Highlands Lake Center
HIGHLANDS LAKE CENTER in LAKELAND, FL — inspection on November 5, 2025.
Found 2 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
his or her care plan.5.
Medication errors are documented, reported, and reviewed by the QAPI (Quality Assurance and Performance Improvement) committee to inform process changes and or the need for additional staff training.(Photographic evidence obtained)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
11/05/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Highlands Lake Center
4240 Lakeland Highlands Rd Lakeland, FL 33813
SUMMARY STATEMENT OF DEFICIENCIES
The DON stated education was started on 10/21/2025 with the topic titled: Misappropriation for the entire facility.
Review of the facility policy titled Narcotic Count Sheet, dated 6/2024, revealed the following: Policy: The facility will reconcile schedule II narcotics each shift.
Procedure: .3. schedule II controlled medications are received upon arrival, counted and entered on a count sheet. 4.
When it's scheduled to medication is administered, the licensed nurse will complete the count sheet indicating the date and time of administration, amount administered, amount remaining and signature.6.
Not just experience at the end of each shift, the oncoming nurse and the off going nurse will count the medication and reconcile them with the count sheets.7. If the account is incorrect, an investigation will be started immediately. 8.
The [NAME] will be notified of the discrepancy and will make every attempt to reconcile the discrepancy.
Reconcilable discrepancies are documented by the [NAME] and a report. If there is a major discrepancy, or a pattern of discrepancies, the Don, administrator and the consultant pharmacist will make a determination to notify police or other enforcement agencies and any other actions to be taken.9.
Disposition of schedule 2 medications will be conducted by the Don/designee.
Review of the facility policy titled medication administration, with a date of 1/2024, revealed the following: Standard: Medications are ordered and administered safely as prescribed.
Guideline: medications will be administered safely and as prescribed by only licensed personnel.
Procedure:. 17. As required are indicated for a medication, the individual administering the medication records and the residence medical record: a.
The date and time the medication was administered; b.
The dosage; c.
The route of administration;.
Facility ID:
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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.