Lamar Estates Nursing Center

In the surveyor’s words

From the most serious findings on record at Lamar Estates Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF887Jan 29, 2026

  Based on observations, record review and interviews, the facility failed to have a system in place to ensure all residents were offered and received an updated COVID-19 vaccination which matched the current variants.Record review revealed the facility was in outbreak status when nine residents tested positive for COVID-19 on 1/13/26. Within the next 14 days, an additional seven residents tested positive for COVID-19. Record review revealed the residents' electronic medical records (EMR) did not include documentation prior to the outbreak on 1/13/26 that indicated that residents or their representatives were provided education regarding the potential benefits and potential risks associated with the updated COVID-19 vaccine and there was no documentation of the COVID-19 vaccine being… […]

• Actual harm, isolatedF791Jan 29, 2026

  Based on record review and interviews, the facility failed to ensure one (#3) of four residents reviewed for ancillary services out of 27 sample residents received 24-hour emergency dental care. Resident #3 was admitted on [DATE]. On 11/24/25 the resident lost a filling from her tooth. Resident #3 reported the issue to the nurse. The tooth became jagged from the missing filling. Resident #3 reported pain, difficulty eating and that a sore developed on her tongue. The facility failed to assist the resident with dental services for 34 days, resulting in the resident's continued pain. On 12/30/25, the resident saw the dentist and had immediate relief following the dentist smoothing the tooth. […]

• No harm, potential for more than minimal, widespreadF727Apr 20, 2021

  Based on record review and interviews, the facility failed to designate a registered nurse (RN) to serve as the director of nursing (DON) on a full time basis. Specifically, the facility utilized the nurse home administrator (NHA) to also serve as the DON and she was unable to work full time hours as the DON. Findings include: I. Administration job descriptions A. DON job description The Director of Nursing Services job description was provided by NHA #3 on 4/20/21 at 11:29 a.m. The job summary read, The Director of Nursing Services coordinates all of the nursing care and provides on-going education and training to the employees under this directorship. The description included the position reported to the administrator. B. […]

• No harm, potential for more than minimal, widespreadF880Feb 4, 2021

  Based on observations, record review, and staff interviews, the facility failed to maintain an effective infection prevention and control program designed to provide a safe, sanitary and comfortable environment to prevent the development and transmission of disease and infection such as COVID-19 for 22 census residents. Specifically, the facility failed to ensure proper laundry practices were in place for infection control management. Findings include: I. Facility laundry process On 2/3/21 at 10:15 a.m. the laundry department was reviewed for appropriate infection control practices for COVID-19 precautions. The facility was noted to have commercial grade washers and dryers, with appropriate cleaning and sanitizing products in use. […]

• No harm, potential for more than minimal, patternF730Jan 29, 2026

  Based on record review and interviews, the facility failed to complete a performance review of every certified nurse aide (CNA) at least once every 12-months and provide regular in-service education based on the outcome of these reviews for five of five CNA.Specifically, the facility failed to complete annual performance reviews and provide regular in-service education which was based on the outcome of the reviews for CNA #1, CNA #3, CNA #4, CNA #5 and CNA #6. Findings include:I. Record reviewAnnual performance reviews were requested on 1/27/26 at 5:27 p.m. for CNA #1, CNA #3, CNA #4, CNA #5 and CNA #6.The facility was unable to provide annual performance evaluations for the five CNAs requested above (see interview below).The facility provided documentation on 1/28/26 at 2:43 p.m. […]