DON helped out on open slots. When asked how often the DON worked on the floor,
she stated that she had to review the schedule.On 8/14/25 at 2:25 pm, the DON confirmed that she had been working on the floor when there is a need. She stated that the night shift had been the issue most of
the time. She explained that she had worked at least 2-3 times a month. In an interview with the Administrator on 8/14/25 at 3:15 pm, he confirmed that the DON had worked the following dates: 6/9/25 (census 114), 6/10/25 (census 114), and 6/12/25 (census 112). (Copies obtained)
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
LAKESIDE CENTER FOR REHABILITATION AND HEALING in JACKSONVILLE, FL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in JACKSONVILLE, FL, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LAKESIDE CENTER FOR REHABILITATION AND HEALING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.