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Lake Shore Village Healthcare Center

πŸ“ 2320 Lake Shore Dr, Waco, TX 76708 πŸ“ž (254) 752-1075 πŸ›οΈ 151 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

May 10, 2025 Complaint Investigation

Fines and Penalties by Year

2019 1 penalties totaling $7,023

$7,023
Jan 28, 2019

Fine

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Health Violations by Year

2025 9 violations

Tag 0580 K May 10, 2025

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: May 11, 2025
Tag 0692 K May 10, 2025

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: May 11, 2025
Tag 0557 E Feb 20, 2025

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

βœ“ Corrected: Mar 14, 2025
Tag 0558 E Feb 20, 2025

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Mar 14, 2025
Tag 0561 E Feb 20, 2025

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

βœ“ Corrected: Mar 14, 2025
Tag 0677 D Feb 20, 2025

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Mar 14, 2025
Tag 0803 F Feb 20, 2025

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

βœ“ Corrected: Mar 14, 2025
Tag 0806 E Feb 20, 2025

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

βœ“ Corrected: Mar 14, 2025
Tag 0812 F Feb 20, 2025

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Mar 14, 2025

2024 4 violations

Tag 0607 D Aug 21, 2024

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

βœ“ Corrected: Sep 5, 2024
Tag 0609 D Aug 21, 2024

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Sep 5, 2024
Tag 0812 E Jun 29, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Jun 30, 2024
Tag 0755 E May 16, 2024

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jun 10, 2024
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2023 35 violations

Tag 0550 D Dec 16, 2023

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Jan 12, 2024
Tag 0558 D Dec 16, 2023

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Jan 12, 2024
Tag 0578 D Dec 16, 2023

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Jan 12, 2024
Tag 0584 D Dec 16, 2023

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.

βœ“ Corrected: Jan 12, 2024
Tag 0585 D Dec 16, 2023

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

βœ“ Corrected: Jan 12, 2024
Tag 0640 D Dec 16, 2023

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

βœ“ Corrected: Jan 12, 2024
Tag 0655 E Dec 16, 2023

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Jan 12, 2024
Tag 0656 E Dec 16, 2023

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Jan 12, 2024
Tag 0657 D Dec 16, 2023

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: Jan 12, 2024
Tag 0658 E Dec 16, 2023

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jan 12, 2024
Tag 0677 D Dec 16, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jan 12, 2024
Tag 0679 E Dec 16, 2023

Provide activities to meet all resident's needs.

βœ“ Corrected: Jan 12, 2024
Tag 0686 G Dec 16, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jan 12, 2024
Tag 0689 E Dec 16, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 12, 2024
Tag 0690 D Dec 16, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Jan 12, 2024
Tag 0695 E Dec 16, 2023

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Jan 12, 2024
Tag 0699 D Dec 16, 2023

Provide care or services that was trauma informed and/or culturally competent.

βœ“ Corrected: Jan 12, 2024
Tag 0726 K Dec 16, 2023

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: Jan 12, 2024
Tag 0755 E Dec 16, 2023

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Jan 12, 2024
Tag 0759 D Dec 16, 2023

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Jan 12, 2024

2022 1 violations

Tag 0761 E Oct 24, 2022

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.

βœ“ Corrected: Oct 25, 2022
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2021 6 violations

Tag 0677 D Aug 20, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Sep 20, 2021
Tag 0684 G Aug 20, 2021

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Sep 20, 2021
Tag 0812 F Aug 20, 2021

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Sep 20, 2021
Tag 0908 E Aug 20, 2021

Keep all essential equipment working safely.

βœ“ Corrected: Sep 20, 2021
Tag 0921 E Aug 20, 2021

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Sep 20, 2021
Tag 0686 E Feb 9, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Mar 10, 2021

2020 9 violations

Tag 0580 D Oct 30, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Nov 28, 2020
Tag 0760 D Oct 30, 2020

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Nov 28, 2020
Tag 0550 D Feb 12, 2020

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Mar 13, 2020
Tag 0572 D Feb 12, 2020

Give residents a notice of rights, rules, services and charges.

βœ“ Corrected: Mar 13, 2020
Tag 0609 D Feb 12, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Mar 13, 2020
Tag 0623 E Feb 12, 2020

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Mar 13, 2020
Tag 0656 E Feb 12, 2020

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Mar 13, 2020
Tag 0684 E Feb 12, 2020

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Mar 13, 2020
Tag 0790 E Feb 12, 2020

Provide routine and 24-hour emergency dental care for each resident.

βœ“ Corrected: Mar 13, 2020
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2019 1 violations

Tag 0689 G Jan 28, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Oct 11, 2018

2018 2 violations

Tag 0583 D Feb 1, 2018

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Mar 1, 2018
Tag 0880 F Feb 1, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 1, 2018
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