Lakeview Extended Care and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF760Oct 26, 2021

  Based on observation, interview and record review, the facility failed to institute, implement, and operationalize systemic policies and procedures to ensure the provision of comprehensive and accurate pharmaceutical services pertaining to and including 1) The acquisition and verification of delivered medication; 2) The accurate recording and documentation of dispensed medications; 3) Accurate medication labeling; 4) The accurate documentation of controlled (narcotic) medication counts on a shift-by-shift basis; 5) The documentation, reconciliation, and ongoing monitoring of medication orders; 6) Dating of medications; 7) The disposal of expired medications, and 8) The accurate documentation of narcotic medication administration for 10 sampled residents (Resident #13, Resident #101,… […]

• Immediate jeopardy, isolatedF760Oct 26, 2021

  Based on observation, interview and record review, the facility failed to institute, implement, and operationalize systemic policies and procedures to ensure the provision of comprehensive and accurate pharmaceutical services pertaining to and including 1) The acquisition and verification of delivered medication; 2) The accurate recording and documentation of dispensed medications; 3) Accurate medication labeling; 4) The accurate documentation of controlled (narcotic) medication counts on a shift-by-shift basis; 5) The documentation, reconciliation, and ongoing monitoring of medication orders; 6) Dating of medications; 7) The disposal of expired medications, and 8) The accurate documentation of narcotic medication administration for 10 sampled residents (Resident #13, Resident #101,… […]

• No harm, potential for more than minimal, widespreadF812Oct 26, 2021

  Based on observation and interview the facility failed to maintain sanitary conditions in the kitchen, resulting in an increased potential for cross contamination of food and foodborne illness, potentially affecting all residents who receive oral food meal services out of the facility's total census of 22 residents. Findings include: 1. On 10/21/21 at 10:46 AM and at 10:52 AM, Cook staff B was observed rinsing out a cloth towel at the one compartment sink and then wiping off counter tops. Upon observation the surveyor inquired with staff B on the purpose of the cloth towel to which they replied, cleaning up messes on the counters. […]

• No harm, potential for more than minimal, patternF584Nov 20, 2024

  Based on observation, interview, and record review, the facility failed to ensure a sanitary and homelike environment in the residents' bathroom and communal shower room, for four residents (#9, #13, #15, #16), and residents that use the shower room), of five residents reviewed for homelike environment, resulting in the potential for embarrassment, dissatisfaction of living conditions, and spread of infection. ]Findings include: Resident #9: An observation was made on 11/18/24 at 9:55 AM in Resident #9's bathroom of a denture cup under the hot water faucet handle at the sink. […]

• No harm, potential for more than minimal, patternF726Oct 26, 2023

  Based on interview and record review, the facility failed to ensure that licensed nurses (RN-Registered Nurses, and LPN-Licensed Practical Nurses) and Certified Nursing Assistants (CNA) received yearly competencies and/or education/in-services for 4 of 12 staff reviewed for education and yearly competencies/education, resulting in the potential for nursing staff to lack the necessary qualifications and training to adequately care for the needs of all residents residing at the facility and according to the facility assessment. Findings include: On 10/19/23 at 2:05 PM, an interview was conducted with Director of Operations, Human Resources (HR) N during the Sufficient and Competent Nurse Staffing task of the survey. […]