Lake Placid Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Lake Placid Health and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF806Jul 24, 2025

  Based on observations, interviews, and record review the facility failed to ensure dietary allergies and dietary preferences were honored for four residents (#146, #37, #101, #11) out of five residents reviewed for nutritional services. These failures resulted in emotional harm to one resident (#146) resulting in a discharge against medical advice (AMA), and potential harm due to food allergies to two residents (#37, #11) when the wrong dietary trays were served on multiple occasions. Finding included: 1) During an interview on 07/21/2025 at 10:00 a.m., Resident #146 stated, “I am leaving today, I cannot do this anymore. They always bring me food that I don't eat. Saturday, I went hungry because when they brought my tray it had bacon on it. […]

• No harm, potential for more than minimal, widespreadF580Jul 24, 2025

  Based on interviews and record review, the facility failed to promptly notify the resident and resident representative (RR) of a change in room or roommate assignment for three (#146, #172 and #173) of three residents sampled. Findings included:During an interview on 07/22/25 at 10:45 a.m. Resident #172's Resident Representative (RR) stated the facility moved Resident #172 without notification to herself or Resident #172. Review of Resident #172's admission Record revealed an admission date to the facility on [DATE] and readmission on [DATE], with diagnoses to include: schizophrenia; metabolic encephalopathy; cognitive communication deficit; brief psychotic disorder; bipolar disorder, current episode mixed, severe, with psychotic features; anxiety disorders; major depressive disorder… […]

• No harm, potential for more than minimal, widespreadF585Jul 24, 2025

  Based on observations, interviews, and record review the facility did not ensure grievances were being addressed for five out of six months of resident council meetings and for three (#101, #106, #172) out of three residents sampled for grievances. Findings included: An interview was conducted on 7/21/25 at 10:39 a.m. with Resident #101. The resident said she was not happy with the way staff treated her sometimes. She said there was a Certified Nursing Assistant (CNA) that was rude to her and told her she was tired of having to clean her up after having had an incontinent episode. The CNA mentioned that the CNAs were talking about her. The resident spoke to Staff H, Licensed Practical Nurse (LPN) and a Unit Manager (UM) was notified about the incident. […]

• No harm, potential for more than minimal, widespreadF628Jul 24, 2025

  Based on interviews and record review, the facility failed to ensure the transfer or discharge was documented in the resident's medical record and a notice was given before the transfer or discharge for two residents (#124 and #172) out of two residents reviewed for transfer/discharge process. Findings included: During an interview on 07/22/25 at 10:45 a.m. Resident #172’s Resident Representative (RR) stated the facility only provided medication list on discharge and Resident #172 lives in a group home as resident is unable to live independently with mental diagnosis’ and did not receive any information when resident was transferred to the hospital. […]

• No harm, potential for more than minimal, widespreadF645Jul 24, 2025

  Based on observations, interviews and record review the facility did not ensure level I and level II Preadmission Screening and Resident Review (PASARR) were accurate for 12 ( #1, 2, 8, 9, 15, 35, 55, 65, 76, 83, 118, and 172) out of 14 Residents sampled. Findings Included: Review of Resident 83's admission record revealed and admission date of 08/28/2024. Resident #83 was admitted to the facility with diagnosis to include Other Bipolar Disorder, Unspecified Mood [Affective] Disorder, Opioid Dependence, Uncomplicated, Bipolar Disorder, Current Episode Mixed, Moderate, And Generalized Anxiety Disorder. Review of Resident #83's PASARR dated 07/31/2024, revealed anxiety disorder was not marked. Questions 1-7 were all marked no. Section IV. […]