Inspection Reports for
Lakeview Village

The revisit confirmed that all previously identified deficiencies related to regulations 483.10(b)(5)-(10), 483.10(b)(1), 483.20(d), 483.20(k)(1), and 483.60(b), (d), (e) were corrected as of 2013-02-08.

The facility failed to provide required Liability Notice and Beneficiary Appeal Rights Review documentation for several residents, failed to develop a comprehensive individualized care plan for activities for one resident, and failed to properly label and store medications on medication carts.

The plan addresses multiple deficiencies including notification for Medicare non-coverage, provision of resident activities, and proper medication storage and labeling. Corrective actions and prevention measures have been implemented with specified completion dates.

The revisit confirmed that the deficiencies previously cited under regulations 483.13(c)(1)(ii)-(iii), (c)(2)-(4) and 483.25(h) were corrected by 12/11/2012.

Complaint investigation #KS 62081 involved allegations of mistreatment, neglect, and abuse related to a resident who received 2nd-3rd degree burns from improper hot pack use. The facility failed to report the incident to the state agency as required.

The facility failed to report an incident where a resident received 2nd to 3rd degree burns from an unapproved hot pack application. The nursing staff was not trained on hot pack use, and the facility lacked proper policies and guidance for hot pack use, resulting in serious injury and subsequent abscesses requiring hospitalization.

The Plan of Correction responds to deficiencies cited during a complaint survey conducted on 12/6/2012.

The facility implemented corrective actions including staff training on resident abuse and neglect, restricted access to hydrocollators, and removal of hydrocollators to prevent resident risk. The Plan of Correction aims to assure correction and continued compliance with state and federal regulations.

The visit was triggered by complaint investigation #KS56859. The complaint was substantiated as the facility failed to supervise a wandering resident who left the building undetected for over two hours.

The facility failed to provide adequate supervision for a cognitively impaired resident at risk for wandering and falls, resulting in the resident leaving the facility unsupervised for over two hours. Multiple staff failed to respond promptly to door alarms and wanderguard alerts, placing the resident in immediate jeopardy. The facility subsequently implemented staff training, system upgrades, and monitoring procedures to address the deficiencies.

The plan of correction addresses past noncompliance issues with compliance training completed on 04/29/2012 and additional training on 05/19/2012. No new deficiencies requiring correction plans were noted.

The report shows that all previously cited deficiencies identified by regulation numbers F0156, F0329, F0371, F0425, and F0428 were corrected as of the revisit date.

The facility failed to provide individualized Medicare Non-coverage notices with specific reasons for discharge for 3 residents, failed to identify and monitor Black Box Warnings for medications in 3 residents, failed to maintain sanitary food storage and preparation conditions, and failed to date multi-use medication vials. The pharmacist did not report medication irregularities to the attending physician and director of nursing.

No specific findings or deficiencies are detailed in this document. It serves as a record of the Plan of Correction submission.

No deficiency details or findings are included in this document. It only references the Plan of Correction status and contact information for assistance.

The investigation was triggered by a complaint related to Resident 1 eloping from the facility on 04/13/25. The complaint was substantiated as the facility failed to provide adequate supervision and timely search response, placing Resident 1 in immediate jeopardy.

The facility failed to provide adequate supervision to prevent an elopement of a cognitively impaired resident and did not conduct a thorough search immediately after the alert. Resident 1 was found injured outside the facility and required hospital evaluation and treatment.

The facility had multiple deficiencies including failure to implement an anonymous grievance system, inadequate pressure ulcer prevention, insufficient fall prevention interventions, improper catheter and incontinence care, unsanitary storage of oxygen equipment, lack of documented risk assessment and consent for bed rails, inappropriate use of psychotropic medications without documented rationale, improper food storage practices, inadequate hospice communication and care planning, lapses in infection control practices, and failure to obtain pneumococcal vaccination consents or declinations.

The investigation was triggered by a complaint regarding resident R1 eloping on 11/26/2023. The complaint was substantiated with findings that the roam alert system failed and staff did not respond properly to door alarms, resulting in immediate jeopardy to resident health and safety.

The facility failed to provide adequate supervision and appropriate response to door alarms to prevent the elopement of R1, who exited the building via a stairwell door. The roam alert system failed to activate properly, and staff did not respond adequately to the door alarm, placing the resident in immediate jeopardy.

The facility failed to ensure foot pedals were provided on wheelchairs to prevent residents' feet from dragging, failed to keep call lights within reach for a resident, failed to follow up on changes in bowel and bladder incontinence, improperly stored respiratory equipment, failed to provide supplemental oxygen orders and proper equipment storage, and failed to ensure medication administration within physician ordered parameters.

No health deficiencies were found during the survey.