Lakes of Sylvania, The

In the surveyor’s words

From the most serious findings on record at Lakes of Sylvania, The, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678Jan 17, 2023

  Based on medical record review, staff interviews, review of the facility investigation, review of the facility policy for Emergency Procedure - Cardiopulmonary Resuscitation, review of the American Heart Association Journal, review of a job description for Licensed Practical Nurses (LPN), and review of personnel files, the facility failed to timely initiate Cardiopulmonary Resuscitation (CPR) or contact Emergency Medical Services (EMS) for one resident (Resident #01) found unresponsive, with no pulse oximeter registering, and who was identified as a Full Code status. […]

• No harm, potential for more than minimal, widespreadF725Apr 3, 2023

  Based on observation, staff interview, review of facility schedules, and record review, the facility failed to ensure adequate staff was available to timely administer medications and timely turn and reposition dependent residents. This affected two (#11 and #13) of five residents reviewed for timely care and treatment. Findings include: 1. Review of the medical record for Resident #11 revealed an admitted [DATE] with diagnoses of psychosis, epilepsy, and morbid obesity. Review of the quarterly Minimum Data Set (MDS) assessment, dated 01/12/23, revealed Resident #11 had impaired cognition and required extensive assistance of two people for bed mobility. […]

• No harm, potential for more than minimal, widespreadF812Aug 13, 2021

  Based on observation and staff interview, the facility failed to change contaminated gloves before touching food items when serving resident meals. This had the potential to affect all residents who received food from the kitchen. Resident #7 was identified by the facility as receiving nothing by mouth. The facility census was 56. Findings include: Observations on 08/09/21 from 11:40 A.M. to 11:55 A.M. of lunch service revealed Dietary Aide (DA) #478 plating resident meals. DA #478 gloved her hands, picked up a plate, touched the serving utensils for the chopped steak, mashed potatoes and California blend vegetables. Then without changing the gloves, picked up a dinner roll with a gloved hand and placed the roll on a plate. […]

• No harm, potential for more than minimal, widespreadF880Aug 13, 2021

  Based on observation, review of the COVID-19 screening log, staff interview, and review of the facility policy, the facility failed to ensure proper screening procedures were in place for to assess visitors entering the facility for signs and symptoms of COVID-19. This had the potential to affect all 56 residents residing in the facility. Additionally, the facility failed to properly clean, sanitize and, store bed pans in resident bathrooms. This affected two (#33 and #41) residents, who reside in the same resident room. The facility census was 56. Findings include: 1. Observation on 08/12/21 at 8:15 A.M. revealed the front entrance door was unlocked, allowing outside persons entrance to the building. […]

• No harm, potential for more than minimal, patternF689Aug 13, 2021

  Based on observation, medical record review, resident and staff interview and review of facility policy, the facility failed to ensure medications were not left unattended at resident bedside and failed to maintain a safe environment as care planned for fall prevention. This affected three residents (#11, #13 and #29) who were identified by the facility as being cognitively impaired, independently mobile, and one (#2) of two residents reviewed for fall precautions. The facility census was 56. Findings include: 1. Observation on 08/09/21 at 10:13 A.M. of Resident #9's room revealed a medication cup on the resident's tray table with four pills in the cup. […]