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Complaint Investigation

Lake Taylor Hosp

September 26, 2025 · Norfolk, VA · 1309 Kempsville Rd
Citations 2
CMS Rating 4/5
Beds 192
Provider ID 495117
Healthcare Facility
Lake Taylor Hosp
Norfolk, VA  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

LAKE TAYLOR HOSP in NORFOLK, VA — inspection on September 26, 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

FF0677
Quality of Life and Care Deficiencies

record (EMR) revealed an admission date 07/09/18 and a Brief Interview for Mental Status (BIMS)

quadriplegia, multiple sclerosis, and dysphagia.Review of R9's diet order dated 10/17/24, provided by

assist with set-up PRN [as needed] indications: dysphagia resolved.Review of R9's care plan provided by the facility did not include a care plan for activities of daily living and eating ability.On 09/23/25 at 12:02 PM, R9 was served her lunch in bed on an overbed table, and her room door closed.

R9's lunch includes beef/macaroni casserole, green beans, gelatin, a side of macaroni, coffee, a supplement, and ice cream.On 09/23/25 at 12:19 PM and 12:36 PM, R9 was in bed with her meal and her door closed. No assistance was observed with her meal.On 09/23/25 at 1:16 PM, R9 was in bed with her lunch tray, and her consumption was poor. R9's door remained closed, and no assistance was provided. R9 was asked if she received assistance with her meal and R9 stated, No.Review of R9's Meal Acceptance History provided by the facility revealed 09/23/25 for lunch was documented as 25%.On 09/23/25 at 4:51 PM and 5:00 PM, R9 was served her dinner in bed, and her tray was covered.

R9's door remained closed, and no assistance was provided.On 09/23/25 at 5:21 PM, R9 was asleep in bed with her dinner tray unconsumed and sitting at her bedside.Review of R9's Meal Acceptance History provided by the facility revealed 09/23/25 for dinner was documented as refused.During an interview on 09/25/25 at 12:33 PM, LPN5 was asked why R9 hadn't received feeding assistance for two meals on 09/23/25. LPN5 stated R9 could feed herself.

During an interview on 09/25/25 at 2:01 PM, CNA3 confirmed that she was assigned to R9.CNA3 was asked how she would know who needed assistance with eating. CNA3 stated they get information from the family or the previous nursing home on meal intake, and they also follow a feeding list at the nurse's station. CNA3 provided the list which indicated that R9 was to receive queueing/supervision. CNA3 confirmed R9 was to receive queueing/supervision.

During an interview on 09/25/25 at 2:08 PM, the Nurse Manager (NM)3 was asked about the feeding list and R9 listed as queueing/supervision which was different from her diet order instructions. UM3 stated it was the same as queuing/supervision.

During an interview on 09/25/25 at 2:14 PM, the Speech Therapist (ST) was asked about R9's diet order.

The ST stated, Someone should be with R9 to cue/supervise. ST stated R9 would accept someone feeding her. ST confirmed R9 had poor meal consumption and had a pressure sore.

495117 09/26/2025

Lake Taylor Hosp 1309 Kempsville Rd Norfolk, VA 23502

Review of the facility's policy titled Fall Risk Assessment and Prevention dated 04/2025 revealed to

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 NORFOLK, VA, (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 TAYLOR HOSP or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

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.