Lakeview Rehabilitation and Nursing LLC

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF803Dec 4, 2025

  Based on observation, interview, and record review, the facility failed to follow a planned and approved menu to ensure residents received the expected meals and nutrition. This deficient practice effected residents who ate meals prepared by the facility. Findings include:During an observation and interview, on 12/1/25 at 2:43 p.m., a package of sliced ham was observed in a black bin filled with water, on the three-compartment kitchen sink. Staff member F stated she had thawed out the ham because she did not have what she needed to make breakfast on the menu. Staff member B stated the facility would do substitutions verbally notifying the dietician but did not document the substitutions in any way. […]

• No harm, potential for more than minimal, widespreadF804Dec 4, 2025

  Based on observation, interview, and record review, the facility failed to ensure food was served with an appetizing appearance and a palatable taste for 3 (#s 16, 18, and 19); and failed to serve altered food diets in an appealing manner for 1 (#28) of 14 sampled residents. This failure affected the residents' satisfaction and enjoyment of their food. Findings include:Review of the facility's lunch menu for 12/2/25, showed the facility served a honey glazed pork chop, baked potato, cauliflower, baked roll, and fruit cobbler.1. During an observation and interview on 12/2/25 at 12:30 p.m., resident #28 was sitting at her table in the dining room. She was eating lunch from a three-way sectioned plate that had a watery textured pureed meal. […]

• No harm, potential for more than minimal, widespreadF812Dec 4, 2025

  Based on observation, interview, and record review, the facility failed to ensure food was stored and distributed to residents in their rooms in a sanitary manner to protect food from cross contamination, food borne illnesses, and improper infection control practices. This practice had the potential to affect all residents receiving food delivered to their room. The facility failed to store, prepare, and serve food under sanitary conditions. This practice effected all resident who ate food prepared by the facility kitchen. Findings include: 1.During an observation on 12/2/25 at 12:58 p.m., staff member K was preparing to distribute the lunch service meal trays to residents in their rooms. The meal trays were loaded on a large, wheeled cart, that was not enclosed. […]

• No harm, potential for more than minimal, isolatedF600May 7, 2026

  Based on the interview and record review, the facility failed to prevent verbal abuse by a staff member who was fairly new to the facility position, and who had already received further education due to communication concerns while working with residents, but the staff member then verbally abused 1 (#3) resident of 5 sampled residents. This reflected the facility's abuse prevention program was not effective to prevent abuse for this resident. Findings include:Review of facility reported incident investigation showed on 4/23/26, [Resident #3] reported to [staff member C] that an incident occurred the previous evening on [4/22/26] at approximately 8:30 p.m. […]

• No harm, potential for more than minimal, isolatedF628May 7, 2026

  Based on interview and record review the facility failed to document the required information for a resident discharge from the facility for 1 (#2) of 5 sampled residents. Findings include:During an interview on 5/7/26 at 9:08 a.m., staff member B stated the discharge for resident #2 was planned. Staff member B stated she was transferred to another facility by her family, although the documentation (in the EHR) does not show it. Staff member B stated the documentation expectation for a discharge would include a discharge planning assessment with the required discharge information, and on discharge, a discharge summary documented in the nurse's progress notes.Review of resident #2's EHR census tab showed she was discharged from the facility on 2/18/26.Review of resident #2's Nurse Progress… […]