Accura Healthcare of Lake City, LLC

In the surveyor’s words

From the most serious findings on record at Accura Healthcare of Lake City, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jan 9, 2025

  Based on record review and staff interview, the facility failed to provide adequate supervision to ensure timely intervention during a choking incident for 1 resident (Resident #1) and failed to ensure appropriately trained staff supervised and fed residents at risk for choking for 2 of 2 residents (Resident #1 and #3). On [DATE], while at supper in the assisted area, Staff A, Noncertified Nurse Aide (NCNA), assisted Resident #3 eat and observed Resident #1. Resident #1 choked. At the time, the only people in the assisted dining room were Staff A and the 2 residents. Staff A couldn't do the Heimlich and the walkie talkie failed to work to summon help timely. Staff A yelled for help. After hearing Staff A, Staff D Dietary Aide responded and learned they needed assistance. […]

• Immediate jeopardy, isolatedF684Mar 15, 2023

  Based on observation, clinical record review, resident and staff interview, a physician interview and facility policy review the facility failed to provide the necessary assessment and interventions for a resident who started to present with respiratory distress, a change in skin color (cyanosis), and a loss of consciousness. The resident passed away at the facility within 50 minutes of the first coughing episode on [DATE]. (Resident #1) This failure put the facility into an Immediate Jeopardy to the health, safety, and security of the resident. The facility identified a census of 32 residents. The State Agency informed the facility of the Immediate Jeopardy (IJ) that began as of February 21, 2023 at approximately 4:45 P.M. […]

• Actual harm, isolatedF686Sep 14, 2023

  Based on clinical record reviews, wound center record review and staff interviews the facility failed to assure that a resident with a pressure ulcer received treatment and services, consistent with professional standards of practice, to promote healing of a stage three pressure ulcer for 1 of 1 resident reviewed (Resident #2). The facility reported a census of 34 residents. Finding include: The Minimum Data Set (MDS) assessment identifies the definition of pressure ulcers: Stage I is an intact skin with non-blanchable redness of a localized area usually over a bony prominence. Darkly pigmented skin may not have a visible blanching; in dark skin tones only it may appear with persistent blue or purple hues. […]

• Actual harm, isolatedF684Feb 9, 2023

  Based on observations, clinical record reviews, staff, and provider clinic staff interviews the facility failed to provide an accurate and timely assessment with an intervention after a fall for 1 of 3 residents reviewed (Resident #11). On 5/18/22 Resident #11 reported that she fell on [DATE] around 10:15 PM and that the nurse helped her up. The clinical record lacked an assessment, provider notification, or description of the fall until 5/18/22. After learning of Resident #11's fall and complaint of ankle pain, the facility notified the provider via fax. The interviews determined that the provider did not typically work in the office on that day of the week. […]

• No harm, potential for more than minimal, patternF812Apr 23, 2026

  Based on observation, facility policy, and the Food and Drug Administration (FDA) food code the facility failed to serve food under sanitary conditions, in order to reduce the risk of contamination and foodborne illness during one of one meal service observed. Facility staff also failed to cover facial hair (beard) while serving food. The facility reported a census of 38 residents. Findings include: Observations revealed the following: a. On 4/20/26 with observation starting at 11:45 AM, the Dietary Manager, without a beard net covering his beard, served the lunch meal for the residents. b. […]