Lakeside Health & Rehabilitation

In the surveyor’s words

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

• Actual harm, isolatedF888May 23, 2022

  Based on staff interview and facility document review, the facility staff failed to meet staff vaccination requirements, 15 residents tested positive for COVID-19, and the facility staff failed implement their policy for COVID-19 vaccination for 11 of 166 employee records reviewed. The facility records documented that 15 residents had tested positive for COVID-19 during the previous four weeks but did not require hospitalization ; and the facility staff failed to provide evidence of approval of the employee's vaccination exemption as a condition of employment according to the facility's policy. The findings include: On 05/17/2022 the facility provided a document listing residents who tested positive for COVID-19 from 04/19/2022 through 05/13/2022 as requested. […]

• No harm, potential for more than minimal, widespreadF540Jul 7, 2022

  Based on observation, resident interview, staff interview, facility documentation review, clinical record reviews, and in the course of a complaint investigation, the facility staff failed to ensure the facility met the requirements/definitions of a Skilled Nursing Facility (SNF) or a Nursing Facility (NF). This determination has the potential to affect the entire certification of 194 facility beds. There were 83 of the 169 residents in the facility that were in locked units. These units either had locked doors (which required a code to open) on both ends or were located on the second floor (600 rooms) and the elevator and doors leading to the second floor required a code. Surveyor was provided code to unlock doors or elevator when asked for the code. […]

• No harm, potential for more than minimal, widespreadF814Jul 7, 2022

  Based on observation, staff interview, and facility document review, it was determined the facility failed to maintain dumpsters in a sanitary manner for two of two dumpsters. Both dumpsters were uncovered, and two bags of trash were on the ground outside the dumpsters. Multiple vinyl gloves were on the ground around the dumpsters. The findings include: On 7/5/22 at 11:52 a.m., observation was made of the two facility dumpsters. OSM (other staff member) #5, the temporary dietary manager, was present during the observation. Both dumpsters were open to air. A bag of kitchen trash was on the ground by the left dumpster. A bag of trash containing wipes, disposable briefs, and vinyl gloves was on the ground by the right dumpster. […]

• No harm, potential for more than minimal, widespreadF540May 23, 2022

  Based on observation, resident interview, staff interview, facility documentation review, clinical record reviews, and in the course of a complaint investigation, the facility staff failed to ensure the facility met the requirements/definitions of a Skilled Nursing Facility (SNF) or a Nursing Facility (NF). This determination has the potential to affect the entire certification of 194 facility beds. There were 83 of the 169 residents in the facility that were in locked units. These units either had locked doors (which required a code to open) on both ends or were located on the second floor (600 rooms) and the elevator and doors leading to the second floor required a code. Surveyor was provided code to unlock doors or elevator when asked for the code. […]

• No harm, potential for more than minimal, widespreadF540May 23, 2022

  Based on observation, resident interview, staff interview, facility documentation review, clinical record reviews, and in the course of a complaint investigation, the facility staff failed to ensure the facility met the requirements/definitions of a Skilled Nursing Facility (SNF) or a Nursing Facility (NF). This determination has the potential to affect the entire certification of 194 facility beds. There were 83 of the 169 residents in the facility that were in locked units. These units either had locked doors (which required a code to open) on both ends or were located on the second floor (600 rooms) and the elevator and doors leading to the second floor required a code. Surveyor was provided code to unlock doors or elevator when asked for the code. […]