Lakewest Rehabilitation and Skilled Care

In the surveyor’s words

From the most serious findings on record at Lakewest Rehabilitation and Skilled Care, in the surveyor’s own words.

• Immediate jeopardy, patternF600Apr 17, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents were free from abuse for 9 (Residents #2, #3, #4, #5, #6, #7, #8, #9, #10) of 14 reviewed for Abuse.The facility failed to protect Residents #2, #3, #4, #5, #6, #7, #8, #9, #10 from physical and verbal abuse by another resident.An IJ was identified on 4-16-2026. The IJ template was provided to the facility on 4-16-2026 at 3:40 PM. While the IJ was removed on 4-17-2026, the facility remained out of compliance at a scope of pattern and a severity level potential for more than minimal harm that is not Immediate Jeopardy, due to the facility's need to implement corrective measures. […]

• Immediate jeopardy, isolatedF600Jun 11, 2025

  Based on observation, interview, and record review, the facility failed to ensure residents had the right to be free from abuse, neglect, and misappropriation of property for 1 (Resident #2) of 5 residents reviewed for abuse. The facility failed to ensure Resident #2 was free from abuse on 05/14/25, when Resident #1 hit Resident #2 in the back of his head with his walking cane which caused 2 hematomas (localized collection of blood outside of blood vessels, often due to injury). An Immediate Jeopardy was identified on 06/10/2025. The IJ template was provided to the facility on [DATE] at 3:31 PM and signed by the ADM. […]

• No harm, potential for more than minimal, widespreadF812Nov 7, 2024

  Based on observations, interviews, and record review, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety for the facility's only kitchen reviewed for kitchen sanitation. 1. The facility failed to ensure food items in walk-in refrigerator were sealed and produce did not show signs of expiration. 2. The facility failed to ensure food temperatures of hamburger patties, chicken nuggets, fries, ice cream and gelatin dessert were obtained prior to serving lunch on 11/06/24. 3. Dietary Aide N, LVN J and Dishwasher O wore effective hair restraints during lunch meal service on 11/06/24. These failures could place residents at risk for food contamination and food-borne illness. Findings included: 1. […]

• No harm, potential for more than minimal, patternF609Apr 17, 2026

  Based on observation, interview, and record review the facility failed to ensure that all alleged violations involving abuse, neglect, exploitation, or mistreatment, including injuries of unknown source and misappropriation of resident property, were reported immediately, but not later than 2 hours after the allegation was made, if the events that caused the allegation involved abuse or resulted in serious bodily injury, to the administrator of the facility and to other officials, including to the State Survey Agency in accordance with State law through established procedures for 3 of 8 Residents (Residents #6, #7, #8 ) reviewed for abuse and neglect. […]

• No harm, potential for more than minimal, patternF558Mar 5, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents received services in the facility with reasonable accommodation of resident needs and preferences except when to do so would endanger the health or safety of the resident or other residents for four of six residents (Resident #1, #2, #3, and #5) reviewed for the resident rights.The facility failed to ensure the call light system in Resident #1, #2, #3, and #5's room was in a position that was accessible to the residents on 03/05/26. […]