Lakeside Health and Rehab

In the surveyor’s words

From the most serious findings on record at Lakeside Health and Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Jul 25, 2025

  Based on observations, interviews, record review, document review, and facility policy review, the facility failed to ensure adequate supervision was provided to prevent elopement for 1 (Resident #1) of 3 sampled residents reviewed for accidents/supervision. The lack of an effective monitoring plan resulted in Resident #1 eloping from the facility and being found outside of the facility by a passerby on 7/14/2025. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. The Immediate Jeopardy (IJ) was related to the State Operations Manual, Appendix PP, 483.25 (Quality of Care) at a scope and severity of J. […]

• Immediate jeopardy, isolatedF689Oct 24, 2024

  Based on observations, interviews, facility document review, and record review, the facility failed to ensure staff provided supervision for 1 (Resident #66) of 1 sampled resident reviewed for elopement. The lack of supervision resulted in Resident #66 eloping from the facility and facility staff being unaware of the whereabouts of the resident for approximately three hours and twenty minutes. Resident #66 was found inside an event center approximately 900 feet from the facility. It was determined the facility's non-compliance with one or more requirements of participation had caused, or was likely to cause, serious injury, harm, impairment, or death to residents. […]

• No harm, potential for more than minimal, widespreadF812Aug 19, 2022

  Based on observation and interview, the facility failed to ensure dietary staff wash ed their hands their hands before handling clean equipment or food items to prevent the potential for cross contamination; failed to ensure dried goods stored in the dry storage area were sealed to prevent the potential food borne illness for residents who received meals from 1 of 1 kitchen. These failed practices had the potential to affect 69 residents who received meals from 1 of 1 kitchen (Total Census: 70), according to the lists provided by the Dietary Supervisor dated 8/16/2022 at 2:14 PM The findings are: 1. On 8/15/22 at 10:51 AM, the following observations were made during the noon meal preparation in the kitchen: 2. […]

• No harm, potential for more than minimal, widespreadF812Jun 4, 2021

  Based on observations, record review and interview, the facility failed to ensure ice scoop holder and ice machine were maintained in a clean and sanitary condition; failed to ensure ice cream cartons stored in the freezer were maintained frozen failed to ensure the refrigerator temperature was maintained at or below 41 degrees Fahrenheit; expired food items were promptly removed/ discarded by the expiration or use by dates, and dietary staff washed their hands before handling clean equipment to prevent potential for cross contamination and food borne illnesses for residents who received meals from 1 of 1 kitchen. […]

• No harm, potential for more than minimal, patternF550May 1, 2026

  Number of residents sampled: Number of residents cited: Based on record review and interview, the facility failed to ensure residents' rights to privacy were protected. Specifically, photographs and videos were taken of residents by an employee and released for public viewing without consent for five (Residents #42, #91, #92, #93, and #94) of five residents reviewed for privacy. The findings include: On 04/30/2026 at 3:26 PM, this surveyor received an email from the complainant which contained photographs and videos of residents who once resided at the facility. The complainant stated the photographs and videos were observed on Certified Nursing Assistant (CNA) #9's social media page. […]