Lane Nursing & Ventilator Care

In the surveyor’s words

From the most serious findings on record at Lane Nursing & Ventilator Care, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF880Mar 27, 2025

  Based on observation, record review, and interview, the facility failed to ensure: a. residents with indwelling medical devices were placed on EBP for 17 (#4, 9, 10, 11, 13, 15, 16, 17, 18, 19, 20, 21, 26, 28, 29, 30, and #31) of 25 sampled resident reviewed for EBP; and b. required PPE was worn by staff while providing tracheostomy care for 3 (#10, 11, and #12) of 3 sampled residents reviewed for tracheostomy care. The ADON identified 21 residents that had tracheostomy tubes in place at the facility and 19 residents that had PEG tubes in place at the facility. Findings: A. On 03/05/25 at 2:32 p.m., a tour of the facility was conducted and 10 rooms (#23, 28, 29, 30, 31, 32, 33, 40, 41, and #43) that were occupied by residents with either a tracheostomy, and PEG tube or both. […]

• No harm, potential for more than minimal, widespreadF727Oct 23, 2024

  Based on record review and interview, the facility failed to ensure RN coverage for eight consecutive hours, seven days per week. The ADON identified 43 residents resided in the facility. Findings: A PBJ Staffing Report, dated 04/01/24 through 06/30/24, did not document any RN hours for 04/06/24, 04/07/24, 04/20/24, 04/27/24, 04/28/24, 05/05/24, 05/11/24, 05/12/24, 05/18/24, 05/19/24, 05/26/24, 05/27/24, 06/01/24, 06/02/24, 06/08/24, 06/09/24, and 06/16/24. On 10/22/24 at 8:25 a.m., the interim administrator stated they did not have documentation of RN coverage for those dates.

• No harm, potential for more than minimal, patternF636Jul 17, 2026

  Based on record review and interview, the facility failed to complete comprehensive assessments for 2 (#21 and #27) of 4 sampled residents reviewed for assessments. The DON identified 37 residents resided in the facility. Findings: 1. A review of the medical record for Resident #21 showed quarterly assessments had been completed on 08/19/25, 11/17/25, and 02/17/26. There was no documentation to show an annual assessment had been completed in 05/2026.2. A review of the medical record for Resident #27 showed quarterly assessments had been completed on 08/11/25, 11/10/25, and 02/09/26. […]

• No harm, potential for more than minimal, patternF656Jul 17, 2026

  Based on record review and interview, the facility failed to develop a comprehensive care plan for classifications of prescribed medications which required monitoring for 1 (#2) of 5 sampled residents reviewed for unnecessary medications. The ADON identified 37 residents received medications in the facility. Findings: A physician's order for Resident #2, dated 06/10/24, showed to administer Eliquis (anticoagulant) 5 mg twice daily. A physician's order for Resident #2, dated 10/03/25, showed to administer clobazam (anticonvulsant) 5 mg twice daily. A physician's order for Resident #2, dated 10/13/25, showed to administer buspirone (antianxiety) 15 mg twice daily. A physician's order for Resident #2, dated 02/04/26, showed to administer mirtazapine (antidepressant) 15 mg every evening. […]

• No harm, potential for more than minimal, patternF689Mar 27, 2025

  Based on observation, record review, and interview, the facility failed to ensure power strips were not used to supply power to medical devices for 3 (#17, 21, and #24) of 17 sampled residents reviewed for tracheostomy care. The ADON identified 23 residents had tracheotomies at the facility. Findings: 1. On 03/25/25 at 12:25 p.m., Res #17 was observed in bed. Their flowby machine and suctioning machine were observed to be plugged into a gray power strip. Res #17's admission record, dated 09/22/22, showed the resident had diagnosis which included encounter for attention to tracheostomy. On 03/25/25 at 12:26 p.m., the MDS coordinator stated Res #17's flowby and suctioning machine were plugged into the gray power strip. 2. On 03/25/25 at 12:29 p.m., Res #21 was observed in bed. […]