Lake Hills Healthcare Center

In the surveyor’s words

From the most serious findings on record at Lake Hills Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Apr 4, 2025

  Based on observation, interviews and record review the facility failed to ensure the environment was as free of accident hazards was possible and each resident receives adequate supervision to prevent accidents for 1 of 21 resident (Resident #55) reviewed for accidents and hazards, in that: On 03/20/2025 at about 9:30pm, Resident #55 was able to get out of a window in a common room on the secure unit without staff's knowledge, pull off 3 wood fence pickets and leave the premises. Facility staff were not aware Resident #55 was not in the building until he was returned by law enforcement at approximately 01:00 AM on 03/21/2025. A past non-compliance Immediate Jeopardy (IJ) situation was identified on 04/02/2025 at 3:37 PM. The Immediate Jeopardy began on 03/20/2025 and ended on 03/24/2025. […]

• Immediate jeopardy, isolatedF600Oct 15, 2021

  Based on interview and record review, the facility failed to ensure that the resident was free from neglect for 1 of 3 residents (Resident #1) reviewed for neglect. 1. The facility failed to implement new wound treatment orders and provide wound care to Resident #1's unstageable pressure ulcer to her right hip which had deteriorated to stage 4. Additionally, Resident #1 developed 3 other wounds in the following areas: a) Stage 3 right internal aspect upper thigh b) Unstageable left hip c) Unstageable right posterior aspect of lower thigh d) Unstageable left gluteal region. 2. The facility failed to ensure these multiple wounds on Resident #1 were identified, assessed, and treatment was provided to promote healing. 3. […]

• Immediate jeopardy, isolatedF686Oct 15, 2021

  Based on observations, interviews, and record reviews, the facility failed to ensure a resident with a pressure ulcer received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for one (Resident #1) of three residents reviewed for pressure ulcers. 1. The facility failed to implement new wound treatment orders and provide wound care to Resident #1's unstageable pressure ulcer to her right hip which had deteriorated to stage 4. Additionally, Resident #1 developed 3 other wounds in the following areas: a) Stage 3 right internal aspect upper thigh b) Unstageable left hip c) Unstageable right posterior aspect of lower thigh d) Unstageable left gluteal region. 2. […]

• Actual harm, isolatedF689Jan 25, 2024

  Based on observation, interview, and record review the facility failed to ensure that the resident environment remains as free of accident hazards as is possible; and each resident receives adequate supervision and assistance devices to prevent accidents for 1 Resident (Resident #34) of 4 residents reviewed for accident and hazards: The facility failed to ensure Resident #34's bed was on its lowest position while the resident was in his bed. This failure could place residents at risk of a diminished quality of life leading to a variety of emotional and physical problems/issues as a result of accident hazards. […]

• No harm, potential for more than minimal, widespreadF801Jun 24, 2026

  Based on interview and record review, the facility failed to employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, taking into consideration resident assessments, individual plans of care and the number, acuity and diagnoses of the facility's resident population in accordance with the facility assessment requirement for one [Dietary Manager] of one kitchen staff reviewed for food and nutrition services. […]