Lakeview Health Care & Rehabilitation Center

In the surveyor’s words

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

• Actual harm, isolatedF686Jul 1, 2024

  Based on observation, interview, and record review, facility staff failed to provide necessary treatment and services, consistent with professional standards of practice to prevent the development of pressure injuries and promote healing when staff failed to complete weekly wound assessments for one resident (Resident #1) of three sampled residents and failed to notify the physician when the resident's pressure injury worsened. The facility census was 45. 1. Review of the National Pressure Injury Advisory Panel's, Staging Definitions, dated 2016, showed Stage 3 Pressure Injury: Full-thickness skin loss Full-thickness loss of skin, in which adipose (fat) is visible in the ulcer and granulation tissue and epibole (rolled wound edges) are often present. Slough and/or eschar may be visible. […]

• No harm, potential for more than minimal, widespreadF727Sep 12, 2024

  AT Based on interview and record review, facility staff failed to provide the services of a Registered Nurse (RN) for at least eight consecutive hours per day, seven days a week. The facility census was 35. 1. Review of the facility's Staffing, Sufficient and Competent Nursing Policy, undated, showed the facility provides sufficient numbers of nursing staff with appropriate skills and competency necessary to provide nursing and related care and services 24 hours a day, including a registered nurse for at least 8 consecutive hours daily, seven days a week. 2. Review of the facility's RN staff schedule, dated June 2024, showed the facility did not have an RN in the building on: -06/28/24; -06/29/24; -06/30/24. 3. […]

• No harm, potential for more than minimal, widespreadF801Sep 12, 2024

  Reviewed-sk/at Based on interview and record review, the facility staff failed to designate a person to serve as the Director of Food and Nutrition Services with the appropriate qualifications, when the facility did not employ a qualified dietitian or other clinically qualified nutrition professional full-time. This failure has the potential to affect all residents. The facility census was 35. 1. Review of the facility provided policies, showed the records did not contain a policy related to the qualifications for Director of Food and Nutrition Services. During an interview on 09/10/24 at 9:08 A.M., the dietary supervisor (DS) said he/she started in the dietary supervisor position about three months prior. […]

• No harm, potential for more than minimal, widespreadF880Sep 24, 2021

  Based on interview and record review, the facility staff failed to develop and implement complete policies and procedures for the inspection, testing and maintenance of the facility water systems to inhibit growth of waterborne pathogens and reduce the risk of an outbreak of Legionnaire's Disease (LD). The facility census was 42. 1. Review of the Centers for Medicare and Medicaid Services (CMS) Survey and Certification (S&C) letter 17-30, dated 06/02/17 and revised on 06/09/17; showed: -The bacterium Legionella can cause a serious type of pneumonia called LD in persons at risk. Those at risk include persons who are at least [AGE] years old, smokers, or those with underlying medical conditions such as chronic lung disease or immunosuppression. […]

• No harm, potential for more than minimal, widespreadF886Sep 24, 2021

  Based on observation, interview and record review, the facility failed to assess one resident (Resident #16) for signs and symptoms related to COVID-19 ([CONDITION(S)]-CoV-2), and failed to test the symptomatic resident in a timely manner. The facility further failed to identify a positive point of care (POC) (rapid) Covid-19 test, and failed to immediately separate a suspected positive resident from his/her roommate (Resident #27). The facility census was 42. 1. Review of the CDC's Guidance titled Watch for Symptoms, dated February 2021, showed people with these symptoms may have COVID-19: -Fever or chills -Cough -Shortness of breath or difficulty breathing -Fatigue -Muscle or body aches -Headache -New loss of taste or smell -Sore throat -Congestion or runny nose -Nausea or… […]