Lighthouse Healthcare Center

In the surveyor’s words

From the most serious findings on record at Lighthouse Healthcare Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Feb 4, 2022

  Based on observation, interview, and record review, the facility failed to maintain an infection preventions and control program to prevent the spread of the coronavirus disease ([COVID19 is a disease caused by virus called [CONDITION(S)]-CoV-2}) an illness caused by a virus that can easily spread from person to person) by failing to: 1. Perform N95 respirator (a type of mask worn over the face to cover the nose and mouth that provides respiratory protections against aerosols [a suspension of fine solid particles or liquid droplets in air] and prevent infections) fit testing (a method of ensuring the mask properly fits the face of the wearer to protect from inhaling infectious particles) for twenty-seven (27) new employees. 2. […]

• Immediate jeopardy, isolatedF689Nov 28, 2024

  Based on interview and record review, the facility failed to provide a safe transfer to a medical appointment for one resident of three sampled residents (Resident 1) by failing to: 1. Ensure a transportation vehicle was parked in a designated parking space to transport Resident 1 to a dialysis (a treatment to cleanse the blood of wastes and extra fluids artificially through a machine when the kidney(s) have failed) appointment. The medical transportation van was double parked (parked beside a row of vehicles already parked parallel to the curb) in the middle of a street. 2. Ensure staff was in-serviced on safe resident transportation to medical appointments. 3. […]

• Actual harm, isolatedF689Jun 26, 2026

  Based on observation, interview and record review, the facility failed to ensure one of three sampled residents (Resident 1), received adequate supervision and assistance devices to prevent accidents. The facility failed to: 1). Implement Resident 1's care plan titled, At high risk for falls and injuries related to diagnosis of quadriplegia (paralysis from the neck down, including legs, and arms) and dementia (a progressive state of decline in mental abilities), which indicated to use a hoyer lift (a mechanical device used to lift and/or transfer a person from place to place) during transfers. 2). Ensure Resident 1's Minimum Data Set (MDS - a resident assessment tool), dated 4/3/2026, indicated the resident required the use of a hoyer lift for transfers. 3). […]

• Actual harm, isolatedF684Jun 13, 2024

  Based on observation, interview, and record review, the facility failed to follow its policy and procedure (P&P) titled Communication Barriers, which indicated the facility will provide effective interpretation or arrange for a qualified interpreter to meet the needs of residents who had a hearing, visual, or speech disability, for one of one sampled resident (Resident 107). The facility failed to: 1. Provide Resident 107 with communication aides to enable Resident 107 communicate her needs to staff. 2. Ensure staff used communication tools such as a writing board or American Sign Language (ASL) when communicating with Resident 107. 3. Assess Resident 107's behaviors of agitation, frustration, and desire to leave the facility. 4. […]

• Actual harm, isolatedF689May 3, 2024

  Based on observation, interview, and record review, the facility failed to ensure one of three sampled residents (Resident 1) was supervised while walking. Resident 1 was allowed to walk independently after being assessed by the physical therapist (PT, professionals who educate patients about exercises for muscle strength, coordination, and balance) as requiring moderate assistance (staff does half the work for the resident) while walking. This deficient practice resulted in an avoidable fall. Resident 1 fell at the front lobby and sustained a bump on the back side of her head, a right hip fracture (broken bone) that required admission and surgical intervention at the general acute care hospital (GACH) for six days. […]