Lake Lodge Nursing & Rehabilitation

In the surveyor’s words

From the most serious findings on record at Lake Lodge Nursing & Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF777Jun 6, 2024

  Based on observations, interviews, and record review the facility failed to provide radiology or other diagnostic services to meet the needs of its residents in a timely manner for 1 (Resident #1) of 3 residents reviewed for radiology services. The facility failed to follow up on Resident #1's x-ray results in a timely manner. The facility failed to follow up on x-ray results that revealed a fracture of the right tibial plateau. Resident #1 was sent to hospital on 05/13/2024 at 10:10 am. The noncompliance was identified at PNC. The Immediate Jeopardy (IJ) began on 05/12/2024 and ended on 05/15/2024. The facility had corrected the noncompliance before the survey began. These failures resulted in delayed diagnosis, medical treatment, and hospitalization . […]

• Immediate jeopardy, isolatedF600Feb 29, 2024

  Based on observations, interviews, and record review the facility failed to ensure residents had the right to be free from abuse, neglect, misappropriation of resident property, and exploitation for 1 of 6 residents (Residents #1) reviewed for abuse. The facility failed to protect Residents #1 from neglect when they failed to provide the necessary care devices to prevent injury from a fall. Resident #1 had a history of subdural hemorrhage with brain injury and a previous order for a fall mat. The CNA was aware the fall mat was missing and Resident #1 experienced convulsions/seizures resulting in a fall. Resident #1 sustained a skin tear from the fall. […]

• Immediate jeopardy, isolatedF689Feb 29, 2024

  Based on interview and record review the facility failed to ensure the resident environment remained free of accidents hazards and each resident received adequate supervision and assistance devices to prevent accidents for 1 (Resident #1) of 8 residents reviewed for accidents hazards. The facility failed to protect Residents #1 from accidents when they failed to provide the necessary care devices to prevent injury from a fall. Resident #1 had a history of subdural hemorrhage with brain injury and a previous order for a fall mat. The CNA was aware the fall mat was missing and Resident #1 experienced convulsions/seizures resulting in a fall. Resident #1 sustained a skin tear from the fall. […]

• Immediate jeopardy, isolatedF684Jul 21, 2023

  Based on observation, interview and record review the facility failed to ensure, based on the comprehensive assessment of a resident, that each resident received treatment and care in accordance professional standards of practice, the comprehensive person-centered care plan and the residents' choices for one (Resident #1) of five residents reviewed for quality of care. The facility failed to place an oxygen cannula and monitor the vital signs for Resident #1 while she waited for EMS to arrive, after she ingested an unknown combination of prescription pills. This deficient practice resulted in actual harm, when Resident #1's oxygen levels dropped, resulting in her carbon dioxide levels being very high when she arrived at the hospital. […]

• Immediate jeopardy, isolatedF695Jul 21, 2023

  Based on observation, interview and record review the facility failed to ensure a resident who needed respiratory care was provided such care, consistent with professional standards of practice, the comprehensive person-centered care plan, the residents' goals and preferences for one (Resident #1) of five residents reviewed for respiratory care. The facility failed to place an oxygen cannula for Resident #1 while she waited for EMS to arrive, after she ingested an unknown combination of prescription pills. This deficient practice resulted in actual harm, when Resident #1's oxygen levels dropped, resulting in her carbon dioxide levels being very high when she arrived at the hospital. […]