Lakeside Health Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF584Dec 17, 2021

  Based on observation and interview, it was determined that the facility failed to provide housekeeping and maintenance services necessary to maintain a sanitary , orderly and comfortable interior for 3 of 3 residential wings (100, 200 and 300 unit), patio area, and dining room. The findings included: During the initial environment tour conducted 12/1421 - 12/16/21; and 12/17/21 at 9:50 AM, accompanied by the Director of Maintenance/Housekeeping, the following was noted: 1) 100 Unit: Room #100 - Exterior damage and black scuff marking to the room entry door and bathroom entry door. Rooms #101, #108, #109, #110, #111, #112, #113, #114, #115, #116, #120, #122, #124, and #128 - The exteriors to the room entry doors were noted damaged and numerous areas of black scuff marking. […]

• No harm, potential for more than minimal, patternF803Dec 17, 2021

  Based on observation, interview, and record review, it was determined that the approved facility menu was not followed for 5 of 5 sampled residents (Resident's #24, #34, #37, #42, and #54.) with physician ordered Pureed Diet and 2 of 2 sampled residents (Resident's #90 and #145) with physician ordered Renal Diet. The findings included: During the observation of the tray line in the main kitchen on 12/15/21 at 7:30 AM, it was noted that the approved menu for the breakfast meal of 12/15/21 documented that pureed hot cereal be served to residents receiving a pureed diet. Observation of the tray line noted that only regular oatmeal was prepared and being served. […]

• No harm, potential for more than minimal, isolatedF699Dec 18, 2025

  Based on record review and interview, the facility failed to implement a care plan for residents with a diagnosis of Post Traumatic Stress Disorder (PTSD) for 2 of 2 sampled residents (Resident #4 and #91).The findings included: A review of the facility's Behavioral Health Services policy, last reviewed on 09/02/25, documented the facility will provide behavioral health care and services that create an environment that promotes emotional and psychosocial well-being, meets each resident's needs, and includes individualized approaches to care. Under procedure it was documented to complete the nursing assessment and social services assessment upon admission/readmission, quarterly, and as needed with changing condition. […]

• No harm, potential for more than minimal, isolatedF842Dec 18, 2025

  Based on record review and interview, the facility failed to document a change in a resident's condition for 1 of 1 sampled resident reviewed for respiratory infection (Resident #74). The findings included: A review of the facility's policy titled, Changes in Resident's Condition or Status, last reviewed 08/29/25, documented in part: Documentation associated with identifying and communicating a change in a resident's status includes: date and time of procedure, acute change in status, behavioral changes, vital signs, oxygen saturation level, other assessment findings in the appropriate areas in the residence medical record, nursing interventions, and communication with healthcare team members.Record review revealed Resident #74 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, isolatedF609Feb 27, 2025

  Based on interview, record review and policy review, the facility failed to timely report to the State Agency allegations of resident-to-resident abuse for 4 of 6 sampled residents, Resident #1 and Resident #2 involved in an incident; and Resident #5 and Resident #6 involved in another incident. The findings included: Review of the Policy titled Abuse-Reporting and Response - No Crime Suspected, issued on 10/04/22 and reviewed on 06/17/24 documented, in part, . Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than later 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result in… […]