Not rated by CMS — ratings are suppressed for new or low-volume facilities.
Past the typical resurvey interval — a standard survey could occur at any time
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 La Dora Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
The facility failed to secure medication carts, as LVN B left a cart unlocked and unattended twice, and LVN C left medications on top of a cart unattended. This exposed residents to potential unauthorized access to medications, including insulins and various prescription drugs. The DON confirmed the expectation for carts to be locked when not in use.
The facility's kitchen failed to meet food safety standards as food items in the refrigerator and freezer were not sealed, labeled, or dated. Observations revealed unlabeled hardboiled eggs, hot sauce, bell peppers, onions, and frozen beef patties. Despite staff training and a policy requiring proper labeling and dating, these procedures were not followed.
The facility failed to maintain proper infection control measures, as observed in several instances involving staff interactions with residents. An LVN did not sanitize her hands or change gloves appropriately while handling a resident's G-tube. During wound care, an LVN and two CNAs allowed cross-contamination by not maintaining a clean field. Another LVN failed to sanitize a stethoscope before and after use on a resident. These actions risked contamination and were acknowledged by the staff involved.
A resident with cognitive decline and elopement risk was allowed to exit the facility by a staff member who mistook her for a visitor. The resident was outside unsupervised for about five minutes before being brought back inside by staff. This incident revealed a deficiency in the facility's procedures for preventing elopement and ensuring resident safety.
Medication Storage Deficiency
Penalty
Summary
The facility failed to ensure that all drugs and biologicals were stored in locked compartments, as required by professional principles. On two separate occasions, LVN B left Nurse Med Cart #1 unlocked and unattended in the hallway, with the drawers facing out and accessible to residents. This occurred on 02/11/25 and 02/12/25, with multiple residents present in the dining room and the cart in their view. LVN B acknowledged forgetting to lock the cart and recognized the risk of residents accessing the medications, which included insulins, prescription pills, over-the-counter medications, and inhalers. Additionally, on 02/12/25, LVN C left six medications on top of Nurse Med Cart #2 while it was unattended and out of view. The medications included Amlodipine, Carvedilol, Furosemide, Jardiance, Losartan, and Fluticasone Spray. LVN C admitted to forgetting to lock the medications inside the cart and expressed nervousness about being observed. The Director of Nursing confirmed that the expectation was for all medication carts to be locked when not in use to prevent unauthorized access.
Food Safety Standards Not Met in Facility Kitchen
Penalty
Summary
The facility failed to adhere to professional standards for food safety in its only kitchen, as observed during a survey. Specifically, food items in the refrigerator were not sealed, labeled, or dated, including a plastic bag with seven hardboiled eggs, a large container of hot sauce, and an open container with bell peppers and onion. Similarly, in the kitchen freezer, a box of frozen beef patties was found without a date. An interview with the Dietary Manager revealed that the dietary staff had been trained on labeling and dating food items, with specific responsibilities assigned to different staff members for labeling and dating food in various storage areas. However, these procedures were not followed, as evidenced by the observations made during the survey. The facility's Food Storage Policy, last revised in November 2022, mandates that all foods stored in the refrigerator or freezer must be covered, labeled, and dated.
Infection Control Deficiencies in Resident Care
Penalty
Summary
The facility failed to maintain proper infection prevention and control measures, as evidenced by several observed deficiencies involving staff interactions with residents. In one instance, an LVN did not sanitize her hands after moving a resident's floor mat and before touching the bedside table containing medical items. She also failed to change her gloves after touching various surfaces before handling the resident's G-tube. This oversight was acknowledged by the LVN, who admitted to being nervous under observation and forgetting to change her gloves. Another deficiency was observed during wound care for a resident. An LVN, along with two CNAs, failed to prevent cross-contamination of care items. The wound care items were placed on a bedside table that was in contact with a privacy curtain, and the CNAs reached over the table to access PPE, allowing their gowns to touch the wound care items. Additionally, one CNA reached over the clean field to assist with the resident's foot, further risking contamination. The LVN admitted that the wound care field should have been kept clean and free from unnecessary access by staff. A third deficiency involved another LVN who did not sanitize a stethoscope before and after using it on a resident. The stethoscope was placed on the resident's stomach near a G-tube without prior cleaning, and it was returned to the medication cart without being sanitized. The LVN acknowledged forgetting to sanitize the equipment, which could have led to contamination. The DON confirmed that standard infection control precautions, including hand hygiene and equipment sanitization, were expected to be followed by all staff.
Resident Neglect Due to Elopement Incident
Penalty
Summary
The facility failed to ensure that a resident was free from neglect when a staff member, identified as ST-A, allowed the resident to exit the facility. The resident, who had been admitted the previous evening, was identified as having age-related cognitive decline and was at risk for elopement. Despite these known risks, ST-A, who was unaware that the individual was a resident, entered the door code to let her out, assuming she was a visitor. This action led to the resident being outside the facility unsupervised. The resident was observed outside by another staff member, PT-B, who noticed her through a window and alerted other staff members. A Code Pink was called, and staff quickly responded to bring the resident back inside. The resident was outside for approximately five minutes, during which time she was at risk of harm, including the potential to wander into traffic or become lost. The resident was returned to the facility without any noted distress or physical harm. The incident highlighted a lapse in the facility's procedures for preventing elopement and ensuring resident safety. The staff member involved had previously completed training on abuse, neglect, and elopement prevention, yet failed to recognize the resident's status and the potential risks associated with her leaving the facility. This oversight resulted in a situation where the resident's safety was compromised, demonstrating a deficiency in the facility's implementation of its policies and staff training effectiveness.
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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 Bedford
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bedford Wellness & Rehabilitation | 0.5 mi | — | 15 | 0 |
| Parkwood Village | 1.1 mi | — | 0 | 0 |
| Forum Parkway Health & Rehabilitation | 1.4 mi | — | 4 | 0 |
| Westpark Rehabilitation And Living | 1.6 mi | — | 9 | 0 |
| Hurst Plaza Nursing & Rehab | 2.1 mi | — | 0 | 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.