Lake Park Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, widespreadF812Oct 26, 2023

  Based on observation, interview and records review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 18 out of 18 sample selected residents (Resident 234, 22, 30, 8, 237, 236, 10, 235, 21, 27, 17, 134, 137, 11, 135, 136, 31 and 138) who were residing at the facility and receiving food from the facility's kitchen when: 1. Facility did not ensure food temperatures were checked before serving to all 18 residents (IJ). 2. Multiple Dietary staff did not wear hair nets and beard nets while working in the kitchen. 3. A Dietary staff did not wash hands upon entering the kitchen. 4. […]

• No harm, potential for more than minimal, patternF761Nov 7, 2024

  Based on observation, interview and record review, the facility failed to properly secure medications and sharp instruments when one treatment cart was left unlocked and unsupervised, in an area where residents could access it. This failure had the potential for accidental medication administration, ingestion or injury to residents residing in the facility. During an observation on 11/05/24, at 7:46 a.m., with Licensed Vocational Nurse 1 (LVN 1) in the hallway, a treatment cart containing topical medications, ointments, scissors, nail clippers, and other treatment supplies was observed unlocked. The treatment cart was situated in between six resident bedrooms and the activity/dining room, and multiple residents passed the treatment cart during this time. […]

• No harm, potential for more than minimal, patternF812Nov 7, 2024

  Based on observation, interview, and record review, the facility failed to ensure food was stored and prepared under safe and sanitary conditions when: 1. Dry food items were stored less than 6 inches above the floor. 2. Refrigerated and frozen food items were unlabeled, and undated. 3. Dry food items were past their use by date. 3. Raw pork was stored directly over ready to eat shrimp. 4. There was dark brownish matter inside the resident ice machine, above the ice bin. These failures had the potential to put residents at risk for food borne illness and cross-contamination (transfer of bacteria or other microorganisms from one substance to another) that could have resulted in infection or spread of infection. […]

• No harm, potential for more than minimal, patternF677Oct 26, 2023

  Based on observation, interview, and record review, the facility failed to provide the necessary services to maintain good personal hygiene for three of 22 sampled residents (Resident 30, Resident 234, and Resident 11). This failure resulted in Resident 30, Resident 234, and Resident 11's missed scheduled showers and a potential to cause low self-esteem and embarrassment to the residents. Findings: 1. A review of Resident 30's Admission Record, dated 10/25/23, indicated Resident 30 was admitted to the facility on [DATE] with diagnoses of metabolic encephalopathy (a condition in which brain function is disturbed), prostate cancer, and muscle weakness. […]

• No harm, potential for more than minimal, patternF755Oct 26, 2023

  Based on observation, interview, and record review the facility failed to: 1. maintain an accurate accountability sheet that documented the number of controlled substances (Diazepam tablets) that should be available for destruction and 2. provide pharmaceutical services including the provision of routine medications to meet the needs of one of seven (Resident 19) sampled Residents. These failures had the potential to cause diversion of controlled medication (illegal use of medication not intended by the provider) and adverse health outcomes related to incorrect medication administration. Findings: 1. […]