L.M.C.- Extended Care

In the surveyor’s words

From the most serious findings on record at L.M.C.- Extended Care, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Sep 26, 2023

  Based on interviews, record reviews, and review of the facility policy, the facility failed to ensure a significant medication error did not occur for 1 of 3 residents reviewed for medication administration. Specifically, Resident (R)1 received the medications intended for R6. R1 did not receive any of her prescribed medications. This resulted in R1 experiencing a drop in blood pressure which required hospitalization . On 09/26/23 at 2:00 PM, the State Agency (SA) determined that the facility's non-compliance with one or more federal health, safety, and/or quality regulations has caused or was likely to cause serious injury, serious harm, serious impairment, or death. […]

• Immediate jeopardy, isolatedF600May 4, 2023

  Based on review of the facility policy, record review, and interviews, the facility failed to provide necessary care and services for a dialysis resident that was diagnosed with pseudo-aneurysm (a leakage of arterial blood from an artery into the surrounding tissue). Specifically, on [DATE] at 5:15 AM Resident (R)1 was found by Nurse (N)1 lying in bed surrounded by blood with a large amount of blood observed on floor. R1 had no pulse and was unresponsive. Cardiopulmonary Resuscitation (CPR) was initiated and 911 was called. R1 was pronounced dead at 5:54 AM by Emergency Medical Services (EMS). […]

• Immediate jeopardy, isolatedF689Mar 15, 2023

  Amended 04/07/23 Based on review of the facility policy, record review, observations, and interviews, the facility failed to ensure adequate supervision was provided to prevent accidents/hazards for 1 of 3 Residents (R)14, reviewed. On 03/12/23, R14 had a successful elopement from the facility. On 03/12/23, at approximately 7:00 AM, R14 eloped from the facility through a gated courtyard between the [NAME] Circle Unit and Camelia Court Unit. At approximately 7:42 AM on 03/12/23, R14 was found alongside the back of the facility, and returned unharmed. R14 was dressed in full street clothing, to include a long-sleeved shirt, pants, and shoes. […]

• Actual harm, isolatedF689Aug 28, 2026

  Based on staff interview, record review, and policy review, the facility failed to provide adequate supervision and assistive devices for one of seven residents identified at risk for falls. Specifically, Resident (R)103, who was assessed as a fall risk, sustained a fall on 04/10/26 while an agency staff was providing care, resulting in a closed, displaced comminuted fracture of the right femur and a closed comminuted supracondylar fracture of the left femur.The findings include: Review of the facility's policy titled, Activity Daily Life, prepared and approved on 06/24/26, revealed that residents were to receive individualized assistance with activities of daily living in a manner that promoted safety, independence, quality of life, care, and dignity. […]

• No harm, potential for more than minimal, widespreadF812May 6, 2021

  Based on observation, interview and review of facility policy, the facility failed to properly discard spoiled produce food items in the walk-in cooler in 1 of 1 main kitchens observed during the survey. During initial tour of the kitchen on 05/04/21 at approximately 11:00 am with the Dietary Manager (DM) #1, observation of the walk-in cooler revealed four (4) spoiled tomatoes, four (4) spoiled green peppers, and two (2) bags of spoiled lettuce, four in each bag. The tour also identified a can opener with gunk, oil, and food particles. During the revisit tour of the kitchen on 05/06/21 at approximately 11:00 am with DM #1 and DM #2, observation of the walk-in cooler identified a box of spoiled green peppers, three (3) spoiled cucumbers, and three (3) spoiled tomatoes. […]