LAKE CROSSING HEALTH CENTER PAC LLC
6698 WASHINGTON ROAD
APPLING, GA, 30802
7065410462
CCN: 115424
1
Overall2
Health1
Staffing1
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| LAKE CROSSING HOLDCO | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BSD COUNTY IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% |
| BSD OVERLAND IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% |
| GA LAKE CROSSING NOBLE PARENTCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% |
| VA SUNSHINE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% |
| SILBERSTEIN, ARI | CORPORATE OFFICER | NOT APPLICABLE |
| OBERLANDER, ZALMEN | CORPORATE OFFICER | NOT APPLICABLE |
| SILBERSTEIN, ARI | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| CARE NETWORK GA LLC | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| OBERLANDER, ZALMEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (5)
| Date | Type | Amount |
|---|---|---|
| 2024-01-08 | Fine | $4K |
| 2024-01-02 | Fine | $3K |
| 2023-12-11 | Fine | $7K |
| 2023-11-20 | Fine | $2K |
| 2023-10-30 | Fine | $3K |
Health Deficiencies (25)
2025-08-28 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F812 · 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
F761 · Pharmacy Service Deficiencies
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.
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
F657 · 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
F656 · Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
F584 · 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.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2024-04-07 · Health
D
F887 · Infection Control Deficiencies
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
E
F883 · Infection Control Deficiencies
Develop and implement policies and procedures for flu and pneumonia vaccinations.
F
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
E
F658 · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
D
F657 · 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
F644 · Resident Assessment and Care Planning Deficiencies
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
E
F584 · 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.
F
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
E
F558 · Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
D
F553 · Resident Rights Deficiencies
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
D
F550 · Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
2022-05-13 · Health
D
F689 · 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
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F625 · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
F623 · 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.
C
F570 · Resident Rights Deficiencies
Assure the security of all personal funds of residents deposited with the facility.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.46
RN Hrs/Resident/Day0.54
0.23
LPN Hrs/Resident/Day0.81
0.62
CNA Hrs/Resident/Day2.33
2.60
PT Hrs/Resident/Day0.12
0.02
Data as of 2026-03-01