Lakeland Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Lakeland Nursing & Rehab, in the surveyor’s own words.

• Actual harm, isolatedF692Sep 1, 2022

  Based on observation, interview, record review, and policy review, the facility failed to ensure resident's nutrition needs were met for one of nine residents (Resident (R)103) reviewed for nutrition. The facility failed to reconcile discrepancies between facility weights, reflecting stable weight, and hospital weights, reflecting significant weight loss. R103 was weighed during the survey and weighed 126 pounds; the most recent facility weight two weeks earlier was 170.6 pounds. Due in part to the failure to obtain accurate weights, review the hospitalization documentation in the resident's record, and physically/clinically assess the resident, R103's tube feeding regimen was not increased to address weight loss, severe protein malnutrition, and a worsening sacral pressure ulcer. […]

• No harm, potential for more than minimal, patternF656Sep 1, 2022

  20402 28154 32513 Based on observation, record review, and staff and resident interviews, the facility failed to develop a comprehensive plan of care directing measurable goals and interventions for five residents in a total sample of 25 (Resident (R) 3, R32, R43, R101, and R103). The facility failed to develop a care plan for pain for R3, resident choices for R101, side rails for R32, behaviors for R43, and nutrition for R103. These failures placed the residents at risk for unmet care needs and a diminished quality of life. Findings included: 1. […]

• No harm, potential for more than minimal, patternF880May 3, 2022

  C #: Covid-19 Infection Control Survey Based on observation, interviews, and record review on 4/28/22 and 5/3/22, it was determined that the facility failed to ensure handwashing was performed according to their policy and acceptable standards of infection control practice according to the Centers for Disease Control and Prevention (CDC). This deficient practice was identified for 4 of 5 Certified Nursing Assistants (CNAs' #1, #2, #3, and #4) observed for Handwashing technique. This deficient practice was evidenced by the following: Reference: According to the Centers for Disease Control and Prevention (CDC), Morbidity and Mortality Weekly Report (MMWR) Guideline for Hand Hygiene in Health-Care Settings, dated October 25 2002, showed .Recommendations: 2. Hand-hygiene technique .B. […]

• No harm, potential for more than minimal, isolatedF880Apr 23, 2026

  Based on observation, interview, and review of pertinent facility documents, it was determined that the facility failed to follow appropriate infection control practices for appropriate hand hygiene by a Licensed Practical Nurse (LPN) during a wound treatment observation, for 1 of 2 residents (Resident #31) reviewed for wound care. This deficient practice was evidenced by the following:On 4/22/26 at 8:09 AM, the surveyor observed an LPN perform wound care treatment to Resident #31 in their room. The Infection Preventionist (IP) and the Staff Educator were assisting with positioning of the resident in bed. […]

• No harm, potential for more than minimal, isolatedF609Jul 29, 2024

  COMPLAINT #NJ162233 Based on observation, interview, review of medical records and other pertinent facility documentation, it was determined that the facility failed to thoroughly investigate an injury of unknown origin. This deficient practice was identified for 1 of 1 resident reviewed, Resident #70. This deficient practice was evidenced by the following: On 7/22/24 at 11:02 AM, during initial tour, the surveyor observed Resident #70 resting in their bed with their eyes closed. […]