Lakeview Village

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Apr 22, 2025

  The facility identified a census of 128 residents. The sample included three residents, with three residents reviewed for elopement (when a cognitively impaired resident leaves the facility without the knowledge or supervision of staff). Based on observations, record review, and interviews, the facility failed to ensure staff provided adequate supervision to prevent an elopement for Resident (R) 1 and further failed to provide a thorough search in response to a WanderGuard (sensors that monitor doors and a technology platform that sends safety alerts in real-time) alert. On 04/13/25 at 07:15 PM, R1 who was severely cognitively impaired and at high risk for elopement, set off the WanderGuard alert system. Staff responded to the alarm 36 seconds later but did not see R1. […]

• Immediate jeopardy, isolatedF689Dec 19, 2023

  The facility identified a census of 113 residents. The sample included three residents reviewed for accidents. Based on observation, record review, and interviews, the facility failed to provide adequate supervision to prevent Resident (R) 1, who was cognitively impaired and at risk for elopement (when a cognitively impaired resident leaves the facility without the knowledge or supervision of staff), from exiting the facility without staff knowledge or supervision on 11/26/23 at 01:23 PM. R1 pushed on a door leading to the stairwell for 15 seconds and was able to open the door. The door alarm sounded but the roam alert system (system which alerts when a linked roam alert bracelet is near) did not alert even though R1 wore a roam alert bracelet. […]

• Immediate jeopardy, isolatedF689Mar 29, 2022

  The facility identified a census of 93 residents. The sample included three residents reviewed for elopement (when cognitively impaired resident with little or poor safety awareness exits the facility without staff knowledge). Based on observation, record review, and interview, the facility failed to provide adequate supervision to prevent elopement for Resident (R) 1, who was independently mobile and cognitively impaired. R1 was at high risk for elopement, wore a Wanderguard (bracelet that sets off an alarm when residents wearing one attempt to exit the building), and had a recent history of agitation, exit seeking, and behaviors. On 03/26/22 at approximately 06:18 PM R1 exited the unit through an unattended door left slightly ajar from a visitor. […]

• No harm, potential for more than minimal, widespreadF812Apr 22, 2026

  Based on observation, record review, and interview, the facility failed to prepare and serve food under sanitary conditions to prevent the potential for food borne bacteria. Finding included:- During the initial tour of the main kitchen on 04/20/26 at 08:00 AM, observation revealed the kitchen did not have foot activated trash cans by the hand-washing station, and four of the trash cans did not have lids. The kitchen refrigerator had two bags of diced onions without a date, and one bag was open to air. […]

• No harm, potential for more than minimal, widespreadF812Jun 5, 2024

  The facility identified a census of 116 residents. The facility had one main kitchen and two kitchenettes with dining areas. Based on observation, record review, and interview, the facility failed to ensure that staff stored and prepared food items in accordance with the professional standards for food service safety. This deficient practice placed the residents at risk for foodborne illnesses. Findings included: - On [DATE] at 07:17 AM, the initial tour of the kitchen revealed the following: Freezer number 12 had opened bags of frozen carrots, hash browns, sweet potato fries, French toast sticks, chicken wings, breaded okra, and curly fries that were not closed, labeled, or dated. […]