Lakes At Litchfield

In the surveyor’s words

From the most serious findings on record at Lakes At Litchfield, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Dec 15, 2021

  Based on observation, interviews, and record review the facility failed to ensure proper handling of food storage and holding temperatures in the main kitchen and one of one satellite serving kitchen. This failure had the potential to cause foodborne illness for all six residents of the facility who received food served from the main and/or satellite kitchen. Findings include: On [DATE] at 9:21 AM, observation of the dry storage room revealed: an opened jar of cashew butter that expired [DATE], an opened jar of roasted peanuts not dated when opened, stir fry sauce not dated when opened, and a foiled, unidentified item that was not dated or labeled. […]

• No harm, potential for more than minimal, patternF755Dec 15, 2021

  Based on observation, interview, and review of facility policy and procedure the facility failed to ensure expired supplies were removed from the patient care areas and the narcotics disposal form contained all pertinent information needed for disposal. Findings include: 1. During an observation of the medication supply room on [DATE] at 11:50 AM revealed four vacuette blood collection tubes expired on [DATE]. During an interview on [DATE] at 11:50 AM with LPN1 stated, The night shift is responsible for checking supplies for the medication room. 2. […]

• No harm, potential for more than minimal, isolatedF582Mar 11, 2025

  Based on the facility policy, record reviews and interviews, the facility failed to ensure Resident (R)15 and RA received the CMS form 10055 for Medicare Part A services. Specifically R15 and RA received CMS form R-131 for Medicare Part B Services for 2 of 2 residents that were discharged from Medicare Part A services and remained in the facility. Findings include: Review of the facility policy titled, Medicare Advance Bebeficiary and Medicare Non-Coverage Notices, states as the Policy Statement, Residents are informed in advance when changes will occur to their bills. Skilled Nursing Facility Advance Beneficiary Notice (CMS form 10055). 1. […]

• No harm, potential for more than minimal, isolatedF760Nov 28, 2023

  Based on record reviews and interviews, the facility failed to ensure Resident (R)1 received all medications ordered by the physician. Specifically, R1 did not receive Trelegy Ellipta (a prescription medicine used long term to treat COPD, including chronic bronchitis, emphysema, or both and to treat asthma in adults) or Linzess (a prescription medication used to treat irritable bowel syndrome with constipation (IBS-C) and chronic idiopathic constipation (CIC) in adults) as ordered, for 1 of 1 residents reviewed for medication administration. Findings include: Review of R1's Face Sheet revealed the facility admitted R1 on 11/08/23 with diagnoses including but not limited to: chronic obstructive pulmonary disease, pneumonia, oxygen dependence, nasal congestion and constipation. […]

• No harm, potential for more than minimal, isolatedF550Jul 26, 2023

  Based on interviews, record review, and facility document review, the facility failed to treat a resident with dignity and respect for 1 (Resident #2) of 8 residents reviewed for dignity and respect. Specifically, Resident #2 indicated Certified Nursing Assistant (CNA) #1 intimidated them. Findings included: A review of a Face Sheet indicated the facility admitted Resident #2 to the facility on [DATE] with diagnoses that included hypokalemia, fall, hypertension, weakness, and pain. The admission Minimum Data Set (MDS), with an Assessment Reference Date (ARD) of 05/11/2023, revealed Resident #2 had a Brief Interview for Mental Status (BIMS) score of 15, indicating the resident was cognitively intact. […]