Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around January 2027
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lakes Of Clermont Health And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with a history of falls and recent fracture experienced multiple falls, received new physician orders, and was transferred to the hospital without timely notification to the family or responsible party. Staff interviews confirmed that required notifications were not consistently made, despite facility policy mandating such communication.
The facility failed to apply TED stockings as ordered for two residents and did not administer medications according to physician orders for three residents. A resident with diabetes did not receive Lantus Insulin due to unreported low blood sugar levels, while two other residents received pain medications outside prescribed parameters. The DON confirmed these deficiencies, which contravened the facility's medication administration policy.
The facility failed to securely store drugs and biologicals, as required by professional principles. Containers labeled 'Poison/Do Not Drink' were found on a resident's dresser instead of being stored in the bathroom. Additionally, an anti-itch spray was found on a resident's bedside table without a physician's order for self-administration. The facility's policy requires secure and orderly storage of medications.
The facility failed to label and date stored food items in multiple refrigerators, as observed during a survey. Unlabeled and undated food, including chicken, mashed potatoes, yogurt, turkey, and ham cuts, were found in the kitchen and nourishment room refrigerators. The facility's policy requires labeling and dating of food items to ensure proper identification and timely disposal, but this was not followed.
The facility failed to maintain complete and accurate records for three residents. Observations revealed that two residents did not have prescribed TED stockings applied, despite TARs indicating otherwise. A CNA and an LPN confirmed the absence of the stockings. For another resident, multiple treatments were not documented in the TAR, and a nurse admitted to not charting due to interruptions. The facility's policy mandates documentation of all services provided.
A facility failed to ensure proper PPE use during high-contact care for a resident on Enhanced Barrier Precautions. An RN entered a resident's room, which required both gloves and a gown, but only wore gloves while applying a dressing to a sacral wound. This was against the facility's policy, which mandates gown and glove use for such activities. The RN acknowledged the mistake, and the oversight was confirmed by the Regional RN.
Failure to Notify Family of Resident Falls and Hospital Transfer
Penalty
Summary
The facility failed to ensure timely notification of a resident's family or responsible party regarding significant events, including falls, new physician orders, and a hospital transfer. Record review showed that a resident with multiple diagnoses, including a recent fracture, repeat falls, and muscle weakness, experienced at least two falls. Documentation did not show that the family or responsible party was notified at the time of either fall, nor when a new physician order for an x-ray was made, or when the resident was transferred to the hospital. Interviews with staff and administration confirmed that the family was not notified as required by facility protocol and policy, even though the resident's son was present in the facility later and was informed in person, but not at the time of the incidents. Staff interviews revealed inconsistent understanding and application of the facility's notification policy. While some staff stated that family should always be notified of falls, regardless of the resident's alertness, others believed notification was not necessary if the resident was alert and oriented. The facility's written policy required notification of the physician, family, and responsible party for significant changes in condition and for hospital transfers, but this was not followed in the case reviewed.
Deficiencies in Care and Medication Administration
Penalty
Summary
The facility failed to provide care and services in accordance with professional standards of practice for the application of Thrombo-Embolic Deterrent (TED) stockings for two residents. Resident #174, who was admitted with conditions including cellulitis and hypertension, had a physician's order for compression hose to be applied in the morning and removed at bedtime. However, observations on multiple occasions revealed that the resident was not wearing TED stockings, and interviews with the resident's wife and a Certified Nursing Assistant (CNA) confirmed that the stockings had not been applied. Similarly, Resident #62, with diagnoses including heart disease and peripheral vascular disease, had a physician's order for TED hose to be worn during the day. Observations showed that the resident was not wearing the stockings, and a Licensed Practical Nurse (LPN) confirmed the oversight. The facility also failed to administer medications as ordered by physicians for three residents. Resident #175, diagnosed with type 2 diabetes, had a physician's order for daily Lantus Insulin, but the medication was held on several occasions due to blood sugar levels being out of parameters without notifying the Advanced Registered Nurse Practitioner (ARNP). The ARNP was unaware of the situation and stated that they should have been informed to adjust the orders accordingly. Additionally, Resident #49 received Tramadol for pain levels below the prescribed threshold, and Resident #323 received Morphine Sulfate for pain levels that did not meet the criteria specified in the physician's orders. Interviews with the Director of Nursing (DON) confirmed that the TED hose were not applied as ordered for Residents #174 and #62, and that medications were administered outside of the prescribed parameters for Residents #49 and #323. The facility's policy on medication administration emphasizes the importance of following physician orders unless clinically indicated otherwise, highlighting a failure to adhere to these standards in the cases reviewed.
Improper Storage of Drugs and Biologicals
Penalty
Summary
The facility failed to ensure that drugs and biologicals were stored securely, as required by professional principles. During an observation, three containers labeled 'Poison/Do Not Drink' were found on a resident's dresser. These containers, intended for stool samples, should have been stored in the bathroom. A registered nurse confirmed that the containers had been there since Saturday and acknowledged that they were poisonous and should be stored securely. The Director of Nursing also confirmed that biologicals should be securely stored during sample collection. Additionally, an anti-itch spray was observed on a resident's bedside table. The resident stated that the spray was for personal use. However, the Director of Nursing indicated that residents need a physician's order to self-administer medication and to keep it at their bedside. The facility's policy requires that medications be stored in a secure and orderly manner, with compartments locked when not in use. The policy also mandates that each resident's medications be stored separately to prevent mixing.
Failure to Label and Date Stored Food Items
Penalty
Summary
The facility failed to ensure that stored food items were properly labeled and dated in several instances, as observed during a survey. During an initial tour of the kitchen, a bag containing food without a label or date was found in Refrigerator #1. The Certified Dietary Manager (CDM) confirmed the absence of labeling and dating, and a Dietary Aide identified the contents as chicken and mashed potatoes. Additionally, in the nourishment room refrigerator, two bags of food items, identified as yogurt and chicken, were also found without labels or dates. On a subsequent tour of the kitchen, two more bags of food, identified as turkey and ham cuts, were found in Refrigerator #5 without labels or dates. The facility's policy on food labeling and dating, which was last reviewed in January 2024, requires that food products be labeled and dated upon delivery and storage to ensure they are discarded within acceptable time frames according to HACCP guidelines. The failure to adhere to this policy was confirmed by the CDM during the survey.
Incomplete and Inaccurate Resident Records
Penalty
Summary
The facility failed to ensure that resident records were complete and accurate for three residents. For one resident, the physician's order required the application of compression hose to both lower extremities in the morning and removal at bedtime. However, observations on two separate days revealed that the resident was not wearing the prescribed TED stockings. A CNA confirmed that they were unaware of the order to apply the TED hose. Despite this, the Treatment Administration Record (TAR) inaccurately indicated that the treatment was administered daily. Another resident also had a physician's order for TED hose application, but observations showed the resident without the hose on two occasions. An LPN confirmed the absence of the TED stockings, yet the TAR inaccurately documented that the treatment was administered. For the third resident, multiple physician orders were not documented as completed in the TAR. These orders included the application of an Ace-wrap, monitoring of an air mattress, application of barrier cream, and use of a back brace. The TAR showed missing entries for these treatments on specific dates. A registered nurse acknowledged that nothing was charted, and the Director of Nursing stated that the staff provided care but forgot to complete the MAR due to interruptions. The facility's policy requires that all services provided to residents be documented in their clinical records.
Failure to Use Proper PPE During Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure that staff used proper personal protective equipment (PPE) while providing high-contact care to residents on Enhanced Barrier Precautions. During an observation, a registered nurse (RN) entered a resident's room, which had signage indicating the need for Enhanced Barrier Precautions, including the use of gloves and a gown for high-contact activities. The RN wore gloves but did not wear a gown while applying a dressing to the resident's sacral wound, which was against the facility's policy for Enhanced Barrier Precautions. The facility's policy, last reviewed in January 2024, clearly stated that Enhanced Barrier Precautions require the use of both gloves and a gown for high-contact resident care activities, such as dressing changes. The RN involved in the incident acknowledged not using a gown, mistakenly believing that gloves alone were sufficient. This oversight was confirmed by the Regional Registered Nurse during an interview. The resident in question had a physician's order for Enhanced Barrier Precautions due to a wound, highlighting the need for strict adherence to PPE protocols to prevent the spread of infection.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Clermont
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Skytop View Rehabilitation Center | 1 mi | — | 1 | 0 |
| Clermont Health And Rehabilitation Center | 1.9 mi | — | 0 | 0 |
| Aviata At Colonial Lakes | 6.6 mi | — | 5 | 0 |
| Health Central Park | 8.7 mi | — | 0 | 0 |
| Winter Garden Rehabilitation And Nursing Center | 9.4 mi | — | 4 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.