The Lodge Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at The Lodge Healthcare and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF806Feb 27, 2025

  Based on interview and record review, the facility failed to ensure residents with allergies were provided foods that were free from allergens for 1 (Resident #297) of 12 residents sampled who had food allergies. Resident #297 had a peanut allergy. On 2/23/2025 at 7:00 PM, Resident #297 was provided with a [NAME] Buddy snack by Staff G, Certified Nursing Assistant. Staff G did not review Resident #297's meal ticket or Resident #297's electronic medical record to determine her allergies. At approximately 10:00 PM Resident #297 consumed several bites of the cookie and began to experience a burning and itching sensation in her throat. […]

• No harm, potential for more than minimal, widespreadF880May 25, 2022

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and program to prevent the possible development and transmission of communicable diseases and infections. The facility failed to ensure peripherally inserted central catheter (PICC) dressings were changed in accordance with professional standards of practice for 6 of 7 residents with central venous catheters, Residents #22, #51, #70, #137, #138 and #287, and hand hygiene was performed during medication administration in 6 of 7 observations of medication administration. Findings include: 1. […]

• No harm, potential for more than minimal, widespreadF885Jul 27, 2021

  Based on record review and interview, the facility failed to inform the residents or their representatives of a single confirmed infection of COVID-19 (Coronavirus Disease-2019) by 5:00 PM the next calendar day for 4 of 4 reviewed residents, Residents #6, #9, #10, and #11. Findings: During an interview on 7/27/2021 at 8:20 AM, the Director of Nursing confirmed Staff E, Personal Care Assistant, had tested positive for COVID-19 on 7/18/2021. Review of personnel documentation revealed Staff E had tested positive for COVID-19 on 7/18/2021. Review of Resident #6's minimum data set assessment, dated 7/5/2021, revealed Resident #6 had been assessed to have a cognitive summary score of 15 (cognitively intact). […]

• No harm, potential for more than minimal, widespreadF887Jul 27, 2021

  Based on record review and interview, the facility failed to develop and implement policies and procedures for the Coronavirus Disease 2019 (COVID-19) vaccine to ensure that residents and staff were offered the vaccine and provided education related to risks and benefits of the vaccine for 5 of 5 residents, Residents #1, #2, #3, #4, and #5, and 4 of 4 staff, Staff A, B, D, and E, reviewed for immunizations. Findings: 1. Review of the admission record for Resident #1 revealed an admitted [DATE] and a re-admitted [DATE]. Review of the admission record for Resident #2 revealed an admitted [DATE]. Review of the admission record for Resident #3 revealed an admitted [DATE]. Review of the admission record for Resident #4 revealed an admitted [DATE]. […]

• No harm, potential for more than minimal, widespreadF761Apr 23, 2021

  Based on observation, interview, and record review, the facility failed to ensure drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional principles, and included the expiration date, when applicable, in 4 of 4 medication carts in use, Medication Carts #1, 2, 3 and 4. Findings: During observation of Medication Cart #1 with Staff B, Registered Nurse (RN), on 4/23/2021 at 4:55 AM, the cart was open and unattended. The cart contained one bottle of [MEDICATION(S)] eye drops with no resident identifier and no opened or expiration dates, one bottle of [MEDICATION(S)] eye drops with no opened or expiration dates, one bottle of Dorzolamide 2% eye drops with an expiration date of 4/5/2021, one bottle of [MEDICATION(S)] 0.2% eye drops… […]