Inspection Reports for
Lake Village Rehabilitation and Care Center
903 Borgognoni Drive, Lake Village, AR, 71653
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
3.7 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
29% better than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
8
6
4
2
0
Occupancy
Latest occupancy rate
67% occupied
Based on a September 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Routine
Census: 55
Deficiencies: 7
Date: Sep 6, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication administration, infection control, food safety, and other facility operations at Lake Village Rehabilitation and Care Center.
Findings
The facility was found deficient in multiple areas including failure to convey resident funds timely upon death, inadequate hydration accommodations, incomplete care plan revisions, improper catheter care, medication errors exceeding 5%, improper food storage practices, and inadequate infection control related to glucometer cleaning. All deficiencies were assessed as causing minimal harm or potential for actual harm.
Deficiencies (7)
Failed to convey a resident's personal funds to the representative within 30 days after death.
Failed to ensure a resident was able to self-hydrate by consistently keeping fluids in reach.
Failed to revise the care plan of a resident after the quarterly assessment was completed.
Failed to ensure proper catheter care for a resident with an indwelling urinary catheter.
Medication error rate was 6.45%, exceeding the 5% threshold.
Failed to ensure foods in the pantry were dated to maintain freshness and prevent cross contamination.
Failed to ensure a glucometer was properly cleansed after use between residents.
Report Facts
Medication administration opportunities observed: 31
Medication errors observed: 2
Medication error rate: 6.45
Residents affected by food storage deficiency: 52
Total census: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Certified Nursing Assistant #5 | CNA | Interviewed regarding resident hydration and cup placement |
| Registered Nurse #3 | RN | Observed and interviewed related to medication administration error |
| Licensed Practical Nurse #4 | LPN | Observed and interviewed related to medication administration error |
| Licensed Practical Nurse #2 | LPN | Observed and interviewed regarding glucometer cleaning |
| Director of Nursing | DON | Provided documents and confirmed care plan and policy deficiencies |
| Assistant Director of Nursing | ADON | Provided medication administration policy and catheter care information |
| Dietary Manager | DM | Interviewed regarding food storage and pantry conditions |
Inspection Report
Complaint Investigation
Census: 44
Deficiencies: 2
Date: Oct 6, 2023
Visit Reason
The inspection was conducted to investigate complaints related to the facility's failure to ensure comprehensive care planning for anticoagulant use and to assess food safety practices including removal of dented cans, labeling and dating of leftover food items and spices.
Complaint Details
The visit was complaint-related, focusing on care plan deficiencies and food safety violations. The severity was minimal harm with few residents affected for the care plan issue and many residents affected for the food safety issue.
Findings
The facility failed to ensure the Comprehensive Care Plan addressed anticoagulant use for one resident and failed to properly label and date food items, including spices and leftovers, and failed to remove dented cans from food circulation, potentially affecting 42 residents.
Deficiencies (2)
Failure to ensure the Comprehensive Care Plan addressed the use of an anticoagulant for Resident #45.
Failure to remove dented cans from food circulation and failure to label and date leftover food items and opened spice containers.
Report Facts
Resident Census: 44
Residents Affected: 1
Residents Affected: 42
Employees mentioned
| Name | Title | Context |
|---|---|---|
| LPN #1 | Confirmed anticoagulants were not found on Resident #45's Care Plan | |
| Dietary Employee (DE) #2 | Interviewed about unlabeled spices and food items | |
| Dietary Employee (DE) #1 | Provided information about unlabeled food containers and dented cans | |
| Director of Nursing (DON) | Provided facility food and nutrition services policy |
Inspection Report
Routine
Census: 52
Deficiencies: 2
Date: Jul 7, 2022
Visit Reason
The inspection was conducted to assess compliance with resident rights regarding advance directives and to evaluate food safety and sanitation practices in the facility's kitchen.
Findings
The facility failed to ensure advance directives were available in the medical records for sampled residents and did not maintain proper food safety and sanitation standards, including uncovered food items, unclean kitchen surfaces, improper hand hygiene by dietary staff, and expired food items.
Deficiencies (2)
Failed to ensure an advance directive was available in the medical record for 2 of 15 sampled residents.
Failed to ensure food items stored in freezer or dry storage areas were sealed or covered, dietary staff washed hands and changed gloves appropriately, expired food items were removed, and kitchen and dishwashing areas were clean and maintained.
Report Facts
Residents affected: 2
Residents affected: 47
Total census: 52
Temperature: 135
Temperature: 41
Temperature: 96
Temperature: 130
Expired food date: Jul 5, 2022
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Social Services Director | Interviewed regarding advance directives for residents #43 and #1 | |
| Administrator | Interviewed about timing for formulating advance directives | |
| Dietary Employee #1 | Observed failing to wash hands and changing gloves properly during food preparation | |
| Dietary Employee #2 | Described greasy lint on ceiling tiles above steam table |
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