Lacoba Homes Inc

In the surveyor’s words

From the most serious findings on record at Lacoba Homes Inc, in the surveyor’s own words.

• Actual harm, isolatedF760Feb 14, 2025

  Based on record review and interviews, the facility failed to ensure all residents were free from significant medication errors when staff failed to clarify orders for an antibiotic the resident was listed as allergic to prior to administration for one resident (Resident #1) resulting in a negative reaction to the medication administered. A sample of nine residents was reviewed in a facility with a census of 45. Review of the facility's policy entitled Infection Prevention and Control Policies: Antibiotic Stewardship, not dated, showed the following: -The antibiotic stewardship program is a set of commitments and actions intended to optimize the treatment of infections while reducing adverse events associated with antibiotic use. […]

• No harm, potential for more than minimal, widespreadF812Apr 11, 2024

  Based on observation, interview, and facility policy review, the facility failed to date bread products, lettuce, and cheese stored in the facility's kitchen. This had the potential to affect all 59 residents who consumed food prepared from the kitchen. Review of the facility's policy titled, Food Storage and Supply, undated, showed food is properly stored to preserve flavor, nutritive value, and appearance. Review of the undated storage instructions from the facility's bread vendor showed upon delivery store in freezer or thaw and store at room temperature for immediate use. Best used within seven days of thawing. 1. Observation during the initial kitchen inspection on 04/08/24, from 9:30 A.M. […]

• No harm, potential for more than minimal, patternF602Mar 17, 2021

  Based on record review and interview, the facility failed to prevent the misappropriation of residents' medications (including narcotic medication cards (bubble packs) of Resident #1 and Resident #2) from the medication cart. The facility census was 36. The facility administrator and the Director of Nursing (DON) were notified of the Past Non-Compliance which occurred between approximately 3/3/2020 and 9/25/2020. The facility staff began an investigation on 9/26/2020 and suspended Certified Medication Technician (CMT) A. The facility began immediate in-servicing of all staff who were on-site and as they arrived for work prior to beginning their shift. The facility also notified the Department of Health and Senior Services (DHSS) and the local law enforcement agency of the event. […]

• No harm, potential for more than minimal, isolatedF689Jan 15, 2026

  Based on observation, interview, and record review, the facility failed to ensure an environment as free from safety hazards as possible when staff failed to transfer a with an appropriate placed gait belt (a transfer belt placed around the waist to assist with standing, walking, or transferring and to help prevent falls) and when staff were not aware of the best manner in which to transfer for one resident (Resident #8) out of 14 sampled residents. The facility census was 44. Review of the facility policy Assistive Lifting Devices, undated, showed the following:-The goal was to decrease possible injuries to all staff and/or residents when transferring, toileting, or ambulating;-Gait belt was to be implemented with all ambulation and transfer procedures. […]

• No harm, potential for more than minimal, isolatedF880Jan 15, 2026

  Based on observation, interview, and record review, the facility failed to provide appropriate infection control practices when staff failed to wash and/or sanitize hands before and during personal cares for one resident (Resident #8) out of 14 sampled residents. The facility census was 44. Review of the facility policy Hand Hygiene/Handwashing, undated, showed the following:-Hand hygiene will be regarded as the single most important means of preventing the spread of infections;-The use of alcohol-based sanitizers/had rub is an acceptable method of hand hygiene instead of soap and water in all clinical situations except when hands were visibly soiled (such as blood or body fluids), or after caring for a resident with known or suspected clostridium difficile(bacterial infection causing… […]