VI at Lakeside Village

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Aug 15, 2024

  50895 Based on observations and interviews, the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service safety, sanitary conditions, and the prevention of foodborne illnesses. The findings included: 1. During the initial tour of the Main Kitchen on 08/12/24 at 9:05 AM, and accompanied by Staff B, the facility's [NAME] Supervisor, and Staff C, the Registered Dietitian (RD), the following was observed: a. A used serving spoon for the breakfast sweet potatoes rested on top of the plastic wrap that partially covered the sweet potatoes. There were plastic spoons observed in an uncovered metal tin, and placed on top of the steam table used on the tray line. […]

• No harm, potential for more than minimal, patternF812Feb 26, 2026

  Based on observations and interviews, the facility failed to maintain food in a safe and sanitary method. This had the potential to affect 49 residents on oral diets. The findings included:An initial tour of the kitchen was conducted on 02/23/26 at 9:05 AM. The surveyor was accompanied by the Registered Dietician (RD) and the Kitchen Manager. The following was observed:1. Unwrapped tongs with brown residue was on a low shelf located to the right of the salad area. A metal bin with 2 bags of chicken broth powder and a pastry cloth were also on the shelf. A rag for cleaning and 2 empty red buckets were on the same shelf. Cleaning items should not be in the same area as food and food handling items. The Kitchen Manager agreed with this finding. 2. […]

• No harm, potential for more than minimal, patternF584Aug 15, 2024

  Based on observation, interview, and record review, the facility failed to provided housekeeping and maintenance services necessary to maintain a sanitary, orderly, and comfortable interior for 12 of 32 resident rooms, 1 of 1 dining room, 1 of 1 community shower room, main entrance area, and 1 of 1 soiled utility room. The findings included: 1. During the initial resident screenings conducted on 08//12-13/24 conducted by the surveyors and the environment observation tour conducted on 08/14/24 at 10:00 AM with the Administrator and Director of Maintenance, the following observations were noted: a. Main Lobby Area: Floor carpeting was noted to have numerous large black stains. b. […]

• No harm, potential for more than minimal, isolatedF695Feb 26, 2026

  Based on observation, interview, and record review, the facility failed to ensure appropriate care and services for respiratory services for 2 of 2 sampled residents as evidenced by the failure to ensure oxygen orders and a clean oxygen filter for Resident #63, and failure to ensure a clean oxygen filter for Resident #9.The findings included:1. Review of the record revealed Resident #63 was admitted to the facility on [DATE], transferred to the hospital on [DATE], and returned to the facility on [DATE]. The resident's diagnoses included congestive heart failure (CHF), and acute respiratory failure with hypoxia (a lack of oxygen).Review of the physician orders revealed Resident #63 had orders to administer oxygen continuously at 3 liters per minute from 02/06/26 though 02/16/26. […]

• No harm, potential for more than minimal, isolatedF761Feb 26, 2026

  Based on observation and interview, the facility failed to ensure proper labeling of pill dispensing packets for 2 of 27 reviewed during medication administration for 2 of 4 sampled residents, Resident #7 and Resident #58.The findings included: Review of the facility's policy titled, Medication Management Protocol, dated November 2004 and revised June 2011, included the following: Administration of Medications 3. Prior to administering the medication, the label on the container is matched to the Medical Administration Record (MAR).Review of the facility's policy titled, Medication Ordering and Receiving from Pharmacy, dated March 2019, included the following: Only the dispensing pharmacy / registered pharmacist can modify, change, or attach prescription labels. Procedures G. […]