Inspection Reports for
Lakeshore Residential Care

The complaint alleged medication mishandling by staff. The investigation found no evidence to substantiate the allegation, resulting in an unsubstantiated finding.

The investigation included interviews and medication record reviews. No discrepancies were found in medication administration, and the complaint was determined to be unsubstantiated due to lack of preponderance of evidence.

The visit was related to complaint #15-AS-20250528164448. The amended report was delivered to staff. No deficiencies were cited.

No deficiencies were cited during the visit. An exit interview was conducted and a copy of the report was provided to staff.

The complaint alleged staff failed to prevent a resident-on-resident assault occurring on 05/23/2025. The investigation found no injuries and conflicting statements from involved parties. The complaint was determined unsubstantiated.

The investigation included interviews with residents and staff, review of incident and hospital records, and observation of the facility. The complaint was found to be unsubstantiated due to lack of preponderance of evidence to prove the alleged violation occurred.

The complaint investigation addressed allegations including staff yelling at residents, failure to follow care plans, restricting visitors, poor facility cleanliness, lack of housekeeping service, insufficient provision of toilet paper, and lack of resident activities. All allegations were unsubstantiated based on interviews, observations, and policy reviews.

All allegations investigated were found to be unsubstantiated after interviews with residents and staff, review of care plans, visitation policies, activity schedules, and facility observations. The facility was observed to be clean, with adequate housekeeping and supplies, and residents reported receiving appropriate care and access to visitors and activities.

The facility was toured and inspected, including resident rooms and safety equipment. No deficiencies were cited during the visit, and all reviewed resident and staff records were complete.

The complaint alleged that staff do not accord resident privacy and do not ensure the resident's shower is in good repair. The investigation included interviews and a shower room tour. The allegations were found unsubstantiated due to lack of preponderance of evidence.

The investigation found the allegations unsubstantiated due to insufficient evidence. Staff efforts to protect resident privacy were observed, and the shower room was found to be in good operating condition with a minor issue promptly resolved.

The complaint alleged that staff do not administer resident's medications. The investigation reviewed doctor's orders and interviewed involved parties, concluding the complaint was unfounded.

The investigation found the complaint to be unfounded, meaning the allegation was false or without reasonable basis. The resident was able to manage their own medications as per a doctor's order.

The complaint alleged that staff do not ensure a safe environment for residents. The investigation included interviews with staff and residents and review of incident reports. The complaint was found unsubstantiated.

The investigation found that although incidents involving a resident's combative behavior occurred, staff took appropriate actions to ensure safety. The complaint was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff did not allow a resident back to the facility. The allegation was found unsubstantiated after investigation.

The investigation found the complaint unsubstantiated as there was no preponderance of evidence to prove the alleged violation occurred. The resident required a higher level of care outside the facility's licensed scope.

The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of the facility, review of resident and staff records, and verification of safety equipment and emergency plans.

The facility was found to have adequate infection control measures including proper PPE use, screening procedures, and sufficient food and PPE supplies. No deficiencies were cited during the visit.

The complaint alleged that staff do not monitor residents for change in condition. After interviews and file reviews, the allegation was found to be unsubstantiated due to lack of evidence.

The investigation found that the facility has a process in place to monitor residents for changes in condition. There was no documentation showing any change of condition for the residents involved, and the allegation was unsubstantiated.

The complaint was unsubstantiated. Although the allegation may have been valid, there was insufficient evidence to prove the violation occurred.

The investigation found the air conditioner was working properly at the time of inspection, and the resident was content with the room temperature and her ability to control it with staff assistance. The complaint was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint included allegations that staff were not feeding a resident, a resident was without toiletries, and staff were requesting money from a resident. All allegations were investigated and found unsubstantiated or unfounded based on interviews and record reviews.

The investigation found all allegations unsubstantiated or unfounded after interviews with staff, the resident, and review of records. No violations were proven regarding feeding, hygiene, or staff requesting money from residents.

The facility was found to have sufficient food supply, proper visitor screening, and staff wearing proper PPE. Some improvements were advised such as adding more signage, covered trash cans in shared bathrooms, and ensuring beds are 6 feet apart. No deficiencies were cited during the visit.