Lakeview Terrace Rehab and Health Care Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF847Oct 2, 2025

  Based on record review and interview, the facility failed to ensure the arbitration agreement included the required elements for 3 of 3 residents reviewed for arbitration (Residents #11, #36, and #35). Findings include:Review of Skilled Nursing Facility admission and Financial Agreement for Resident #11 entered into on 7/8/2025 between the facility and Resident #11 showed it contained a section titled 44. Dispute Resolution, which did not contain the information specifying that signing the dispute resolution was not a requirement of admission or continuing care; the resident or representative could rescind the dispute resolution within 30 days of signing; the resident was not prohibited from communicating with other entities or agencies; the arbitration would be held in a location… […]

• No harm, potential for more than minimal, widespreadF848Oct 2, 2025

  Based on record review and interview, the facility failed to ensure the arbitration agreement provided for the selection of a venue convenient to both parties for 3 of 3 residents reviewed for arbitration (Residents #11, #36, and #35).Findings include:Review of Skilled Nursing Facility admission and Financial Agreement for Resident #11 entered into on 7/8/2025 between the facility and Resident #11 showed it contained a section titled 44. Dispute Resolution, which failed to specify that the arbitration would be held in a location convenient to both parties.Review of Skilled Nursing Facility admission and Financial Agreement for Resident #35 entered into on 12/11/2025 between the facility and Resident #35 showed it contained a section titled 44. […]

• No harm, potential for more than minimal, patternF732Oct 2, 2025

  Based on observation and interview, the facility failed to ensure accurate nurse staffing data was posted on a daily basis.Findings include:During an observation on 9/29/2025 at approximately 9:50 AM, the nurse staffing report posted on the Skilled Nursing Unit documented the resident census as 39 (Photographic evidence obtained).During an interview on 9/29/2025 at 9:51 AM, Staff C, Licensed Practical Nurse (LPN), stated that the posted staffing was not correct and the census should have been documented as 29 and it should be corrected.During an interview on 9/30/2025 at 1:43 PM, the Director of Nursing (DON) stated that the expectation was the daily staffing sheet was to be completed by the 11-7 shift [11:00 PM - 7:00 AM] and that the resident census was based on the midnight census. […]

• No harm, potential for more than minimal, patternF812Oct 2, 2025

  Based on observation, interview, and record review, the facility failed to ensure food was properly stored in 2 of 2 service kitchens (Rehabilitation Unit kitchen and Skilled Nursing Unit kitchen) and failed to ensure food was prepared in a sanitary manner. Findings include:During an observation on 9/29/2025 at 9:55 AM, there were four frozen individually wrapped packages of pancakes in a clear plastic packaging with no label inside of a plastic bin with no label or date inside of a freezer located in the skilled nursing facility kitchen.During an interview on 9/29/2025 at 9:55 AM, Staff F, Certified Dietary Manager (CDM), stated, We did not serve pancakes for breakfast today. […]

• No harm, potential for more than minimal, patternF880Jul 10, 2024

  Based on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene during medication administration for 6 of 10 medication administration observations to prevent the possible spread of infection and communicable disease. Findings include: 1. During an observation on 7/10/2024 at 5:55 AM, Staff E, Licensed Practical Nurse (LPN), exited the nurses' station and went to the medication cart, removed keys from her pocket, unlocked the medication cart and prepared Resident #140's medications without performing hand hygiene. Staff E donned gloves without performing hand hygiene and locked the medication cart with her gloved hand. […]