Lakeside Rehabilitation and Care Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF684Jan 13, 2023

  Based on observation, interview and record review, the facility failed to ensure that residents received treatment and care in accordance with professional standards of practice, the comprehensive person-centered care plan, and the residents' choices for 2 of 20 residents (Resident #15 and 23) with orders for psychotropic and/or antibiotic medications, in that: 1) The facility failed to have physician's orders, assessments, care plan, communication, and coordination of care with physician/pharmacist/staff/pain management physician in place for Resident #15 related to pain management. 2)The facility failed to ensure Resident #23 received physician ordered medications prescribed for anxiety and a UTI. An immediate jeopardy (IJ) was identified on 01/12/2023 at 5:55 p.m. […]

• Immediate jeopardy, isolatedF697Jan 13, 2023

  Based on observation, interview, and record review, the facility failed to provide pain management to residents who required such services consistent with professional standards of practice, the comprehensive person-centered care plan and the residents' goals and preferences for one (Resident #15) of 24 residents reviewed for pain management. The facility did not ensure Resident #15's implanted pain pump for pain was being used as prescribed by a physician. The facility was unaware Resident #15 had pain medication prescribed for the pain pump as needed up to three times a day. An immediate jeopardy (IJ) was identified on 01/12/2023 at 5:55 p.m. […]

• Actual harm, isolatedF689Jan 17, 2024

  Based on, interview, and record review the facility failed to ensure the resident environment remained free of accident and hazards for 1 of 5 residents (Residents #1) reviewed for accident hazards, in that:. CNA A failed to adhere verbal redirection from staff, verbal yelling from Resident #1 and failed to check resident position in her wheelchair causing her to fall out of her wheelchair sustaining 2 lacerations, one to the head and one to the neck and being transported to the local emergency department. […]

• No harm, potential for more than minimal, widespreadF812Feb 29, 2024

  Based on observation, interview and record review the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in 1 of 1 kitchen reviewed for dietary services. 1. The facility failed to ensure pots, pans and mixing bowls were stored in a manner to prevent contamination. 2. The facility failed to ensure foods were covered when being served out of the dining room. These failures could place residents at risk for food contamination and foodborne illness. The findings include: Observation during initial tour of the kitchen on 02/27/24 at 09:30 AM revealed pots and pans stored upright under the metal prep table. Mixing bowls were stacked inside each other stored right side up under the metal prep table. […]

• No harm, potential for more than minimal, widespreadF812Jan 13, 2023

  Based on observation, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety for 4 of 4 staff (Dietary Staff A, B, C and D) in 1 of 1 kitchen, in that: 1) Dietary staff A, B, and C failed to serve or process foods in a manner to prevent contamination. 2) The facility failed to ensure Time/Temperature Controlled for Safety (TCS)/Potentially Hazardous (PHF) pureed foods were rapidly reheated to 165 degrees F. 3) Dietary staff A failed to handle food contact equipment in a manner to prevent contamination These failures could place residents at risk for food contamination and foodborne illness. […]