Lake Park Nursing And Rehabilitation Center
Indian Trail, Union County, North Carolina · CCN 345502 · For-profit (Corporation) · part of Principle Long Term Care (40 facilities, chain average 3 stars)
CMS rates Lake Park Nursing And Rehabilitation Center 4 of 5 overall as of August 2026. 120 certified beds, 104 residents a day on average. 22 citations on record from the current inspection cycles, 4 involving actual harm; 2 fines totalling $34,624.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★☆☆ 3 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★☆☆ 3 of 5 |
| Quality: long-stay / short-stay | 3 / 3 of 5 |
Staffing
| Total nurse staffing | 4.01597 hours per resident per day |
|---|---|
| Registered nurses | 0.87792 hours per resident per day |
| Weekend total | 3.66363 hours per resident per day |
| Nursing staff turnover | 34.5% (registered nurses 33.3%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-22 | 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. Resident Rights Deficiencies · tag F0578 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-09 |
| 2026-01-22 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-09 |
| 2026-01-22 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
B No actual harm, with potential for minimal harm; pattern | No revisit needed 2026-02-09 |
| 2025-04-24 complaint survey |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-05-16 |
| 2024-10-24 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · tag F0583 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-11-21 |
| 2024-10-24 | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · tag F0679 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-11-21 |
| 2024-10-24 | Provide appropriate foot care. Quality of Life and Care Deficiencies · tag F0687 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-11-21 |
| 2024-10-24 complaint survey |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · tag F0804 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-11-21 |
| 2024-10-24 complaint survey |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-11-21 |
| 2024-10-24 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-21 |
| 2024-10-24 complaint survey |
Provide enough food/fluids to maintain a resident's health. Quality of Life and Care Deficiencies · tag F0692 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-21 |
| 2024-10-24 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
C No actual harm, with potential for minimal harm; widespread | Deficient, Provider has plan of correction 2024-11-21 |
| 2024-10-24 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has plan of correction 2024-11-21 |
| 2024-10-24 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · tag F0655 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has plan of correction 2024-11-21 |
| 2023-11-03 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-11-27 |
| 2023-05-05 | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · tag F0697 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-06-02 |
| 2023-05-05 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Nursing and Physician Services Deficiencies · tag F0725 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2023-06-02 |
| 2023-05-05 | 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. Pharmacy Service Deficiencies · tag F0761 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2023-06-02 |
| 2023-05-05 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · tag F0552 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-02 |
| 2023-05-05 | Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · tag F0677 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-02 |
| 2023-05-05 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Administration Deficiencies · tag F0867 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-06-02 |
| 2023-05-05 | Honor the resident's right to organize and participate in resident/family groups in the facility. Resident Rights Deficiencies · tag F0565 |
B No actual harm, with potential for minimal harm; pattern | Deficient, Provider has date of correction 2023-06-02 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-24 | Fine | $25,879 |
| 2023-11-03 | Fine | $8,745 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Principle Long Term Care, Inc. Organization | operational/managerial control | — | 2011-01-01 |
| Barnabei, Robert Individual | adp of the snf | — | 2022-03-01 |
| Boice, Gale Individual | adp of the snf | — | 2018-03-05 |
| Hill, Raymond Individual | adp of the snf | — | 2011-01-01 |
| Hill, Robert Individual | adp of the snf | — | 2011-01-01 |
| Hill, Stephen Individual | adp of the snf | — | 2011-01-01 |
| Jackson, Rafael Individual | adp of the snf | — | 2025-07-03 |
| Boice, Gale Individual | corporate officer | — | 2018-03-05 |
| Johnson, Dianne Individual | corporate officer | — | 2011-01-01 |
| Jackson, Rafael Individual | operational/managerial control | — | 2024-06-24 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Lake Park Nursing And Rehabilitation Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Union County.