Lakepoint Augusta, LLC

In the surveyor’s words

From the most serious findings on record at Lakepoint Augusta, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 31, 2025

  The facility reported a census of 70 residents. The sample included three residents reviewed for accident hazards. Based on observation, interview, and record review the facility failed to ensure an environment free from accident hazards when staff failed to provide adequate supervision and respond appropriately to a door alarm, allowing Resident (R) 1 to elope from the facility. On 06/14/25 at 09:20 PM, R1, a cognitively impaired resident at risk for wandering, exited the facility without staff knowledge or supervision. The door alarm sounded, and at 09:26 PM, Certified Nurse Aide (CNA) M cancelled the alarm but did not conduct a search or inspection to identify what triggered the alarm. At 10:00 PM, staff performed rounds and discovered R1 was missing. […]

• Immediate jeopardy, isolatedF609Apr 18, 2023

  The facility reported a census of 51 residents. The sample included three residents reviewed for neglect. Based on interview and record review, the facility failed to ensure staff reported allegations of verbal and mental abuse, which included threats of bodily harm when Certified Nurse Aide (CNA) M threatened cognitively impaired Resident (R)1 after he became upset when staff transferred him in the bathroom. R1 stated to get a gun and Shoot me and in response CNA M threatened this upset resident that he would be a second Samurai, bring two [NAME], and if the first one failed, he had the second [NAME]. […]

• Actual harm, isolatedF689Sep 11, 2023

  The facility reported a census of 44 residents with three residents sampled for assisted transfers using a Hoyer lift (a total body mechanical lift used to transfer residents). Based on observation, interview, and record review, the facility failed to ensure staff used the proper Hoyer lift transfer sling for Resident (R) 1 to prevent a fall out of the sling, which required medical treatment at a hospital as a result of the fall. R1 was injured when she slipped through the opening of the lift sling after staff instructed her to cross her arms across her chest instead of holding her arms outside of the sling causing her legs to strike the Hoyer lift, and her back, hip and head to strike the floor. […]

• Actual harm, isolatedF600Apr 18, 2023

  The facility reported a census of 51 residents. The sample included eleven residents care planned for mechanical lift. The sample of three residents included three residents reviewed for neglect. Based on record review and interview, on 04/06/23, the facility failed to ensure dependent Resident (R)1 remained free from neglect, when Certified Nurse Aide (CNA) M attempted an unsafe transfer of R1 from the toilet to his wheelchair, without the use of the baseline care planned and nursing/therapy communication mechanical lift. R1's legs buckled during the transfer, R1 slumped into the wall next to the toilet, and the CNA M transferred R1 on to the toilet. As R1 slid down the wall next to the toilet, the resident's right thigh broke the toilet paper dispenser. […]

• No harm, potential for more than minimal, widespreadF755Oct 31, 2024

  The facility reported a census of 58 residents. Based on observation, interview, and record review the facility failed to establish a system to keep drug records in order for all controlled drugs to be maintained and reconciled. Findings included: - Review of the Narcotic Count Shift Verification sheet on 10/28/24 at 08:13 AM, the following areas of concern were noted: 1. The east hall Narcotic Count Shift Verification form, from October 1 through October 27, 2024, lacked a total of 63 staff signatures. 2. […]