Springs at Lake Pointe Woods

In the surveyor’s words

From the most serious findings on record at Springs at Lake Pointe Woods, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 19, 2024

  Based on record review, review of the facility's policies and procedures, and staff interviews, the facility failed to provide adequate supervision to prevent unsafe wandering and elopement for 1 (Resident #1) of 1 newly admitted cognitively impaired, confused resident exhibiting exit seeking behaviors. On 8/20/24 shortly after 4:15 a.m., Resident #1 who was confused, wandered and had documented exit seeking behaviors walked out of the facility through the front lobby. Staff was not aware of the resident's exit until 8/20/24 at 4:40 a.m. Resident #1 walked approximately half a mile through the parking lot, down a private road with a nearby unfenced pond, to a busy four lane main road. Resident #1 could have been hit by a car, assaulted, or fallen into the pond and drowned. […]

• Actual harm, isolatedF600Jun 26, 2025

  Based on record review, review of facility's policies and procedures and staff interviews, the facility failed to protect the resident's rights to be free from neglect by failing to follow safety precautions specified in the care plan to prevent avoidable accident with injury for 1 (Resident #1) of 3 dependent residents reviewed. The findings included: Review of facility Policy titled Abuse, Neglect, Exploitation, Misappropriation, not dated, indicated: Neglect is the failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress. […]

• Actual harm, isolatedF689Jun 26, 2025

  Based on record review, review of facility's policies and procedures and staff interviews, the facility failed to protect the resident's rights to be free from accidents by failing to follow safety precautions specified in the care plan resulting in an injury for 1 (Resident #1) of 3 dependent residents reviewed. The findings included: Review of facility Policy titled Abuse, Neglect, Exploitation, Misappropriation, not dated, indicated: Neglect is the failure of the facility, its employees or service providers to provide goods and services to a resident that are necessary to avoid physical harm, pain, mental anguish, or emotional distress. […]

• No harm, potential for more than minimal, widespreadF812Apr 23, 2026

  Based on observations, review of facility's policy and procedure, and staff interviews, the facility failed to store and distribute food in accordance with professional standards for food service safety. This has the potential to affect 91 residents who consume the food made on the premises.The findings Included:Review of the facility policy on Food Receiving and Storage dated 6/2025 revealed that all foods stored in the refrigerator or freezer will be covered, labeled and dated.On 4/20/26 at 9:35 a.m., observations during the initial tour of the kitchen revealed:The following food items in the reach in refrigerator were not date-marked to indicate when the food must be consumed or discarded: 5 Apple Juice cups; 12 Cranberry Juice cups; 23 Orange Juice cups; a plate of tomato slices; a… […]

• No harm, potential for more than minimal, widespreadF814Apr 23, 2026

  Based on observation, interview and record review the facility failed to ensure garbage and refuse were properly contained in dumpsters and failed to ensure the surrounding area was maintained in a sanitary condition, free of trash and debris.The findings included:On 4/20/26 at 10:15 a.m., observation of the surrounding ground of the facility with the Dietary Manager revealed four dumpsters used for disposal of the facility trash and refuse. Each dumpster had two lids. Two of the dumpsters were not fully closed with one of the lids opened. A plastic bag of food waste, a Styrofoam container, loose trash, including used gloves and plastic utensils were observed scattered on the ground surrounding the dumpsters. […]