Lakeside Post Acute

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Feb 12, 2025

  Based on record review and interviews, the facility failed to ensure that one (#1) of four residents out of eight sample residents received adequate supervision and facility-assisted devices to prevent elopement. Specifically, the facility failed to provide Resident #1 the supervision necessary to prevent elopements. These facility failures created a situation with the likelihood of serious harm to the resident's health and safety if not immediately corrected. Resident #1 was admitted to the facility on [DATE] with a diagnosis of bipolar disorder (major mental illness), adult failure to thrive, cocaine dependence and alcohol dependence. […]

• Actual harm, isolatedF760Jul 2, 2024

  Based on interviews and record review, the facility failed to ensure residents were free from significant medication errors for two (#4 and #38) of seven residents reviewed for medication errors out of 32 sample residents. Resident #4, who had diagnoses of schizoaffective disorder (mental health condition that causes people to experience symptoms of schizophrenia and mood disorders) and bipolar, had a physician'sorder for clozapine (an antipsychotic medication). The medication required a complete blood count (CBC) laboratory result to be sent on a monthly basis to the pharmacy in order for the pharmacy to refill the medication. […]

• Actual harm, isolatedF686Oct 12, 2021

  Based on resident observation, record review and interviews, the facility failed to ensure one (#46) of three residents reviewed for pressure ulcers out of 27 total sample residents, received care consistent with professional standards of practice to prevent pressure injuries. Resident #46 was at high risk for developing pressure injuries due to being admitted to the facility with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Resident #46 was admitted to the facility on [DATE] and was admitted with intact skin to both heels. The facility developed a care plan for the resident which did not include initial interventions for protecting the resident's heels from pressure injury development. […]

• No harm, potential for more than minimal, widespreadF812Jun 25, 2026

  Based on observations and interviews, the facility failed to store, prepare, distribute and serve food in a sanitary manner in the main kitchen.Specifically, the facility failed to: -Ensure kitchen equipment was clean (microwave and blenders), and; -Store food items under sanitary conditions.Findings include:I. Failure to ensure kitchen equipment was clean (microwave and blenders)A. Professional referenceThe Colorado Retail Food Establishment Rules and Regulations, revised 3/16/24, was retrieved on 6/30/26. It revealed in pertinent part, Equipment food-contact surfaces and utensils shall be clean to sight and touch. The food-contact surfaces of cooking equipment and pans shall be kept free of encrusted grease deposits and other soil accumulations. […]

• No harm, potential for more than minimal, widespreadF865Jun 25, 2026

  Based on record review and interviews, the facility failed to ensure an effective quality assurance program to identify and address facility compliance concerns was implemented in order to facilitate improvement in the lives of nursing home residents through continuous attention to quality of care, quality of life, and resident safety.Specifically, the quality assurance performance improvement (QAPI) program committee failed to identify and address concerns related to its infection prevention program.Findings include:I. Cross-referenced citationsCross-reference F880: The facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of diseases and infection. […]