Lakeside Center for Rehabilitation and Healing

In the surveyor’s words

From the most serious findings on record at Lakeside Center for Rehabilitation and Healing, in the surveyor’s own words.

• Immediate jeopardy, isolatedF578Nov 22, 2022

  Based on a review of resident records, the facility's policy and procedure for Emergency Care/CPR (Cardio-pulmonary resuscitation), facility reports, and interviews with staff, the facility failed to act in accordance with the resident's Advance Directives in accordance with his Full Code status (the desire to be resuscitated in the event his heart or breathing stopped) after finding him unresponsive with no respirations. This affected one (Resident #1) of four residents reviewed for Advance Directives. The facility's failure to review and honor Resident #1's Full Code status deprived him of potentially lifesaving measures and likely contributed to his death. Immediate Jeopardy at a scope of J (isolated) was identified at 11:30 a.m. on [DATE]. […]

• Immediate jeopardy, isolatedF678Nov 22, 2022

  Based on a review of resident records, the facility's policy and procedure for Emergency Care/CPR (Cardio-pulmonary resuscitation), facility reports and staff interviews, the facility failed to provide CPR prior to the arrival of Emergency Medical Services (EMS) personnel and in accordance with the resident's physician's order and Advance Directives when an unresponsive resident stopped breathing. This affected one (Resident #1) of four residents reviewed for Advance Directives. The facility's failure to review and honor Resident #1's Full Code status (the desire to be resuscitated in the event that his heart or breathing stopped), deprived him of potentially lifesaving measures and likely contributed to his death. Immediate Jeopardy at a scope of J (isolated) was identified at 11:30 a.m. […]

• No harm, potential for more than minimal, patternF727Aug 29, 2025

  Based on record review and interviews, the facility failed to ensure the Director of Nursing (DON) did not serve in the position of a charge nurse when the facility's census was greater than 60. Review of the facility staffing schedule dated 8/14/25 revealed that the DON was scheduled to work 7:00 pm - 7:00 am on the 500/600 hall cart. The census was noted as 116. During an interview on 8/14/25 at 11:55 am, the certified nursing assistant (CNA)/staffing coordinator, stated she used the facility census to plan for the staffing. She confirmed that the DON was scheduled to work tonight (8/14/25). She explained that the facility had a nurse shortage therefore the DON helped out on open slots. […]

• No harm, potential for more than minimal, patternF584Jan 13, 2022

  Based on facility observations and staff interviews, the facility failed to ensure that a safe, clean, comfortable and homelike environment was maintained in 17 (Rooms 301, 302, 303, 304, 305, 306, 309, 310, 312, 313, 101, 102, 106, 107, 202, 205, 206) of 65 resident rooms as well as the hallways in Units 1, 2 and 3, during four of four survey days. Specifically, the facility failed to ensure resident rooms, bathrooms, and common use areas were maintained to ensure a sanitary, orderly, and comfortable interior. The findings include: Room 301: On 1/10/22 at 12:02 PM, room 301 was observed with air conditioner (AC) filters that appeared blackened with debris. The AC vents and casing were also soiled with dry surface staining and with debris coming out of the front vents. […]

• No harm, potential for more than minimal, isolatedF689Oct 2, 2025

  Based on observations, interviews, record review, and a review of facility policies and procedures, the facility failed to ensure that the resident environment was as free of accident hazards as was possible for one (Resident #47) of 31 sampled residents. The findings include: On 09/29/2025 at 1:11 PM, an aerosol can of Lysol disinfectant spray was observed located on Resident #47's bedside table. (Photographic evidence obtained) On 09/30/2025 at 11:23 AM, the resident was observed sitting up in a chair in his room with his spouse and daughter visiting. The resident's daughter was asked if she was aware of the can of Lysol that was now located on the resident's sink and where it came from. She stated, It belongs to him; we leave it here to spray his room at times. […]