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Conway Lakes Health & Rehabilitation Center
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Ratings Deep Dive
5 Deficiencies found in last inspections
6 Penalties in last 3 years
6 Fines issued
| Citation | Date | Description | Severity |
|---|---|---|---|
| — | Sep 11, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| — | Sep 11, 2025 | Provide and implement an infection prevention and control program. | D |
| — | Sep 11, 2025 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D |
| — | Sep 11, 2025 | 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 |
| — | Jul 2, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
0.8 RN Hours / Resident / Day
4.2 Total Nurse Hours / Resident / Day
45.0% RN Turnover Rate
2.0 Long-Stay QM Rating
3.0 Short-Stay QM Rating
112.5 Avg Residents Per Day
| Measure | Score | Type |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | — | Long Stay |
| Percentage of long-stay residents who lose too much weight | — | Long Stay |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | — | Long Stay |
| Percentage of long-stay residents with a urinary tract infection | — | Long Stay |
| Percentage of long-stay residents who have depressive symptoms | — | Long Stay |
| Percentage of long-stay residents who were physically restrained | — | Long Stay |
| Percentage of long-stay residents experiencing one or more falls with major injury | — | Long Stay |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | — | Long Stay |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | — | Short Stay |
| Percentage of short-stay residents who newly received an antipsychotic medication | — | Short Stay |
Ownership & Compliance
Ownership Info
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Ownership Info CMS
5% OR GREATER DIRECT OWNERSHIP INTEREST SBK CAPITAL, LLC
OPERATIONAL/MANAGERIAL CONTROL CLEAR CHOICE HEALTH CARE LLC
OPERATIONAL/MANAGERIAL CONTROL BURROWES, ADRIAN
OPERATIONAL/MANAGERIAL CONTROL PARTEE, LESLIE
CORPORATE OFFICER PARTEE, LESLIE
CORPORATE OFFICER SABARRE, BRENT
5% OR GREATER MORTGAGE INTEREST TRUIST
Recent Penalties
| Date | Type | Fine |
|---|---|---|
| Jun 10, 2025 | Fine | $4,147 |
| Jun 10, 2025 | Fine | $4,147 |
| Jun 10, 2025 | Fine | $6,227 |
| Feb 1, 2025 | Fine | $61,636 |
| Aug 22, 2024 | Fine | $6,180 |
| Aug 22, 2024 | Fine | $12,335 |
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