Lantern Park Specialty Care

In the surveyor’s words

From the most serious findings on record at Lantern Park Specialty Care, in the surveyor’s own words.

• Immediate jeopardy, patternF684Feb 20, 2023

  Based on observation, record review, resident, family and staff interviews, the facility failed to document a complete assessment of a resident that fell and sustained a laceration to the head (Resident #10), failed to arrange for transportation for weekly blood draws for several weeks and to document an assessment on Resident #12 who had to be hospitalized with hemoglobin level of 4.8. The facility also failed to assess and to document an assessment of Resident #13 who had a UTI, failed to document the nurse practitioner or physician had been notified of UA results prior to the resident being sent to the hospital and passing away. These circumstances constituted an Immediate Jeopardy to resident health and safety. […]

• Immediate jeopardy, isolatedF686May 18, 2023

  Based on clinical record review, observations, staff interview, and policy review, the facility failed to conduct accurate Skin assessments, report the development of a pressure ulcer, and notify the Physician of pressure ulcer development for one of three sampled residents with pressure ulcers (Resident #171). This failure to conduct accurate Skin Assessments, report the development of a pressure ulcer, and notify the physician of pressure ulcers resulted in an Immediate Jeopardy (IJ) at F686-J; Pressure Ulcers due to the increased likelihood of serious, severe, systemic infection and serious pain. On 05/16/23 at 8:57 PM, the Administrator and Director of Nursing (DON) were notified of the IJ at F686 Pressure Ulcers. […]

• Immediate jeopardy, isolatedF695Jan 12, 2023

  Based on clinical record review, observations, resident and staff interviews, facility policy review and physician interview, the facility failed to assure that staff provided appropriate tracheostomy care to include the assessment of the humidification system and failed to provide appropriate training to Nursing Staff on procedures during an accidental extubation (tracheostomy tube fall out) and having the obturator (used to insert a tracheostomy tube) readily available at bedside for 1 of 1 resident reviewed (Resident #1). This failure resulted in several visits to an emergency room for treatment for the resident, therefore causing an Immediate Jeopardy to the health, safety, and security of the resident. […]

• Actual harm, isolatedF689Sep 17, 2024

  Based on clinical record review, observation, staff interviews, and facility policy review the facility failed to provide appropriate supervision with ambulation that resulted in injury for one of four residents reviewed. (Resident #4). The facility reported a census of 85. Findings include: The MDS (Minimum Data Set) dated 8/15/2024 revealed Resident #4 had no cognitive impairment, transferred to the toilet with partial/moderate supervision and had bladder and bowel incontinence. The MDS indicated the resident had diagnoses including periprosthetic fracture around internal prosthesis left hip (a break in the bone around the joint replacement), pneumonia and anemia. […]

• Actual harm, isolatedF689May 9, 2024

  Based on clinical record review, policy review and staff interview the facility failed to provide appropriate supervision to ensure the safety for 1 of 3 residents (Resident #4) reviewed. The facility reported a census of 83 residents. Findings include The Minimum Data Set (MDS) dated [DATE] documented the resident admitted to the facility on [DATE]. The MDS list diagnoses including hypertension, non-Alzheimer's dementia and orthostatic hypotension. The Care Plan included a focus area of being at risk for falls dated 1/31/24. Interventions included encouraging proper footwear and monitor for unsteady gait. […]