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Complaint Investigation

Lakehouse Healthcare & Rehabilitation Center

August 15, 2025 · Minneapolis, MN · 3737 Bryant Avenue South
Citations 17
CMS Rating 1/5
Beds 260
Provider ID 245055
Healthcare Facility
Lakehouse Healthcare & Rehabilitation Center
Minneapolis, MN  ·  View full profile →
Inspection Summary

LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN — inspection on August 15, 2025.

Found 17 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.

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Inspection Findings

FF0550
Resident Rights Deficiencies
Potential for More Than Minimal Harm

Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0550 during a standard health inspection conducted on 2025-08-15.

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 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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0583 during a standard health inspection conducted on 2025-08-15.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Keep residents' personal and medical records private and confidential.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-08-15.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0645 during a standard health inspection conducted on 2025-08-15.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

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Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-08-15.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-08-15.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-08-15.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0679 during a standard health inspection conducted on 2025-08-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide activities to meet all resident's needs.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

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Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0684 during a standard health inspection conducted on 2025-08-15.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0692 during a standard health inspection conducted on 2025-08-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide enough food/fluids to maintain a resident's health.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0699 during a standard health inspection conducted on 2025-08-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care or services that was trauma informed and/or culturally competent.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0759 during a standard health inspection conducted on 2025-08-15.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure medication error rates are not 5 percent or greater.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

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Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0791 during a standard health inspection conducted on 2025-08-15.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide or obtain dental services for each resident.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0808 during a standard health inspection conducted on 2025-08-15.

Category: Nutrition and Dietary Deficiencies

The facility was found deficient in the following area: Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-08-15.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

During interview with R146 on 8/13/25 at 8:49 a.m., R146 stated, I don't like the line on the door. It is not old, they should cover it. R146 stated the condition of the door had been like that a long time. R146 pointed to ceiling tiles in her bathroom which were darkly stained and said, It is dirty and stained. It does not look good and no one offered to repair or replace it.During interview with administrator and D-ES on 8/13/25 at 12:29 p.m., the administrator stated she agreed that the walls, doors, carpets, ceiling tiles and dining rooms and halls should be repaired or replaced with matching paint. [I] agree it is important for residents to live in [a]space that is in good condition.During resident council meeting interview on 8/13/25 at 10:07 a.m., R233 stated the environmental concerns included stained walls, carpets, ceilings, and unfinished repairs. R233 stated, I would make sure everything is clean and wiped up and finished painted.

That is something that someone who visits us should not see. I don't like it. R199 stated facility had started patching them [walls].

Never got around to completing it and I don't think anyone gives a d**n what I think.During interview with D-ES on 8/13/25 at 1:11 p.m., D-ES reviewed facility's maintenance request logbook for 2/2025 to 8/2025 and verified there were no requests for resident dining room wall, door, or carpet repairs. D-ES stated, It isn't fair for them [residents] to see that unfinished work.Facility policy titled Residential Environment dated October 2022 identified All facility personnel are responsible for reporting broken, defective or malfunctioning equipment or furnishings upon identification of the issue.

Facility ID:

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Federal health inspectors cited LAKEHOUSE HEALTHCARE & REHABILITATION CENTER in MINNEAPOLIS, MN for a deficiency under regulatory tag F-F0925 during a standard health inspection conducted on 2025-08-15.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

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 17 deficiencies cited during this inspection of LAKEHOUSE HEALTHCARE & REHABILITATION CENTER.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-02.

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 MINNEAPOLIS, MN, (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 LAKEHOUSE HEALTHCARE & REHABILITATION CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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