Lady Lake Specialty Care Center And Rehab
Lady Lake Specialty Care Center and Rehab in LADY LAKE, FL — inspection on December 18, 2025.
Found 10 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited Lady Lake Specialty Care Center and Rehab in LADY LAKE, FL for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-12-18.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Lady Lake Specialty Care Center and Rehab.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Lady Lake Specialty Care Center and Rehab in LADY LAKE, FL for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2025-12-18.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: PASARR screening for Mental disorders or Intellectual Disabilities
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Lady Lake Specialty Care Center and Rehab.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Lady Lake Specialty Care Center and Rehab in LADY LAKE, FL for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-12-18.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Lady Lake Specialty Care Center and Rehab.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Lady Lake Specialty Care Center and Rehab in LADY LAKE, FL for a deficiency under regulatory tag F-F0698 during a standard health inspection conducted on 2025-12-18.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe, appropriate dialysis care/services for a resident who requires such services.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Lady Lake Specialty Care Center and Rehab.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Lady Lake Specialty Care Center and Rehab in LADY LAKE, FL for a deficiency under regulatory tag F-F0756 during a standard health inspection conducted on 2025-12-18.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Lady Lake Specialty Care Center and Rehab.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Lady Lake Specialty Care Center and Rehab in LADY LAKE, FL for a deficiency under regulatory tag F-F0760 during a standard health inspection conducted on 2025-12-18.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.
Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 10 deficiencies cited during this inspection of Lady Lake Specialty Care Center and Rehab.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Lady Lake Specialty Care Center and Rehab in LADY LAKE, FL for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-12-18.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Lady Lake Specialty Care Center and Rehab.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Lady Lake Specialty Care Center and Rehab in LADY LAKE, FL for a deficiency under regulatory tag F-F0835 during a standard health inspection conducted on 2025-12-18.
Category: Administration Deficiencies
The facility was found deficient in the following area: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 10 deficiencies cited during this inspection of Lady Lake Specialty Care Center and Rehab.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Lady Lake Specialty Care Center and Rehab in LADY LAKE, FL for a deficiency under regulatory tag F-F0842 during a standard health inspection conducted on 2025-12-18.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Lady Lake Specialty Care Center and Rehab.
Correction Status: Deficient, Provider has no plan of correction.
Federal health inspectors cited Lady Lake Specialty Care Center and Rehab in LADY LAKE, FL for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-12-18.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 10 deficiencies cited during this inspection of Lady Lake Specialty Care Center and Rehab.
Correction Status: Deficient, Provider has no plan of correction.
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.