Lake Village Nursing and Rehabilitation Center

In the surveyor’s words

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

• Immediate jeopardy, patternF880Jan 26, 2024

  Based on observation, interview, and record review the facility failed to maintain an infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections for 1 of 1 facility, reviewed for infection control. The facility DON (Infection Preventionist) failed to ensure: Residents who had the flu had appropriate signage on their door and PPE for use outside their door. Facility staff were utilizing appropriate PPE when caring for residents in isolation rooms. Facility staff notified the families of flu negative roommates that they were at risk of being infected with the flu. Flu negative residents were cohorted in the same room as flu positive residents. […]

• No harm, potential for more than minimal, widespreadF851May 5, 2026

  Based on interview and record review, the facility failed to electronically submit to CMS complete and accurate direct care staffing information, including information, for agency and contract staff, based on payroll and other verifiable and auditable data in a uniform format according to specification established by CMS. The facility failed to submit staffing data to CMS for FY Quarter 1 2026 (October 1 - December 31). This failure could place residents at risk for personal needs not being identified and met, decreased quality of care, decline in health status, and decreased feelings of well-being within their living environment. […]

• No harm, potential for more than minimal, widespreadF727Jan 26, 2024

  Based interviews and record reviews, the facility failed to maintain the services of a Registered Nurse (RN) for at least 8 consecutive hours a day, 7 days a week, reviewed for RN coverage. The facility failed to ensure the facility maintained the required RN coverage for 14 days between August - September 2023. This failure placed residents at risk of receiving higher levels of patient care. Findings included: Review of the facility provided time sheets for Registered Nurses (RN) for the review period from August 2023 - January 2024, revealed the facility failed to have the required RN coverage of at least 8 consecutive hours a day, for the following dates: 08/05/23: 4 hours recorded 08/06/23: 4 hours recorded 08/12/23: 4 hours recorded 08/13/23: 4 hours recorded 08/19/23: 4 hours… […]

• No harm, potential for more than minimal, widespreadF812Sep 21, 2021

  Based on observation, interview, and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food safety in the facility's only kitchen. This failure could place residents at risk for foodborne illness and cross contamination. The facility failed to ensure food items in the stand-up freezer were dated The facility failed to ensure food items in the stand-up freezer were labeled and dated. The facility failed to ensure food items in reach in refrigerator 3 were dated and labeled The facility failed to ensure food items in reach in refrigerator 3 were stored on a clean sheet pan that was free of food debris, as the sheet pan contained a red spotted dried substance. […]

• No harm, potential for more than minimal, patternF812May 5, 2026

  Based on observation, interviews, and record reviews, the facility failed to ensure food was stored, prepared, distributed, and served in accordance with professional standards for food service safety for 1 of 1 kitchen reviewed for food and nutrition services. The facility failed to ensure all food items in the facility's kitchen were dated and discarded prior to their use-by date and were properly sealed. These failures could place residents at risk for food contamination and food-borne illness. Finding included: An observation on 05/03/26 between 9:10 AM and 9:45 AM in the facility's kitchen revealed:One gallon bag containing yellow cake mix dated 04/23/26 with no visible expiration date.One gallon bag containing corn flakes dated 02/04/26 with no visible expiration date. One 5 lb. […]