Thrive of Lake County

In the surveyor’s words

From the most serious findings on record at Thrive of Lake County, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Apr 28, 2021

  Based on observation, interview, and record review, the facility failed to follow recommended guidelines from Centers for Disease Control (CDC) by not wearing appropriate Personal Protective Equipment (PPE) when caring for residents exposed to known staff members' positive for COVID-19 and new admissions on transmission based precautions (contact/droplet precautions). The facility also failed to have appropriate signage up for residents that are on transmission based precautions (contact/droplet precautions). These failures have the potential to infect high risk residents with COVID-19 and spread COVID-19 to negative residents. This has the potential to affect all 123 residents residing in the facility. These failures resulted in an Immediate Jeopardy. […]

• Actual harm, isolatedF689Mar 25, 2025

  Based on interview and record review, the facility failed to ensure a resident was supervised for 1 of 4 residents (R1) reviewed for safety and supervision in the sample of 4. This failure resulted in R1 falling and sustaining fractures to her pelvis. The findings include: On 3/25/25 at 12:01 PM, V3, Licensed Practical Nurse (LPN), said she was R1's nurse on 3/6/25. V3 said V3 said R1 kept trying to get up out of her wheelchair and she kept reminding R1 to sit back down. V3 said she stepped away from the dining room where R1 was sitting with other residents and the next thing she knew; a hospice nurse was telling her that R1 had fallen. V3 said R1 needed one on one monitoring; you cannot really take [your] eyes off her. […]

• Actual harm, isolatedF697Mar 13, 2025

  Based on interview and record review, the facility failed to ensure a resident's pain medications was provided for 1 of 2 residents (R133) reviewed for pain management in the sample of 32. These failures resulted in R133 experiencing unrelieved pain and was not unable to fully obtain restful sleep for three days. The findings include: On 03/11/25 at 10:35 AM, R133 said for the last 3 nights on the 8th through the 10th, she did not receive her muscle relaxer (tizanidine) as requested and indicated she needed that the most because she usually takes the muscle relaxer with norco in the morning and at night. R133 was told by staff that the medication was ordered, and they would follow-up with pharmacy. She said that no one followed up with her regarding the status of the medication. […]

• Actual harm, isolatedF686Jan 29, 2024

  Based on observation, interview, and record review the facility failed to ensure pressure injury dressings were changed when soiled, failed to ensure the prescribed dressings were applied when changed, failed to report a new pressure injury, and failed to ensure pressure relieving interventions were in place. This applies to 5 of 8 residents (R113, R96, R72, R10 & R21) reviewed for pressure injuries in the sample of 32. The findings include: 1. R113's face sheet shows he is an [AGE] year old man with diagnoses to include: type II diabetes mellitus, peripheral vascular disease and chronic kidney disease. On 1/22/2024 at 10:16 AM, V33 Licensed Practical Nurse (LPN) was changing R113 and getting him ready to eat breakfast. […]

• Actual harm, isolatedF689Jan 29, 2024

  Based on observation, interview, and record review the facility failed to ensure a resident's diet orders were followed and supervised as prescribed by the physician. This failure resulted in R106's diet orders not being followed by receiving bread and needing the Heimlich maneuver for choking on bread pudding. The facility also failed to ensure residents were supervised during meals who require close supervision. This applies to 2 of 32 residents (R106 & R17) reviewed for safety/supervision in the sample of 32. The findings include: 1.R106's face sheet shows she is a [AGE] year old female with diagnoses to include: Parkinson's disease, dementia and dysphagia (difficultly swallowing). […]