Lakeview Nursing & Rehab

In the surveyor’s words

From the most serious findings on record at Lakeview Nursing & Rehab, in the surveyor’s own words.

• Immediate jeopardy, patternF689Jul 7, 2022

  On 07/06/22 an immediate jeopardy (IJ) situation was determined to exist related to the facility's failure to provide supervision to prevent falls and to consistently identify and implement interventions to prevent falls for Res #15, 24, and #30. Resident #15 fell multiple times including one where the Res had sustained a laceration to the right leg which required sutures and subsequently became infected and required further hospitalization . Res #24 fell multiple times and with one fall received a large bump to the upper right forehead and was later found face down in the floor of another resident's room. Res #24 was not responsive and subsequently sent to the hospital for evaluation. Res #24 continued to fall. […]

• No harm, potential for more than minimal, widespreadF727Aug 25, 2021

  Based on observation, interview and record review, it was determined the facility failed to provide Registered Nurse (RN) coverage seven days a week, eight hours a day. This had the potential to affect 33 of 33 residents who resided at the facility. Findings: On 08/23/21 at 9:34 a.m., the administrator provided employee time sheets to the surveyor for the dates of 08/21/21 through 08/23/21. The time sheets were reviewed and documented one RN worked on 08/21/21 from 10:00 p.m. to 6:00 a.m. on 08/22/21. On 08/23/21 at 1:08 p.m., licensed practical nurse (LPN) #1 stated she worked on 08/22/21 from 6:00 a.m. to 6:00 p.m. She stated while she was in the facility, she did not see any RN. […]

• No harm, potential for more than minimal, widespreadF835Jun 7, 2021

  Based on observation, interview, and record review, it was determined the facility failed to have an effective administration who ensured: a. the facility maintained a safe and clean environment; b. allegations of abuse were investigated and reported; c. the dietary department staff were competent in their duties; and d. staff who were certified in CPR (cardiopulmonary resuscitation) were available on all shifts. The facility identified 38 residents who resided at the facility. Findings: 1. The facility failed to maintain a safe and clean environment in 11 (5, 9, 10, 15 through 17, 21 though 23, 29, and 30) of 30 occupied resident rooms, in two of two shower rooms, and in the dining room. The findings at F584 are incorporated here by reference. 2. […]

• No harm, potential for more than minimal, patternF812Feb 13, 2025

  Based on observation, record review, and interview, the facility failed to ensure the deep fryer was clean and free of food particles and the splash guard on side of stove was cleaned routinely. The administrator identified 55 residents resided in facility and received their food from the kitchen. Findings: A Sanitization policy, revised October 2008, read in part, the food service area shall be maintained in a clean and sanitary manner, and for fixed equipment, the removable components will be scraped to remove food particle accumulation. On 02/10/25 at 10:20 a.m., a tour of the kitchen was conducted. The deep fryer was dirty with dried food particles and there was an accumulation of grease on the splash guard attached to the stove. […]

• No harm, potential for more than minimal, patternF812Oct 24, 2023

  Based on record review, observation, and interview, the facility failed to prepare and distribute food under sanitary conditions. The Resident Census and Conditions of Residents report documented 38 residents resided in the facility. Findings: A policy titled Preventing Foodborne Illness- Employee Hygiene and Sanitary Practices documented .Hair nets or caps and/or beard restraints must be worn to keep hair from contacting exposed food, clean equipment, utensils and linens .Employees must wash their hands: .After handling soiled equipment or utensils .During food preparation, as often as necessary to remove soil and contamination and prevent cross contamination when changing tasks .After engaging in other activities that contaminate the hands . […]