Lacon Rehab and Nursing

In the surveyor’s words

From the most serious findings on record at Lacon Rehab and Nursing, in the surveyor’s own words.

• Immediate jeopardy, patternF921Feb 3, 2026

  Facility failures resulted in two deficient practices.A. Based on observation, interview, and record review, the facility failed to provide adequate heating to the St. [NAME]/100 Hallway and rooms and failed to follow facility emergency protocol. These failures have caused R1 to have increased pain from muscle spasms due to being tense from the cold. These failures have the potential to affect all 31 residents residing on St. [NAME] wing, R1, and R3-R32. This failure resulted in an Immediate Jeopardy.B. Based on observation, interview, and record review the facility failed to provide adequate hot water to the entire building. This has the potential to affect all 59 residents residing in the facility. Findings include:A. The Immediate Jeopardy began on 1/12/26 around 8:00 AM. […]

• Actual harm, isolatedF561May 23, 2025

  Based on observation, interview and record review the facility failed to allow one resident (R18) to make her own decisions of sixteen residents reviewed for choices in a total sample of fifty-seven. This failure caused R18 emotional distress and crying. Findings Include: The Facility's undated Resident Rights Policy and Procedure documents Self-determination. Every resident has the right to, and the facility must promote and facilitate, resident, self-determination through support of resident choice, including but not limited to the rights specified in this section. A. each resident has right to choose activities, schedules (including sleeping and waking times), health care and providers of health care services consistent with his or her interests, assessments, and plan of care. B. […]

• Actual harm, isolatedF689May 24, 2022

  Based on interview, and record review, the facility failed to safely assist a resident during re-direction for one resident (R1) of three residents reviewed for falls in a sample of three. This failure resulted in R1 sustaining pain and a fractured femur. Findings include: The facility's Fall Reduction policy, revised 11-5-19, documents To provide an environment that remains as free of accidents hazards as possible. To identify residents who are at risk for falling and to develop appropriate interventions to provide supervision and assistive devices to prevent or minimize fall related injuries. R1's clinical record documents R1 has diagnoses including [CONDITION(S)] with Behavioral Disturbance, General Anxiety Disorder, and Unspecified Dementia without Behavioral Disturbance. […]

• No harm, potential for more than minimal, widespreadF908Aug 13, 2026

  Based on observation and interview the facility failed to maintain kitchen equipment to a safe, reliable standard. This failure has the potential to effect all 58 residents currently residing in the facility. Findings include:The facility's resident roster, dated 8/10/26, provided by the facility's Administrator documents 58 residents reside in the facility. During a tour of the Dietary Department on 8/10/26 at 9:00am, Out Of Order signage was taped to 2 upright freezers, a walk-in refrigerator, and an upright refrigerated unit. Also noted was a large double range with one of the flat/griddle cooktops, broken into three pieces. […]

• No harm, potential for more than minimal, widespreadF921Feb 20, 2026

  Based on observation, interview, and record review, the facility failed to maintain the building in good repair and cleanliness for three of four (R3, R4, and R7) residents reviewed for homelike environment in a sample of seven. The facility's Homelike Environment/Maintenance policy, revised 12/1/25, documents that housekeeping and maintenance services are necessary to maintain a sanitary, orderly, and comfortable interior. This form documents that the facility is to be comfortable and have safe temperature levels. […]