The Lighthouse at Lakeside Village

In the surveyor’s words

From the most serious findings on record at The Lighthouse at Lakeside Village, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Mar 12, 2025

  Licensure Reference Number 175NAC ,d+[DATE].11(E) Based on observation, interview, and record review; the facility failed to ensure expired food was discarded on or before the expiration date and failed to ensure opened food items were sealed and dated. The facility also failed to perform hand hygiene prior to and after touching soiled items while preparing food which had the potential for food borne illness. The facility also failed to measure items according to the recipe while preparing food. This had the potential to affect 30 out of 31 residents who consumed from the main kitchen in the facility. […]

• No harm, potential for more than minimal, widespreadF812Nov 18, 2021

  Licensure Reference Number 175 NAC 12-006.11E Based on observation and interview, the facility failed to maintain the cleanliness and condition of the stove and the stove hood in the main facility kitchen and failed to ensure that dishes were stored in a manner to prevent the potential for contamination of the eating surfaces in the satellite kitchen. This had the potential to affect all residents that ate foods prepared in the facility kitchen. The facility census was 32. Findings are: Observation on 11/15/21 between 7:11 AM to 7:30 AM in the facility main kitchen revealed a shelf above the stove was grease and dust covered, the caulking on the stove hood was loose and hung over the surface of the griddle and there was a black burned on substance on the back splash of the stove. […]

• No harm, potential for more than minimal, patternF644Nov 18, 2021

  Based on observation, interview, and record review, the facility failed to complete a Level II PASARR (Pre-Admission Screening and Resident Review, a screening to determine the presence of a mental illness or intellectual disability) after a new mental illness diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . Total census was 32 Findings are: A. Record review of the facility's Policy - Admission of a Resident, dated 03/11/2020, revealed the Care Community will coordinate assessments with the preadmission screening and review (PASRR) program under Medicaid in subpart C to the maximum extent practicable to avoid duplicative testing and effort. Coordination includes: 1. […]

• No harm, potential for more than minimal, isolatedF607May 27, 2026

  Licensure reference: 175 NAC 006.04(A)(iii) Based on record review and interview, the facility failed to ensure criminal background checks were completed on 1 [Nurse Aide A] of 5 sampled staff members. The facility had a total census of 51 residents. Findings are: A review of background screening checks completed on 3/19/24 for Nurse Aide A did not reveal a completed criminal background check. A review of employee report dated 5/27/26 revealed Nurse Aide A had a hire date of 3/18/24. In interviews on 5/27/26 at 12:37 PM and 4:05 PM, Human Resource Business Partner confirmed a criminal background check had not been completed on Nurse Aide A due to Nurse Aide A being a minor. […]

• No harm, potential for more than minimal, isolatedF609May 27, 2026

  Based on interview and record review, the facility failed to ensure allegations of abuse and significant injury were reported to Adult Protective Services within 2 hours for 2 [Residents 1 and 2] of 3 sampled resident and failed to ensure an investigation report was submitted to the state agency within 5 working days for 3 [Residents 1, 2, and 3] of 3 sampled residents. The facility had a total census of 51 residents. Findings are:A.A review of facility Abuse/Neglect Report dated 5/7/26 revealed an incident of potential abuse involving Resident 2 occurred on 5/3/26 before dinner. The description of the incident in the report revealed that Nurse Aide A had observed Nurse Aide B was being rough with Resident 2 by grabbing Resident 2's wrists and pulling on them. […]