The Lodge at Lane

In the surveyor’s words

From the most serious findings on record at The Lodge at Lane, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Feb 28, 2024

  Based on record review, observations, and interviews, the facility failed to store food in accordance with professional standards for food service safety. This had the potential to effect 36 residents who were served meals from the kitchen. Findings: Review of the facility's policy titled Date Marking for Food Safety revealed the following: Policy: The facility adheres to a date marking system to ensure the safety of ready-to-eat, time/temperature control for safety food. Policy Explanation and Compliance Guidelines for Staffing: 2. The food shall be clearly marked to indicate the date or day by which the food shall be consumed or discarded. 3. The individual opening or preparing a food shall be responsible for date marking the food at the time the food is opened or prepared. 4. […]

• No harm, potential for more than minimal, patternF880Jan 25, 2023

  Based on observations, interviews, and record review, the facility failed to maintain an infection prevention and control program designed to provide a safe and sanitary environment to help prevent the development and transmission of communicable disease and infection by failing to ensure staff were knowledgeable and cleaned residents' whirlpools according to manufacturer's guidelines. This deficient practice had the potential to affect 32 female residents who used the whirlpool in the facility as documented on the facility's Whirlpool Assignment Sheet. […]

• No harm, potential for more than minimal, patternF761Mar 3, 2022

  Based on record review, observation, and interviews, the facility failed to ensure expired medications were not available for use and administration to residents as evidenced by expired medications being stored in Cart A. Findings: Review of facility policy titled Medication Storage revealed, in part: Policy Explanation and Compliance Guidelines: 1. General Guidelines: d. All medications are checked monthly for expiration dates by the night nurse. Expired medications are immediately removed from the medication cart and properly disposed of. On 03/02/2022 at 11:00 a.m., an observation was conducted of Cart A with S2LPN. The following cart stock medications were expired: 3 tablets of Loperamide 2 mg tablets with an expiration date of 08/2021, 1 Chloraseptic 6 oz. […]

• No harm, potential for more than minimal, isolatedF641Feb 5, 2025

  47191 Based on interviews and record reviews, the facility failed to ensure the resident assessments accurately reflected the resident's status. The facility failed to ensure staff accurately: 1. Coded the discharge status for 1(#39) of 2 (#27 and #39) residents reviewed for hospitalization s. 2. Coded a resident reviewed for PASRR for 1 (#13) of 2 (#13 and #18) residents reviewed for PASRR. Findings: 1. Review of Resident #39's clinical record revealed that she was admitted to the facility on [DATE] and discharged from the facility on 12/11/2024. Review of Resident #39's MDS Discharge Assessment, dated 12/11/2024, revealed the resident was discharged to an acute hospital. […]

• No harm, potential for more than minimal, isolatedF638Feb 28, 2024

  Based on record review and interviews, the facility failed to complete quarterly assessments for 1 (#18) of 2 (#18 and #22) residents reviewed for resident assessment. Findings: Review of Resident #18's most recent Quarterly Minimum Data Set (MDS) with an Assessment Reference Date (ARD) of 02/08/2024 revealed no completion date. An interview was conducted on 02/28/2024 at 11:08 a.m. with S2MDS. She stated she was responsible for completing MDS assessments. She reviewed the quarterly MDS for Resident #18 dated 02/08/2024. She confirmed Resident #18's quarterly MDS assessment was not complete. She confirmed the quarterly MDS assessment was 6 days late. An interview was conducted on 02/28/2024 at 11:25 a.m. with S1DON. She reviewed the quarterly MDS for Resident #18 dated 02/08/2024. […]