Clearvista Lake Health Campus

In the surveyor’s words

From the most serious findings on record at Clearvista Lake Health Campus, in the surveyor’s own words.

• Actual harm, isolatedF790Aug 22, 2023

  Based on observation, interview and record review, the facility failed to timely assist in arranging emergency dental services for a resident with an abscessed tooth resulting in a delay of dental services for the abscessed tooth which was painful and infected 1 of 1 Resident reviewed for Dental (Resident 2). Findings include: The clinical record for Resident 2 was reviewed on 8/16/23 at 1:30 p.m. The Resident's diagnosis included, but were not limited to, dementia and dysphagia (difficulty swallowing). She was admitted from an acute care hospital to the facility on [DATE]. […]

• Actual harm, isolatedF684Mar 16, 2022

  Based on observation, interview and record review the facility failed to timely address a resident's change of condition which resulted in a delay in treatment to the resident's fractured left hand and failed to timely apply dressings, as ordered by the physician, for 1 of 1 resident reviewed for skin conditions and to administer a resident's medication, as ordered, and collaborate with hospice regarding an ordered medication and Broda chair for 1 of 1 resident reviewed for hospice and 1 of 2 residents reviewed for hospitalization . (Resident L, O, W) Findings include: 1. The clinical record for Resident O was reviewed on 3/9/22 at 12:00 p.m. The diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• Actual harm, isolatedF689Mar 16, 2022

  Based on interview and record review, the facility failed to provide a resident with adequate assistance of 2 staff members for bed mobility. This resulted in a fall with a fractured rib for 1 of 4 residents reviewed for accidents and failed to ensure fall interventions were implemented per the plan of care for 2 of 4 residents reviewed for falls. (Resident H, Q, W). Findings include: 1. The clinical record for Resident H was reviewed on 3/9/22 at 12:40 p.m. The Resident's diagnosis included, but were not limited to, polyosteoarthritis (arthritis in multiple joints) and contracture of her r knee. […]

• Actual harm, isolatedF697Mar 16, 2022

  Based on observation, interview and record review, the facility failed to ensure residents' pain were adequately assessed, monitored and addressed for 1 of 1 residents reviewed for pain management, 1 of 1 residents reviewed for tube feeding and 1 of 4 residents reviewed for falls. This resulted in a resident transferred to hospital with a fracture in pain. (Resident H, O and P) Findings include: 1. The clinical record for Resident O was reviewed on 3/9/22 at 12:00 p.m. The diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A Quarterly MDS (Minimum Data Set) assessment dated [DATE], indicated Resident O was cognitively impaired. She was extensive assistance with 1 staff person for bed mobility, transfer and dressing. […]

• No harm, potential for more than minimal, widespreadF812Jan 12, 2026

  Based on observation, interview and record review, the facility failed to ensure monitoring of the dishwasher sanitation and maintain clean kitchen flooring. This had a potential to effect 44 of 44 residents that reside in the skilled facility. Findings include: An observation of the kitchen was made with the Dietary Manager (DM) on 1/5/26 at 9:43 a.m. The dishwasher was observed during washing and rinsing cycles. The DM had indicated she had been having trouble with the dishwasher for several months. The service technician had been out to service the machine. The dish machine was a high temperature dishwasher, but with the problems it was having the service technician recommended using it as a low temperature dishwasher until replacement. […]