Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Lake Orion Nursing Center

Lake Orion, MI · 120 certified beds · Last Life Safety survey May 1, 2025

CMS Certification Number 235481 · first certified February 1989

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within MI

7 citations — more than 18% of the 422 certified nursing homes in MI. Compared within MI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 0 citations; the earlier surveys in the window averaged 3.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (April 2026 to June 2026), and past the point by which nine in ten MI facilities have been surveyed. This facility’s last Life Safety survey was May 2025. Facilities in MI are typically surveyed 12–14 months after the last one (median 13), measured over 723 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Emergency preparedness

2 of the 7 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

7 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MI, and nationally. Surveyors differ markedly between states, so the MI figure is the meaningful one.

This facility7MI median14National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in MI14
Median facility nationally11

Survey history

Citations at each Life Safety survey
62023-0412024-0302025-05
Citations at each Life Safety survey
Survey dateCitations
April 6, 20236
March 26, 20241
May 1, 20250

Most-cited tags

Most-cited tags at this facility
E-00391K-09231K-02111K-03241K-05311K-07811E-00411
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
E-0039Conduct testing and exercise requirements.12023-04-06
K-0923Have proper medical gas storage and administration areas.12023-04-06
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12024-03-26
K-0324Provide properly protected cooking facilities.12023-04-06
K-0531Have elevators that firefighters can control in the event of a fire.12023-04-06
K-0781Have restrictions on the use of portable space heaters.12023-04-06
E-0041Implement emergency and standby power systems.12023-04-06

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 2
  • Services Deficiencies 1
  • Miscellaneous Deficiencies 1
  • Smoke Deficiencies 1
  • Other 2
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies2
Services Deficiencies1
Miscellaneous Deficiencies1
Smoke Deficiencies1
Gas, Vacuum, and Electrical Systems Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

March 26, 2024 — 1 citation

Citations issued on March 26, 2024
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (April 26, 2024)

April 6, 2023 — 6 citations

Citations issued on April 6, 2023
TagWhat the surveyor checksStatus
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (May 3, 2023)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (May 3, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (May 3, 2023)
K-0531Have elevators that firefighters can control in the event of a fire.Deficient, Provider has date of correction (May 3, 2023)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (May 3, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (May 3, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.