Lakeview Methodist Health Care Center

In the surveyor’s words

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

• Actual harm, isolatedF686Jul 14, 2022

  Based on observation, interview, and document review, the facility failed to comprehensively assess and implement pressure ulcer interventions for 1 of 1 resident (R9) reviewed for risk of pressure ulcer development. R9 was harmed when he developed one, stage 3 pressure ulcer after admission to the facility. Findings include: Pressure Ulcer stages defined by the Minimum Data Set (MDS) per Center Medicare/Medicaid Services: Stage III pressure ulcers (Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle is not exposed. Slough may be present but does not obscure the depth of tissue loss. […]

• No harm, potential for more than minimal, widespreadF812Dec 6, 2023

  Based on observation and interview, the facility failed to identify and date facility-made frozen soups stored in 4 of 4 kitchenettes, and failed to ensure dishes in the kitchen were stored dry. This had the potential to affect all 61 residents who resided in the facility. Finding include: During an observation on 12/6/23 at 9:58 a.m., observed full-sized refrigerators in each kitchenette on each of four resident units. Observed in each freezer were multiple half-pint, plastic containers of an unknown food. The containers had not been labeled with contents, nor dated. During an observation and interview on 12/6/23 at 10:40 a.m., in the kitchen, dietary manager (DM)-A picked up clean metal steam table pans that had been stacked one on top of another on a wire rack. […]

• No harm, potential for more than minimal, widespreadF880Dec 6, 2023

  Based on observation, interview and document review, the facility failed to follow Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control (CDC) guidelines to prevent the spread of Covid-19 when during a Covid-19 outbreak, failed to ensure appropriate use of personal protective equipment (PPE) when staff were observed not an wearing N-95 mask in the room of 1 of 1 resident (R51) in transmission based precautions (TBP) for Covid-19; failed to doff (remove) PPE per guidelines with staff were observed removing all PPE including N-95 masks prior to exiting the room of residents in TBP for Covid-19 for 4 of 4 residents (R51, R53, R29, R30); failed to ensure precautions posted on resident room doors (R51, R34, R29, R53, R211, R43, R22, R30, R159 and R160) were consistent… […]

• No harm, potential for more than minimal, widespreadF880Jul 14, 2022

  Based on observation, interview, and document review the facility failed to maintain a system to analyze monthly surveillance data for trends and patterns to reduce the spread of illness, infections, control transmission of infections and communicable diseases present in the facility, review annually the infection prevention and control program (IPCP), and the facility failed implement measures to prevent the spread of infection when the facility failed to ensure personal protective equipment (PPE) was discarded prior to leaving resident rooms. This had the potential to affect all 57 residents who resided in the facility. […]

• No harm, potential for more than minimal, patternF585Nov 19, 2025

  Based on observation and interviews the facility failed to ensure grievance forms were posted in prominent locations throughout the facility for residents and resident representatives to file grievances, and anonymously. This had the potential to affect all 66 residents in the facility. Findings include:On 11/18/25 at 10:30 a.m., during the resident council meeting, residents R7, R25, R26, R42, R43, and R62 stated they were not aware of any method to submit concerns anonymously. The residents also reported that grievance forms were not readily available and could only be obtained by asking staff. […]