Lyonsview Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Lyonsview Health and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, widespreadF812Apr 13, 2023

  Based on review of the Centers for Disease Control (CDC) and Prevention and U.S. Department of Housing and [NAME] Development Healthy Housing Reference Manual, job description review, facility documentation review, facility policy review, observation, and interview, the facility failed to ensure food was stored, prepared, and served under sanitary conditions. The facility failed to maintain effective pest control in the kitchen as evidenced by the presence of live and dead roaches in the kitchen and food preparation areas which had the potential to affect all 144 residents in the facility. […]

• Immediate jeopardy, widespreadF835Apr 13, 2023

  Based on review of the facility policy review, Administrator's job description, review of the facility's Medical Director Agreements, facility documentation review, and interview the facility's Administration failed to manage its resources and operating budget to maintain an effective pest control program after an invoice was not paid to the pest control company which resulted in an interruption in services from 11/30/2022 - 4/4/2023 and an outbreak of pest in the facility's kitchen. The facility's failure did not maintain the highest practicable physical, mental, and psychosocial wellbeing of the 144 residents residing in the facility. The Regional [NAME] President of Operations failed to address facility concerns. […]

• Immediate jeopardy, widespreadF837Apr 13, 2023

  Based on job description review, facility documentation, observations, and interviews the facility failed to produce evidence of an effective governing body (GB), failed to manage its financial resources to ensure an effective pest control program was maintained for 144 residents in the facility. Deficiencies were cited resulting in an Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident). […]

• Immediate jeopardy, widespreadF925Apr 13, 2023

  Based on facility policy review, electronic communication review, observation, and interview the facility failed to maintain an effective pest control program potentially affecting 144 residents. Deficiencies were cited resulting in an Immediate Jeopardy (a situation in which the provider's noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident). The Interim Administrator and Regional [NAME] President/Administrator (ADM #1) were notified of the Immediate Jeopardy for F812 and F925 on 4/4/2023 at 6:36 PM in the Administrator's office. The Regional [NAME] President/Administrator (ADM #1) was notified of the Immediate Jeopardy for F835 on 4/11/2023 at 10:55 AM in the Administrator's office. […]

• Immediate jeopardy, isolatedF689Jul 24, 2024

  Based on facility policy review, medical record review, facility documentation review, and interviews, the facility failed to ensure 1 of 8 (Resident #1) sampled residents reviewed for accident hazards received adequate supervision to prevent elopement (a situation where a resident leaves the premises or safe area without necessary supervision). On 12/10/2023, at approximately 10:50 PM, the facility staff observed Resident #1, a vulnerable and cognitively impaired resident with a history of wandering behaviors, outside the building next to a fence. […]