Highlands Lake Center
Inspection Findings
F-Tag F0697
F 0697 Level of Harm - Minimal harm or potential for actual harm
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)
Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
11/05/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Highlands Lake Center
4240 Lakeland Highlands Rd Lakeland, FL 33813
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some
FORM CMS-2567 (02/99) Previous Versions Obsolete
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;.
Event ID:
Facility ID:
If continuation sheet
HIGHLANDS LAKE CENTER in LAKELAND, 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 LAKELAND, 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 HIGHLANDS LAKE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.