Lampstand Nursing and Rehabilitation

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Oct 10, 2025

  Based on observation, interview, and record review the facility failed to provide the care and supervision to prevent accidents for 1 of 7 (Resident #1) residents reviewed for accidents and hazards. The facility failed to ensure that Resident #1 was repositioned with two-person assist and left in an unsafe position when CNA A walked away from the bedside on 9/15/2025. The noncompliance was identified as Past Noncompliance (PNC). The IJ template was provided to the facility on [DATE] at 1:25PM. The IJ began on 9/12/2025 and ended 9/15/2025. The facility corrected the noncompliance before the survey began on 10/08/2025. […]

• Immediate jeopardy, isolatedF760Oct 10, 2025

  Based on observation, interviews, and record reviews the facility failed to ensure residents were free from significant medication errors for 1 of 7 (Resident #1) residents reviewed for pharmacy services. The facility failed to ensure that Resident #1 was provided pharmacy services to ensure that he did not have a preventable seizure on 9/14/2025 at 8:10AM. The noncompliance was identified as Past Noncompliance (PNC). The IJ template was provided to the facility on [DATE] at 1:25PM. The IJ began on 9/12/2025 at 11:22PM and ended 9/15/2025. The facility corrected the noncompliance before the survey began on 10/08/2025. […]

• Immediate jeopardy, isolatedF660Apr 30, 2024

  Based on observation, interview, and record review, the facility failed to provide and document an effective discharge planning process that focused on the resident's discharge goals, the preparation of the residents to be active partners and effectively transition them to post discharge care, and the reduction of factors leading to preventable readmissions for 1 of 6 (Resident #1) of residents reviewed for safe discharge. On 4/26/2024 the facility discharged Resident #1 from the facility pending a hearing for an appeal. The facility transported Resident #1 and all of his belongings to RP1's home. There was no one at the home who was able to accept Resident #1, the facility left the resident sitting outside of the home that was located on a busy street. […]

• Immediate jeopardy, isolatedF770Nov 29, 2023

  Based on interview and record review the facility failed to obtain timely laboratory services to meet the needs of 1 of 4 residents reviewed for laboratory services. (Resident #3) The facility failed to obtain laboratory values as ordered on [DATE]. Resident #3's laboratory blood draw specimen became useless after an extended time and was not redrawn. Resident #3 was hospitalized on [DATE] with diagnoses including sepsis. An Immediate Jeopardy (IJ) situation was identified on [DATE] at 5:10 p.m. […]

• Immediate jeopardy, isolatedF600Apr 6, 2023

  Based on observations, interviews, and record reviews the facility failed to protect residents' rights to be free from sexual abuse for 1 of 5 residents (Resident #1) reviewed for abuse. The facility failed immediately intervene to ensure Resident #1 was free from sexual abuse. An allegation was reported that Resident #1 had sexual abuse as non-consensual contact of any type with a resident. Resident #1 did not have a capacity assessment to determine if she was able to provide consent and had a BIMs score of 01 indicating a severe cognitive impairment. The facility failed to protect Resident #1 from potential abuse as the AP was in the facility at the time of allegation was reported. An IJ (Immediate Jeopardy) was identified on [DATE]. […]