Lake Taylor Hosp

In the surveyor’s words

From the most serious findings on record at Lake Taylor Hosp, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 26, 2025

  Number of residents sampled: 47Number of residents cited: 2 Based on record review, interview, and policy review, the facility failed to ensure residents' safety for two (Resident (R) 11 and R195) of two residents reviewed for accident hazards in the sample of 47 residents. Specifically, R11 fell to the floor during an assisted transfer by nursing staff from the commode to the bed, which resulted in a femur fracture and R195 rolled out of bed when nursing staff were providing incontinence care and fell to the floor which resulted in a femur fracture. This had the potential to affect residents who required staff assistance during care. […]

• Actual harm, isolatedF689Apr 28, 2022

  Based on a complaint investigation, medical record review, staff interviews and facility document review the facility staff failed to implement documented fall interventions to ensure a resident was not left alone and unsupervised for approximately 6 minutes during toileting that resulted in an unwitnessed fall with a nasal bone fracture and a facial laceration requiring sutures on 5/1/21, which constitutes harm for 1 of 3 residents in the survey sample, Resident #3. The findings included: Resident #3 was admitted to the facility on [DATE] with diagnoses to include but not limited to Status Post Pacemaker Implantation, Legal Blindness, Weakness/Deconditioning, Anemia and Need for Assistance for Personal Care. […]

• Actual harm, isolatedF686Oct 15, 2021

  Based on interview, record review, and review of facility policy, the facility failed to ensure that one (Resident (R) 59) of eight residents reviewed for pressure ulcers out of a sample of 31 residents did not develop a pressure ulcer unless their clinical condition showed that it was unavoidable. R59, who had been wearing a splint for a fracture, developed a facility-acquired Stage IV pressure after the facility failed to follow physician orders for daily skin checks and wound care. […]

• No harm, potential for more than minimal, widespreadF812Oct 15, 2021

  Based on observation and interview, the facility failed to ensure food, dishware, and cookware used for food preparation/service was stored in a sanitary manner. Food items were not labeled, dated when opened, and/or sealed closed. Dirty industrial fans were blowing on dishware which were clean and ready for use. Cookware was stacked wet. These failures had the potential to affect all 145 residents in the facility who were served food from the facility kitchen. Findings include: On 10/11/21 at 8:40 AM, the following observations were made with and verified by the Chef Manager: 1. The dry storage room contained one bag of egg noodles that was not sealed closed. There was one bag of spaghetti that was not labeled and dated after opening. […]

• No harm, potential for more than minimal, patternF888Apr 28, 2022

  Based on facility documented review and staff interviews the facility staff failed to ensure the Covid-10 Vaccination Policy included weekly testing for staff members who had been granted covid-19 vaccination exemptions and failed to weekly test 3 staff members who had been granted covid-19 vaccination exemptions. The facility staff failed to ensure their Covid-10 Vaccination Policy included weekly testing for staff members who had been granted covid-19 vaccination exemptions and failed to weekly test 3 staff members who had been granted covid-19 vaccination exemptions since February 2022. The findings included: During the survey 3 staff members who had been granted medical and or religious covid-19 vaccination exemptions documentation was reviewed. On 4/27/22 at 3:50 p.m. […]