Lake Hamilton Health and Rehab

In the surveyor’s words

From the most serious findings on record at Lake Hamilton Health and Rehab, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Apr 12, 2024

  Based on observation, interview and policy review, the facility failed to ensure food items stored in the freezer were covered, sealed, and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen, manufacturer specification was followed to prevent the potential for borne illness for residents who received meals from 1 of 1 kitchen, and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen; These failed practices had the potential to affect 73 residents who received. meals from the kitchen, (total census:74). The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Apr 28, 2023

  Based on observation, and interview, the facility failed to ensure staff washed their hands or changed gloves between residents while serving beverages for the lunch meal on the 200 Hall to prevent the potential for food borne illness. The failed practice had the potential to affect 24 residents who resided on the 200 Hall as documented on the Census List provided by the Administrator on 04/24/23. The findings are: 1. On 04/24/23 at 11:37 AM, Certified Nursing Assistant (CNA) #1, scooped ice from the ice chest on the 200 Hall, poured a beverage into the cup with gloved hands, then delivered the beverage to the resident in room [ROOM NUMBER]. CNA #1 exited the room with the same gloves on and did not wash or sanitize her hands. 2. […]

• No harm, potential for more than minimal, widespreadF812Dec 3, 2021

  Based on observation and interview, the facility failed to ensure 2 of 2 water and ice dispensers were maintained in clean condition to minimize the potential for illness for residents who received water and ice from the main dining room and the 400 Hall hydration room. This failed practice had the potential to affect all 72 residents who resided in the facility, according to the Resident Census and Conditions of Residents form dated 11/29/21. The findings are: 1. On 11/29/21 at 10:49 AM, the water and ice dispenser in the main dining room had a blackish, furry substance on the inside of the dispensing chutes. Dietary Employee (DE) #1 was asked to describe what she saw. DE #1 stated, It's black, probably mold. We don't use this thing much. It's difficult to get the motion sensor to work. […]

• No harm, potential for more than minimal, patternF550May 21, 2025

  Based on observations, interviews, record review, and facility policy review, it was determined that the facility failed to ensure that privacy was provided while providing care to maintain dignity for 2 (Resident #8 and #57) of 2 sampled residents observed for personal care. The findings include: 1. A review of the modified admission Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 04/24/2025, revealed Resident #8 had a Brief Interview of Mental Status (BIMS) score of 05, which indicated severely impaired cognition. a. A review of a Care Plan Report (initiated date 05/19/2025), revealed Resident #8 had an Activities of Daily Living (ADL) self-care performance deficit related to impaired balance and limited mobility. b. […]

• No harm, potential for more than minimal, patternF812May 21, 2025

  Based on observation, interview, and facility policy review, the facility failed to ensure 1 of 1 ice machine was maintained in a sanitary condition; expired food items were promptly removed / discarded on or before the expiration or use by date; food stored in the freezer was covered; the refrigerator temperature and cold dairy products were maintained at 41 degrees Fahrenheit or below; and dietary staff washed their hands between tasks for 1 of 1 meal observed. The findings are: 1. On [DATE] at 9:29 AM, the ice machine was checked. The area of the ice machine where ice formed, before dropping into the ice collector, had a grayish residue on the left side, and a black residue on the right side. The area was pointed out to the Dietary Manager (DM), who wiped the substance away. […]