Lane House, The

In the surveyor’s words

From the most serious findings on record at Lane House, The, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Jan 27, 2026

  Based on interview and record review, the facility failed to ensure a cognitively intact resident with new onset altered mental status and vomiting was monitored and treated timely resulting in the resident having a delay in treatment and death for 1 of 3 residents reviewed for quality of care (Resident B). The immediate jeopardy began on [DATE] at 10:46 a.m. when a cognitively intact resident had new onset symptoms of coughing, coffee ground emesis, complaints of feeling drunk, and staggering while ambulating. The physician ordered a Complete Blood Count (CBC) that was not obtained. The record lacked documentation of the resident's condition on [DATE]. On [DATE] the resident had altered mental status, dizziness, abdominal pain, and his pulse was 128. […]

• No harm, potential for more than minimal, widespreadF812Apr 7, 2025

  A. Based on observation, interview, and record review, the facility failed to ensure the low temperature dish machine (a commercial dishwashing machine that relies on chemical sanitizers, rather than high temperatures, to sanitize dishes, typically operating at temperatures between 120 Fahrenheit [F] and 140 F) wash and rinse temperatures met minimum standards and the March 2025 logs for the dish machine temperatures were completed for 1 of 2 kitchen observations. This had the potential to affect all residents who consumed food or liquids from the kitchen. B. […]

• No harm, potential for more than minimal, patternF921Apr 7, 2025

  Based on observations, interview, and record review the facility failed to ensure a sanitary environment was maintained for residents during meal service for 2 of 2 random observations. This had the potential to affect all residents on the [NAME] Hall consuming food during the use of cleaning supplies. Findings include: On 4/01/25 at 12:10 p.m., during observation of the noon meal service on the [NAME] Hall, observed Employees 8 and 3 cleaning rooms and mopping floors while drinks and food trays were being passed to residents. On 4/01/25 at 12:30 p.m., observed Employee 3 cleaning handrails outside of the residents rooms while residents were eating. […]

• No harm, potential for more than minimal, patternF812Feb 19, 2024

  Based on observation, interview, and record review, the facility failed to ensure hair restraints (hair covering and nets, beard restraints, and clothing that cover body hair) were worn in the kitchen during meal service and preparation during 2 of 2 kitchen observations. Findings include: 1. On 2/13/24 at 11:49 a.m., during observation of the lunch meal service in the main dining room, an area in the kitchen was observed to be marked with tape, across the floor, which designated the area staff could not go beyond, without a hair restraint. Licensed Practical Nurse (LPN) 4 was observed entering the kitchen area, beyond the designated area, to retrieve meal trays without a hair restraint. […]

• No harm, potential for more than minimal, isolatedF580Jan 27, 2026

  Based on observation, interview, and record review, the facility failed to immediately notify the resident's family, and/or emergency contact when a cognitively intact resident developed new onset altered mental status, vomiting, and physical decline for 1 of 3 residents reviewed for family notification (Residents B). Findings include:A confidential concern during the survey process indicated Resident B had a sudden change in his health status, and the physician ordered the resident to go to the hospital. Despite the resident continuing to get worse, the Executive Director (ED) and Director of Nursing (DON) refused to allow the resident to go. Resident B's clinical record was reviewed on [DATE] at 2:33 p.m. […]