Lakepointe Senior Care and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Lakepointe Senior Care and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880May 17, 2022

  This citation has two deficient practices, A. and B.: A. Based on observation, interview, and record review, the facility failed to: 1. Maintain an accurate and ongoing monthly infection tracking and monitoring system; 2. Follow established COVID-19 testing guidelines per facility policy for Residents and Staff; 3. Notify the health department of new COVID-19 cases; 4. Investigate and surveil new cases of COVID-19 in Staff; 5. Screen vendors/visitors for COVID-19 symptoms; and 6. […]

• Actual harm, isolatedF688Jun 28, 2023

  Based on observation, interview, and record review, the facility failed to consistently implement interventions to maintain or improve range of motion (ROM) and/or mobility, affecting three residents (R6, R22, and R77), resulting in the potential for further functional decline in joint motion and mobility. Findings include: Resident #6 (R6) On 6/26/23 at 9:31 AM, R6 was observed lying in bed. R6 did not respond to inquiry and was unable to be interviewed. On 6/26/23 at 2:36 PM, R6 was observed to still be lying in bed. A review of R6's record and Minimum Data Set (MDS) assessment dated [DATE] revealed that the resident was admitted into the facility on [DATE], most recently readmitted on [DATE], and is severely cognitively impaired. […]

• Actual harm, isolatedF686Dec 28, 2022

  This citation refers to Intake number MI00132714. Based on interview and record review the facility failed to ensure a resident did not develop a pressure ulcer for one sampled resident (R905) of three resident reviewed for skin management, resulting in the development of a pressure ulcer and subsequent infection of the pressure ulcer and hospitalization . Findings include: On 12/28/22 at 09:25 AM, Family Member A was called to discuss the complaint related to their family member. Family Member A said that they visited R#905 on September 4, 2022, and that the nurse said R#905 had a bad wound infection. […]

• Actual harm, isolatedF684May 17, 2022

  This deficient practice has two parts, A. and B.: A. Based on interview and record review, the facility failed to ensure emergency care was provided timely for one Resident (#88) of 22 residents reviewed for quality of care. This deficient practice led to Acute Kidney Injury (AKI) and [CONDITION(S)]. Findings include: On 5/10/22 at 10:36 a.m., a review of the EMR showed Resident #88 admitted to the facility on [DATE]. A review of the census tab in the EMR revealed a Discharge stop billing entry on 3/26/22. A review of the progress notes for Resident #88 read in part: 3/23/2022 (4:39 p.m.) . Physician's Note . (Resident #88) . . This is an [AGE] year-old . […]

• Actual harm, isolatedF689May 17, 2022

  Based on observation, interview, and record review the facility failed to assess and supervise one resident's ability to safely smoke outside (Resident #22) and failed to investigate resident falls to prevent further falls for two residents (#22, #86) out of three residents with a high risk for falls reviewed. This deficient practice resulted in four unwitnessed falls for Resident #22 (one with a hematoma or bruising to the forehead), and potential for further falls due to lack of investigation (#22, #86). Findings include: Resident #22 Resident #22's Electronic Medical Record (EMR) revealed an admitted [DATE] with medical diagnoses including repeated falls, stroke, [CONDITION(S)], major depressive disorder, and [CONDITION(S)] disorder. […]