Lake Pointe Health Care

In the surveyor’s words

From the most serious findings on record at Lake Pointe Health Care, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 17, 2024

  THIS DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THE ON-SITE INVESTIGATION. Based on observation, medical record review, staff interviews, review of a police report, review of a facility investigation, review of written statements, and review of facility corrective action documents, the facility failed to provide adequate supervision to prevent Resident #50, who had moderately impaired cognition, a diagnosis of vascular dementia with behavioral disturbances, and a previous incident of attempting to exit the facility, from leaving the facility unsupervised. This resulted in Immediate Jeopardy on 07/14/24 between approximately 3:00 P.M. and 5:44 P.M. […]

• No harm, potential for more than minimal, widespreadF804Feb 25, 2022

  Based on observation, resident and staff interview and review of facility policy, the facility failed to ensure meals were palatable to taste and temperature. This had the potential to affect 88 of 88 residents receiving meals from the kitchen. One resident (#93) received no food by mouth. The facility census was 89. Findings include: Interview on 02/22/22 at 4:14 P.M., Resident #62 revealed the food was served cold sometimes. Interview on 02/22/22 at 4:25 P.M., Resident #27 revealed the food needed to be warmer. Observation on 02/25/22 revealed the dietary staff completed plating of resident meals and one meal test tray for the 2300 hall at 11:38 A.M. The meals were delivered to the 2300 hall at 11:41 A.M. Three staff delivered the meal trays to the residents from 11:41 A.M. […]

• No harm, potential for more than minimal, patternF695Apr 18, 2022

  Based on record review, observation and interviews, the facility failed to follow the physicians order to change oxygen tubing weekly on night shift and label with a date. This affected five residents (#17, #28, #43, #46, and #47) out of seven residents observed using oxygen. In addition, the facility failed to ensure a physicians order was in place for the use of oxygen for one resident (Resident #438) out of seven residents reviewed for oxygen therapy. The facility census was 95. Findings include: 1. Observation on 04/11/22 from 10:13 A.M. through 04/13/22 at 9:21 A.M. of the oxygen tubing for Resident #17, #28, #43, #46 and #438, revealed Resident #28's oxygen tubing was dated 02/28/22 and Resident #46's oxygen tubing was dated 02/21/22. […]

• No harm, potential for more than minimal, patternF558Jan 6, 2022

  Based on medical record review, observation, and staff interview the facility failed to ensure call lights were within resident reach. This affected five residents (#41, #19, #48, #83, #84) of 13 residents reviewed for call light placement. The facility census was 91. Findings include: 1. Medical record review revealed Resident #41 had an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the annual Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had impaired cognition. The resident required extensive assistance of two staff for bed mobility, transfers, and toileting. Observation on 01/04/22 at 5:29 P.M. revealed Resident #41 was calling out for a nurse. Resident #41's call light was not on and was not within reach. […]

• No harm, potential for more than minimal, patternF677Mar 4, 2021

  Based on observation, interview and record review the facility failed to ensure Residents #11, #12, #24, #29, #31, #43 and #67, who were unable to carry out activities of daily living (ADLs) independently, were clean and well groomed. This affected seven of seven residents reviewed for hygiene. The facility census was 71. Findings include: 1. Observation of Resident #29 on 03/01/21 at 6:08 A.M. revealed the resident was in her room sitting in a chair. Resident #29 had greasy, dirty hair. Resident #29 was not interviewable. Interview with State tested Nurse Aide (STNA) #300 on 03/01/21 at 6:16 A.M. confirmed Resident #29's hair was greasy. STNA #300 did not know when the resident received her last shower. […]