Lake Crossing Health Center Pac Llc
Inspection Findings
F-Tag F0550
Federal health inspectors cited LAKE CROSSING HEALTH CENTER PAC LLC in APPLING, GA for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-08-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 9 deficiencies cited during this inspection of LAKE CROSSING HEALTH CENTER PAC LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-12.
F-Tag F0584
Federal health inspectors cited LAKE CROSSING HEALTH CENTER PAC LLC in APPLING, GA for a deficiency under regulatory tag F-F0584 during a standard health inspection conducted on 2025-08-28.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
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 9 deficiencies cited during this inspection of LAKE CROSSING HEALTH CENTER PAC LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-12.
F-Tag F0656
Federal health inspectors cited LAKE CROSSING HEALTH CENTER PAC LLC in APPLING, GA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-28.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 9 deficiencies cited during this inspection of LAKE CROSSING HEALTH CENTER PAC LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-12.
F-Tag F0657
Federal health inspectors cited LAKE CROSSING HEALTH CENTER PAC LLC in APPLING, GA for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-08-28.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 9 deficiencies cited during this inspection of LAKE CROSSING HEALTH CENTER PAC LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-12.
F-Tag F0677
Federal health inspectors cited LAKE CROSSING HEALTH CENTER PAC LLC in APPLING, GA for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
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 9 deficiencies cited during this inspection of LAKE CROSSING HEALTH CENTER PAC LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-12.
F-Tag F0695
Federal health inspectors cited LAKE CROSSING HEALTH CENTER PAC LLC in APPLING, GA for a deficiency under regulatory tag F-F0695 during a standard health inspection conducted on 2025-08-28.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide safe and appropriate respiratory care for a resident when needed.
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 9 deficiencies cited during this inspection of LAKE CROSSING HEALTH CENTER PAC LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-12.
F-Tag F0761
Federal health inspectors cited LAKE CROSSING HEALTH CENTER PAC LLC in APPLING, GA for a deficiency under regulatory tag F-F0761 during a standard health inspection conducted on 2025-08-28.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Scope/Severity Level E: pattern, 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 9 deficiencies cited during this inspection of LAKE CROSSING HEALTH CENTER PAC LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-12.
F-Tag F0812
F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Based on observations, staff interviews, and review of the facility's policy titled Ice Machines and Portable Ice Carts, the facility failed to ensure the dietary ice machine was free from buildup. This deficient practice had the potential to place the 76 residents receiving nutrition or hydration from the kitchen at risk of foodborne illness. Findings include: Review of facility policy titled Ice Machines and Portable Ice Carts, revised April 2025, revealed the Policy section stated, It is the policy of this facility to ensure that ice machine machines/carts are working in proper order, cleaned, and maintained as per Federal, State, local or facility guidance, according to manufacturer's instructions and current standards of practice. The Compliance Guidelines section included, 1. Ice machines will be cleaned at a frequency specified by the manufacturer or, if manufacturer specifications are absent, at a frequency necessary to preclude accumulation of soil or mold. 3. The maintenance director or other designee is responsible for cleaning and maintaining the ice machine at the facility. Observation and interview on 8/25/2025 10:09 am in the kitchen area with the Dietary Manager (DM) revealed that the interior of the ice machine contained dark brown and black buildup. The DM confirmed the dark brown and black buildup was inside the ice machine. The DM revealed that she and the kitchen staff had made attempts to remove the dark brown and black buildup, but
it would not go away. In an interview on 8/27/2025 at 1:05 pm, the DM revealed that the Maintenance Director was responsible for cleaning the ice machine, and cleaned it monthly. The DM stated that the kitchen staff attempts to clean the ice machine at times. The DM confirmed the ice machine needed to be cleaned due to the dark brown substance found inside the ice machine. In an interview on 8/27/2025 at 1:41 pm, the Maintenance Director revealed he cleaned the ice machine monthly, and confirmed he was responsible for ensuring the ice machine was cleaned. The Maintenance Director confirmed there was dark brown buildup inside the ice machine, and he was unaware of the buildup prior to the interview. In an
interview on 8/27/2025 at 1:50 pm, the Administrator confirmed the inside of the ice machine contained dark brown buildup. The Administrator stated she expects the Maintenance Director and kitchen staff to clean the ice machine regularly and thoroughly during each cleaning.
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:
F-Tag F0880
Federal health inspectors cited LAKE CROSSING HEALTH CENTER PAC LLC in APPLING, GA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-28.
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 F: widespread, 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 9 deficiencies cited during this inspection of LAKE CROSSING HEALTH CENTER PAC LLC.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-12.
LAKE CROSSING HEALTH CENTER PAC LLC in APPLING, GA 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 APPLING, GA, (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 LAKE CROSSING HEALTH CENTER PAC LLC or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.