Pruitthealth - Lakehaven, LLC

In the surveyor’s words

From the most serious findings on record at Pruitthealth - Lakehaven, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF600Jul 3, 2024

  Based on record review, interviews, and review of the facility policy titled Prevention of Patient Abuse, Neglect, Exploitation, Mistreatment, and Misappropriation of Property, the facility failed to protect the resident's(s') right to be free from deprivation of services by Licensed Practical Nurse (LPN) QQ. Specifically, the facility failed to ensure one resident (R) (R1) of four sampled residents, was assessed when experiencing a decline in respiratory status as evidenced by becoming hypoxic and cyanotic. […]

• Immediate jeopardy, isolatedF655Jul 3, 2024

  Based on staff interviews, record review, and the facility policy titled Care Plans, the facility failed to develop a person-centered baseline care plan for one resident (R) (R1) of three residents reviewed for care and treatment of resident with chronic respiratory complications. This deficient practice had the potential to have an adverse effect for the resident. On 7/1/2024, a determination was made that a situation in which the facility's noncompliance with one or more requirements of participation had the likelihood to cause serious injury, harm, impairment, or death to residents. Facility Administrator and Director of Health Services (DHS) were informed of the Immediate Jeopardy (IJ) on 7/1/2024 at 10:22 am. […]

• Immediate jeopardy, isolatedF695Jul 3, 2024

  Based on record review and interviews, review of the facility's tools Using SBAR Communication, the facility failed to ensure one resident (R) (R1) of four sampled residents received necessary respiratory care. Nursing staff did not assess resident during an acute change in condition, did not notify the physician, and attempted to cancel a 911 call which R1 initiated. In addition, facility's nursing staff did not document anything in R1's clinical record related to the change in condition. […]

• Immediate jeopardy, isolatedF835Jul 3, 2024

  Based on interviews, record reviews, and review of the job summaries for the Administrator and Director of Health Service (DHS), the facility Administration failed to effectively oversee an abuse prevention program to promote, foster, and maintain an abuse-free environment, failed to provide monitoring and oversight for respiratory care, and failed to develop a care plan to address chronic respiratory conditions which were present on admission to the facility for one resident (R) R1. The facility census was 75. […]

• No harm, potential for more than minimal, widespreadF812Aug 7, 2025

  Based on observations, interviews, and review of policies titled, Cleaning Procedures: Kitchen Area and Cleaning Schedule Policy, the facility failed to ensure that the ice machine was clean and sanitized. The deficient practice had the potential to affect 64 residents of 70 receiving an oral diet.Findings Include:Review of the facility policy titled, Cleaning Procedures: Kitchen Area, (revised 4/14/2016) revealed Under Policy Statement: It is the policy of (Facility Name) to maintain a clean and sanitary environment to prepare patient/resident meals. […]