Lake Taylor Hosp Inspection Report, Violations & Safety Grade (NORFOLK, Virginia)

1309 KEMPSVILLE RD, NORFOLK, Virginia 23502

Phone: 7574615001

CMS Overall:4/5

Overview & Bed Count

Certified Beds

192

Avg Residents/Day

154

Ownership

Government - Hospital district

Provider Type

Medicare and Medicaid

County

Norfolk City

Sprinkler Systems

Yes

Special Focus

None

Abuse Icon

CMS Star Ratings

Overall4/5

Health3/5

Staffing4/5

Quality5/5

Nurse Staffing Check

Metric	This Facility	Virginia Avg	Difference
RN Hours per Resident per Day	0.47	0.71	-0.24
Total Nurse Hours per Resident per Day	5.22	3.88	+1.35
CMS Staffing Rating	4/5	2.5/5	-
Nursing Staff Turnover	42.5%	47.5%	-

Health Citation History

24 health citations on record

Date	Category	Description	Severity
2025-09-26	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	G – Actual Harm
2025-09-26	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D – Moderate Harm Potential
2025-09-26	Quality of Life and Care Deficiencies	Provide safe, appropriate dialysis care/services for a resident who requires such services.	D – Moderate Harm Potential
2025-09-26	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	D – Moderate Harm Potential
2025-09-26	Environmental Deficiencies	Keep all essential equipment working safely.	D – Moderate Harm Potential
2021-10-15	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	G – Actual Harm
2021-10-15	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F – Moderate Harm Potential
2021-10-15	Resident Rights Deficiencies	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.	E – Moderate Harm Potential
2021-10-15	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	E – Moderate Harm Potential
2021-10-15	Nutrition and Dietary Deficiencies	Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.	E – Moderate Harm Potential
2021-10-15	Resident Assessment and Care Planning Deficiencies	Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted	D – Moderate Harm Potential
2021-10-15	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D – Moderate Harm Potential
2021-10-15	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D – Moderate Harm Potential
2021-10-15	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C – Minimal Harm Potential
2018-11-01	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	E – Moderate Harm Potential
2018-11-01	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E – Moderate Harm Potential
2018-11-01	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E – Moderate Harm Potential
2018-11-01	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E – Moderate Harm Potential
2018-11-01	Environmental Deficiencies	Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.	E – Moderate Harm Potential
2018-11-01	Resident Assessment and Care Planning Deficiencies	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.	D – Moderate Harm Potential
2018-11-01	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D – Moderate Harm Potential
2018-11-01	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D – Moderate Harm Potential
2018-11-01	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D – Moderate Harm Potential
2018-11-01	Resident Rights Deficiencies	Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.	C – Minimal Harm Potential

Fire Safety Citation History

10 fire safety citations on record

Date	Category	Description	Severity
2018-11-01	Miscellaneous Deficiencies	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	D – Moderate Harm Potential
2018-11-01	Gas, Vacuum, and Electrical Systems Deficiencies	Ensure proper usage of power strips and extension cords.	D – Moderate Harm Potential
2018-11-01	Emergency Preparedness Deficiencies	Address patient/client population and determine types of services needed.	C – Minimal Harm Potential
2018-11-01	Emergency Preparedness Deficiencies	Develop Emergency Preparedness policies and procedures.	C – Minimal Harm Potential
2018-11-01	Emergency Preparedness Deficiencies	Establish procedures for tracking staff and patients during an emergency.	C – Minimal Harm Potential
2018-11-01	Emergency Preparedness Deficiencies	Establish policies and procedures for medical documentation.	C – Minimal Harm Potential
2018-11-01	Emergency Preparedness Deficiencies	Establish methods for sharing information.	C – Minimal Harm Potential
2018-11-01	Emergency Preparedness Deficiencies	Provide family notifications of emergency plan.	C – Minimal Harm Potential
2018-11-01	Emergency Preparedness Deficiencies	Establish emergency prep training and testing.	C – Minimal Harm Potential
2018-11-01	Emergency Preparedness Deficiencies	Establish staff and initial training requirements.	C – Minimal Harm Potential

Total Penalties & Fines

$59,150

Total Fine Amount (CMS)

Number of Fines

Total Penalties

Date	Type	Fine Amount	Payment Denial
2025-09-26	Fine	$59,150	-

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Need Help Finding Safe Care?

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(Free Family Advisor Call)Download Inspection & Tour Checklist PDF
3-Year Complete Report ($19)

Advisor service is free for families. We may receive referral compensation.