Lakeview Post Acute

In the surveyor’s words

From the most serious findings on record at Lakeview Post Acute, in the surveyor’s own words.

• Immediate jeopardy, patternF678Jun 13, 2023

  Based on observation, interview and record review, the facility failed to ensure basic life support, including cardio-pulmonary resuscitation (CPR), would be provided if such care was needed per the resident's choice, and would only be provided to a resident subject to related physician orders and resident choice. The facility failed to have a system to ensure each resident's code status is obtained timely upon admission, ensure code status matched the resident's wishes, and ensure each resident's code status was accurately documented. Resident #41 had both a full code and a do not resuscitate (DNR) code status sheet signed and dated the same day, a physician order for DNR, and, during an interview, the resident said he/she wanted to be a full code. […]

• Immediate jeopardy, isolatedF684Nov 14, 2023

  Based on interview and record review, the facility failed to administer prescribed antibiotics, as prescribed by the physician, for a wound infection, and the wounds further deteriorated; failed to notify the Primary Care Physician of the resident's increased bruising; failed to promptly identify hemorrhaging following the debridement (removal of dead or infected tissue) procedure completed on two wounds; and failed to monitor for signs and symptoms of bleeding after wound debridement on a resident receiving an anticoagulant medication. On [DATE], the facility wound nurse accompanied the Wound Nurse Practitioner, who assessed the resident as needing a debridement procedure. […]

• Actual harm, isolatedF686Mar 26, 2026

  Based on interview and record review, the facility failed to ensure ongoing skin monitoring, physician notification, and timely treatment for one resident (Resident #1) who developed skin shearing (mechanical injury caused by the combination of friction and gravity, where the skin sticks to a surface, like bedding, causing deep tissue damage and blood vessel damage) and an unstageable (full-thickness skin and tissue loss in which the extent of tissue damage could not be determined due to slough (dead tissue) or eschar (necrotic tissue)) pressure ulcer (localized damage to the skin that usually occur over a bony prominence as a result of pressure). […]

• Actual harm, isolatedF684Jan 3, 2025

  jw Based on observation, interview and record review, the facility failed to ensure residents received care consistent with professional standards by failing to obtain and administer a resident's medication for rheumatoid arthritis (RA, a chronic autoimmune disease that causes the body's immune system to attack its own tissue resulting in joint inflammation, pain and stiffness), who was on Medicare Part A (While a resident is on Medicare part A, the facility is required to cover the cost of room and board, nursing care, therapy, medical supplies and equipment, medications, transportation and social services at 100 % for the first 20 days, after that there is a co-pay) and failed to follow physician ordered wound treatments for a wound vac (A medical device that uses suction to help wounds… […]

• Actual harm, isolatedF686Nov 14, 2023

  Based on observation, interview and record review, the facility failed to turn and reposition a resident with existing pressure ulcers, failed to enter new orders, and failed to provide a pressure relieving mattress for one resident (Resident #4). The facility also failed to follow orders and complete wound assessments for one resident (Resident #13) and failed to complete skin assessments and document wound treatments for one resident (Resident #17). The sample size was three. […]