Lake Park Nursing and Rehabilitation Center
3315 Faith Church Road
Indian Trail, NC, 28079
7048823420
CCN: 345502
3
Overall2
Health5
Staffing4
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| PRINCIPLE LONG TERM CARE, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% |
| PRINCIPLE IT SERVICES, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% |
| HILL, ROBERT | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 21% |
| HILL, STEPHEN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% |
| HILL, RAYMOND | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 18% |
| BOICE, GALE | CORPORATE OFFICER | NOT APPLICABLE |
| JOHNSON, DIANNE | CORPORATE OFFICER | NOT APPLICABLE |
| PRINCIPLE LONG TERM CARE, INC. | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| JACKSON, RAFAEL | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
Penalties (3)
| Date | Type | Amount |
|---|---|---|
| 2025-04-24 | Fine | $25K |
| 2023-11-03 | Fine | $9K |
| 2023-05-05 | Fine | $5K |
Health Deficiencies (22)
2026-01-22 · Health
D
F695 · Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
D
F578 · Resident Rights Deficiencies
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
B
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
2025-04-24 · Health
G
F686 · Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-10-24 · Health
E
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
F804 · Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
C
F732 · Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
D
F692 · Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
E
F687 · Quality of Life and Care Deficiencies
Provide appropriate foot care.
E
F679 · Quality of Life and Care Deficiencies
Provide activities to meet all resident's needs.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
B
F655 · 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
B
F641 · Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
E
F583 · Resident Rights Deficiencies
Keep residents' personal and medical records private and confidential.
2023-11-03 · Health
G
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.
2023-05-05 · Health
D
F867 · Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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.
G
F725 · Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
G
F697 · Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
D
F677 · Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
B
F565 · Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
D
F552 · Resident Rights Deficiencies
Ensure that residents are fully informed and understand their health status, care and treatments.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
3.99
RN Hrs/Resident/Day0.54
0.93
LPN Hrs/Resident/Day0.81
0.42
CNA Hrs/Resident/Day2.33
2.63
PT Hrs/Resident/Day0.12
0.12
Data as of 2026-03-01