Lakeland Community Care Center

In the surveyor’s words

From the most serious findings on record at Lakeland Community Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF725Jan 30, 2025

  Based on observation, staff interviews, and record review, the facility failed to ensure sufficient nursing staff to meet the needs of residents for four (4) of 14 staffing days reviewed in January, 2025. (1/19/25, 1/20/25, 1/25/25, and 1/27/25). Findings Include: Record review of a typed document on facility letterhead dated January 30, 2025, and signed by the Executive Director (Administrator) revealed There is no Staffing policy A review of anonymous complaints, received 1/20/25 and 1/21/25, revealed 3-11 and 11-7 shifts are always short CNAs and there was one CNA working the floor Central Unit by herself on 3-11 Sunday 1/19/25. […]

• No harm, potential for more than minimal, patternF584Jan 30, 2025

  Based on observation, interview, record review, and facility job description review, the facility failed to ensure the residents' right to a homelike environment for one (1) of eighteen (18) sampled residents, Resident #5. Findings included: A review of the facility's Job Description, dated 08/01/2012, for the Director of Maintenance revealed, .General Description .the Director of Maintenance . is accountable for the upkeep of the grounds, Facility, and equipment in a safe and efficient manner .Essential Duties 1. Provides a safe, clean environment for residents in accordance with Resident Care Policies and Procedures . On 01/27/2025 at 3:26 PM, during an observation, Resident #5 was seated in her wheelchair in her room. The resident was confused but able to make simple needs known. […]

• No harm, potential for more than minimal, patternF812Jan 30, 2025

  Based on observation and staff interview, the facility failed to ensure proper food handling and sanitation practices to prevent cross-contamination when Dietary [NAME] (DC) #2 failed to sanitize the thermometer when checking food temperatures on the tray line for one (1) of two (2) kitchen observations Findings included: On 01/27/2025 at 11:15 AM, during an observation of the tray line, DC 2 was observed checking food temperatures. DC #2 used a brown paper towel to clean the thermometer between food items. […]

• No harm, potential for more than minimal, patternF880Jan 30, 2025

  Based on observation, interview, record review, and facility policy review, the facility failed to ensure Enhanced Barrier Precautions (EBP) were followed while providing care to a resident requiring high-contact precautions for two (2) of three (3) care observations, Resident #27. Findings included: A review of the facility's Enhanced Barrier Precautions policy, dated 04/2024, revealed, Enhanced Barrier Precautions are indicated for residents with .indwelling medical devices, secretions/excretions that are unable to be covered/contained, and are not known to be infected/colonized with any MDRO (Multidrug-Resistant Organism) during high-contact resident care activities, as these residents are at an increased risk of being infected . […]

• No harm, potential for more than minimal, patternF558Jan 26, 2024

  Based on observations, interviews and record reviews the facility failed to ensure call lights were within reach for three (3) of five (5) sampled residents. Resident #3, Resident #4 and Resident #5 Findings Include: Resident #3 On 1/25/24 at 11:15 AM, an observation revealed the call light for Resident #3 was draped over the back of a bedside chair at the end of the resident's bed. The resident was seated on the end of the bed with the call light out of reach. On 1/25/24 at 4:14 PM, an observation revealed the call light for Resident #3 was draped over the back of a bedside chair. The resident was seated in her wheelchair with her call light out of reach. […]