Lake Pointe Rehabilitation and Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF801Jan 6, 2026

  Based on interviews, and review of the dietitian contract, the dietetic technician's personnel file, and emails, the facility failed to ensure dietitian oversight of a dietetic technician's competency. This had the potential to affect all residents residing in the facility. The facility census was 61.Findings include:Review of the contract between the facility and Consultant Registered Dietitian (CRD) #249 dated 08/01/25 revealed the said dietitian provided the facility with medical nutrition therapy for its residents to include but not limited to nutrition assessments based on the minimum data set (MDS) schedule, and assessments of residents experiencing significant weight changes, compromised skin integrity (pressure ulcers specifically), or has a high risk with receiving specialized… […]

• No harm, potential for more than minimal, widespreadF842Jan 6, 2026

  Based on observation, interviews, and facility policy review, the facility failed to maintain resident medical records in a secure environment that safeguarded it from unauthorized use and prevented loss or destruction. This affected an unidentified number of discharged residents. The facility census was 61.Findings include:Interview on 12/30/25 at 12:30 P.M. with Director of Nursing (DON) regarding storage of resident medical records revealed storage of any current residents' records were kept in the locked business office area for confidentiality but stated being unsure of where discharged residents' records were kept.Observation on 12/30/25 at 12:55 P.M. […]

• No harm, potential for more than minimal, widespreadF880Jun 18, 2024

  Based on observation, interview, record review, and facility policy review the facility failed to maintain enhanced barrier precautions (EBP) and transmission-based precautions (TBP) appropriately as required. This affected nine residents (#2, #4, #12, #15, #21, #24, #39, #49 and #55) and had the potential to affect all 56 residents residing in the facility. Findings include: Observation on 06/17/24 at 8:20 A.M. during a facility tour revealed the following: An EBP sign was posted at the entrance of Resident #2's room. There was a storage bin to the left of the entrance door which held personal protective equipment (PPE). […]

• No harm, potential for more than minimal, widespreadF814Nov 8, 2023

  Based on observation and interview the facility failed to ensure the garbage/dumpster area was maintained in a clean and sanitary manner. This had the potential to affect all 58 residents residing in the facility. Findings include: Observation of the facility dumpster area with Dietary Manager (DM) #461 on 11/06/23 at 10:28 A.M. revealed a door of the dumpster was open. A mattress, chair, and two wood pallets were stacked beside the dumpster. DM #461 verified the findings at the time of the observation.

• No harm, potential for more than minimal, widespreadF606Jul 13, 2023

  Based on observation, record review, facility policy and procedure review and interview the facility failed to ensure Dietary Employee (DE) #203, who was a registered tier three sex offender was not employed in a position that included direct resident contact. This had the potential to affect all 61 residents residing in the facility. Findings included: Record review of Dietary Employee (DE) #203's personnel file revealed the employee was hired as a cook through the facility dietary services contract company who assigned him to work in the dietary department at the facility. DE #203's first date of employment with the facility was 10/05/22. […]