East Lake Nursing & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at East Lake Nursing & Rehabilitation Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF684Apr 20, 2026

  Based on observation, record review, and interview, the facility failed to ensure blood pressure parameters were followed as ordered for 2 of 3 residents reviewed for blood pressure parameters. The facility also failed to ensure areas of bruising were assessed and monitored and heel boots were applied as ordered for 2 of 4 residents reviewed for skin conditions non-pressure related. (Residents 10, 6, 62, and 110)Findings include:1. The record for Resident 10 was reviewed on 4/15/26 at 3:52 p.m. Diagnoses included, but were not limited to, hypertension and atherosclerotic heart disease. […]

• No harm, potential for more than minimal, patternF695Apr 20, 2026

  Based on observation, record review, and interview, the facility failed to ensure oxygen was set at the correct flow rate and physician orders were obtained for the use of oxygen for 3 of 5 residents reviewed for respiratory care. (Residents 110, 109, and 74)Findings include:1. During random observations on 4/13/26 at 3:30 p.m., and 4/14/26 at 10:39 a.m. and 3:17 p.m., Resident 110 was observed wearing oxygen via nasal cannula. The oxygen was set at seven liters per minute and connected to the concentrator in the room. The record for Resident 110 was reviewed on 4/14/26 at 3:42 p.m. The resident was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, patternF880Apr 20, 2026

  Based on observation, record review and interview, the facility failed to ensure infection control practices were in place and implemented related to staff failing to wear the correct personal protective equipment (PPE) for residents in enhanced barrier precautions and droplet isolation for 1 of 3 pressure ulcer treatments observed and 3 of 9 residents observed during medication administration. The facility also failed to ensure multi-use equipment was disinfected after each use for 3 of 3 residents who were observed having their vital signs checked. (Residents 43, 117, 74, 109, 108, 54, and 40)Findings include: 1.On 4/16/26 at 9:51 a.m., the Wound Nurse and the Assistant Director of Nursing (ADON) entered Resident 43's room to complete a treatment to the resident's sacrum. […]

• No harm, potential for more than minimal, patternF761Jan 29, 2024

  Based on observation and interview, the facility failed to date multi-dose medication containers when opened, for 2 of 3 medication carts observed. (100 hall & 600 hall) Findings include: 1. During an observation of a 100 hall medication cart with LPN 6, on 1/24/2024 at 9:58 A.M., the following multi-dose medication containers lacked a date that indicated when it was opened: 1 bottle of atropine eye drops, and 1 bottle of Mylanta. 2. During an observation of a 600 hall medication cart with LPN 5, on 1/24/2024 at 10:17 A.M., the following multi-dose medication containers lacked a date that indicated when it was opened: 3 bottles of polyethylene glycol, 1 bottle of simethicone, 1 bottle of icosapent ethyl, and 1 bottle of potassium. […]

• No harm, potential for more than minimal, patternF921Nov 3, 2022

  Based on observation, record review and interview, the facility failed to ensure resident rooms and common areas were maintained in a clean and homelike manner on 4 of 4 nursing units, and in the main dining room and activity room. This deficient practice potentially affected all 76 residents residing in the facility. Findings include: During an environmental tour of the facility, conducted on 11/01/2022 between 9:30 A.M. - 10:38 A.M., accompanied by the Administrator and the Maintenance Supervisor the following was noted: In room [ROOM NUMBER] a chair rail molding had been removed and there were a few finishing nails, which were utilized to secure the plastic wall protective skin on the lower half of the wall, that were sticking out and were rough. […]