Haven of Lakeside

In the surveyor’s words

From the most serious findings on record at Haven of Lakeside, in the surveyor’s own words.

• Actual harm, isolatedF689Jun 11, 2025

  Based on clinical review, interviews and facility policy review, the facility failed to ensure that two residents (#75 and #10) were free from injuries from a preventable accident. The deficient practice could lead to serious injury or death to residents. Findings include: - Regarding resident #10: Resident #10 was admitted to the facility on [DATE] with diagnoses of myocardial infarction type 2, acute respiratory failure with hypoxia, chronic obstructive pulmonary disease with acute exacerbation, psychotic disorder with hallucinations due to known physiological condition, bipolar disorder current episode with hypomanic, burn of third degree of abdominal wall, burn of second degree of abdominal wall, dependence on supplemental oxygen, depression and anxiety disorder. […]

• Actual harm, isolatedF690Jul 15, 2021

  Based on clinical record review, observation, staff interviews, and review of policies and procedures, the facility failed to ensure one of two sampled residents (#10) received consistent treatment and services related to a suprapubic catheter. The deficient practice could result in complications for residents with indwelling urinary catheters. Findings include: Resident #10 was admitted to the facility on [DATE], with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the care plan initiated on January 8, 2021 revealed the resident had a suprapubic catheter. The goals included the resident would show no signs/symptoms of urinary infection. […]

• No harm, potential for more than minimal, patternF658Nov 19, 2025

  Based on record review, staff interviews, review of facility documents and policy, [NAME] Nursing Drug Handbook, and Medlineplus.gov website, the facility failed to ensure medications for four residents (#24, #64, #9, #86) were administered as ordered by the physician. The deficient practice could place residents safety at risk and could result in resident's not receiving the treatment that they need.Number of residents sampled: 20Number of residents cited: 4Findings include:-Resident #24 was admitted to the facility on [DATE] with diagnoses that included hypertension, depression and Non-Alzheimer's Dementia.The care plan dated March 17, 2023 revealed the resident was on opiate medication and was at risk for pain related to pain and history of right hip fracture and generalized discomfort. […]

• No harm, potential for more than minimal, patternF680Nov 19, 2025

  Based on personnel file review, staff interview, and facility documentation and policy review, the facility failed to ensure the activities program was directed by a qualified professional. The deficient practice could result in the activities provided not meeting the assessed needs of the residents. Findings include: A review of the personnel file for the Activities Director (staff #24) revealed staff #24 was hired on October 18, 2024. Review of staff #24's job description revealed that as the Activity Manager she directs the development, implementation, supervision, and ongoing evaluation of the activities program. This includes the completion of the activities component of the comprehensive assessment along with the comprehensive care plan goals and approaches. […]

• No harm, potential for more than minimal, patternF732Nov 19, 2025

  Based on observation, staff interviews, facility documents and policy review, the facility failed to ensure current nurse staffing information was accurate for actual hours worked by licensed and unlicensed direct care nursing staff and that the census was updated daily to reflect the actual number of residents. The deficient practice could result in residents and visitors not being informed of accurate and current staffing information and census. Findings include: The PBJ (Payroll-Based Journal) Staffing Data Report revealed that the facility consistently triggered for excessively low weekend staffing the last two quarters in 2024 and the first three quarters of 2025. Per the report, submitted weekend data was excessively low. […]