North Lake Care Center and Rehab

In the surveyor’s words

From the most serious findings on record at North Lake Care Center and Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 23, 2024

  Based on observations, interviews and record reviews, the facility failed to provide appropriate supervision to 1 of 3 sampled residents assessed as at risk for elopement. The deficient practice allowed Resident #1 to exit the facility on 10/12/24 at approximately 8:50 PM, through an unsecured door on the second floor. The findings included: The facility's policy, titled, Wandering and Elopements, with a revision date of March 2019, documented, in part: The facility will identify residents who are at risk of unsafe wandering and strive to prevent harm while maintaining the least restrictive environment for residents. 1. […]

• No harm, potential for more than minimal, patternF584May 16, 2024

  Based on observations, and interviews, the facility failed to provide housekeeping and maintenance services in order to maintain a clean, comfortable, sanitary and home like environment in 9 of 30 rooms and the Community Shower Room. The findings included: On 05/16/24 at approximately 2:00 PM, an environmental tour was conducted with the Director of Maintenance. The following was observed: a. In room [ROOM NUMBER], the hand washing sink in the bathroom was clogged in a manner that the basin was slow to drain. b. In room [ROOM NUMBER], the toilet was clogged and the faucet at the hand washing sink was not secured to the sink. c. […]

• No harm, potential for more than minimal, patternF880May 16, 2024

  Based on observation and interview, the facility failed to follow facility-wide policies and procedures for 17 of 18 residents on Enhanced Barrier Precautions (EBP), including Residents #9, #1, #29, #236, #18, #13, #45, #54, #48 and #53, as evidenced by no gowns at or outside of the residents' doors; and failed to maintain an appropriately clean environment in the facility's laundry rooms to prevent cross contamination of the laundry with various forms of debris. The census at the time of survey was 83 residents. The findings included: 1. […]

• No harm, potential for more than minimal, patternF803Mar 2, 2023

  Based on observation, interview and record review, the facility failed to follow the approved menu and failed to periodically update the menu for 6 of 52 sampled residents on a Regular Diet (sampled Residents #30, #29, #276, #72, #71, #32); 5 of 14 sampled residents on a Mechanical Soft Diet (sampled Residents #15, #4, #64, #42, #63); 1 of 4 sampled residents on a Pureed Diet (sampled Resident #9); and 1 of 4 sampled residents on a Renal Diet (sampled Resident #9). The findings included: 1. During review of the Approved Menu for the lunch meal of 02/27/23, the following was noted: *3-ounce portion of Honey Glazed Ham to be served to Regular Diet *3-ounce portion of Beef Steak to be served as alternate entree for Regular Diets *Seasoned Roasted Potatoes - to be served to Regular diets. […]

• No harm, potential for more than minimal, patternF908Mar 2, 2023

  Based on observation and interview, the facility failed to maintain mechanical and electrical equipment in the main kitchen in a safe operating condition. The findings included: During a second kitchen / food service observation tour conducted on 02/28/23 at 11:30 AM and accompanied with the Certified Dietary Manager (CDM), the following were noted: 1. The wall mounted air-conditioning unit located near the dish machine was steadily dripping condensation. Further observation noted the dripping condensation had pooled and was dripping further down onto the dish machine run. It was discussed with the CDM the potentially contaminated condensation could come into contact with clean dishes and staff. The surveyor requested the unit be shut down and repaired prior to further use. […]