Majestic Care of Lakin

In the surveyor’s words

From the most serious findings on record at Majestic Care of Lakin, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Mar 12, 2025

  Based on observation, record review, and staff interview the facility failed to ensure the resident environment over which it had control was as free from accident hazards as possible. Nurse Aide (NA) #107 was observed transferring Resident #1 by himself on two (2) occasions. Resident #1 was identified as a resident who required the assistance of two (2) staff when transferring. NA #107 had the resident Kardex available to him which identified the correct way to transfer Resident #1, but he failed to look at the Kardex and transfer the resident in a correct manner. The State Agency (SA) identified this failure placed Resident #1 in an immediate jeopardy (IJ) situation. The facility was notified of the IJ on 03/04/25 at 11:23 PM. […]

• Immediate jeopardy, isolatedF807Mar 12, 2025

  Based on observation, record review and staff interviews the facility failed to ensure Residents #1, #2, and#14, had the proper consistency thickened liquids. This was a random opportunity of discovery and had the potential to cause harm such as choking, aspiration or death. Resident identifier: #1, #2, and #14. Facility Census: 61. The State Agency (SA) determined this to be an Immediate Jeopardy situation. Findings include: a) Resident #1 -Record Review A review of Resident #1's medical record revealed the resident had a history of dysphasia and aspiration pneumonia, further record review of the care plan found a focus statement related to the history of dysphasia and aspiration pneumonia. […]

• Actual harm, isolatedF600Mar 12, 2025

  Based on record review and staff interview, the facility failed to ensure residents of the facility were free from abuse and neglect. For Residents #2 and #56, the facility failed to ensure they were free from sexual abuse, committed by Resident #214. For Residents #33, #50, #38, #43, #216, #51, #215, #46, #6, #35, and #17, the facility failed to ensure these residents were free of neglect related to medication administration. For Resident #33, the facility failed to ensure this resident was free from abuse due to misappropriation of medications. For Resident #1, the facility failed to transfer the resident in the correct manner, resulting in neglect. […]

• No harm, potential for more than minimal, patternF880Jul 2, 2026

  Based on observation, staff interview the facility failed to maintain an infection control program to provide a sanitary environment and help prevent the transmission of communicable diseases and infections. Two (2) residents had personal care equipment that had exposed padding which created a surface that could not be cleaned effectively. One (1) resident with a Contact Isolation sign outside her door was seated in a chair outside of her room. Resident identifier #1, #60, and #39. Facility census: 60. a) Resident #60 On initial tour on 06/29/26 at 2:00 pm Resident #60 was observed outside her room. On 06/30/26 at 11:00 am Resident #60 was observed seated outside of her room with signage still listed as Contact Precautions. […]

• No harm, potential for more than minimal, patternF887Jul 2, 2026

  Based on record review and staff interview the facility failed to ensure they offered staff education regarding the benefits and risks associated with the COVID-19 vaccine and offered staff the vaccine or information on obtaining the vaccine. Facility census: 60. Findings included: During an interview with the executive director on 06/29/26 at 1:30 PM the ED stated, The COVID vaccine was seasonal and they are out of season.