Deficiencies (last 8 years)
Deficiencies (over 8 years)
8 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
90% worse than Nebraska average
Nebraska average: 4.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Census
Latest occupancy rate
89% occupied
Based on a August 2018 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Renewal
Capacity: 36
Deficiencies: 0
Jan 15, 2021
Visit Reason
The document is a Nursing Home Licensure Renewal Application and related licensing and occupancy permit documents for The Lighthouse at Lakeside Village, verifying renewal of the SNF/NF dual certification and license.
Findings
The documents confirm the facility's licensure renewal through 3/31/2022, with a licensed capacity of 36 beds. The occupancy permit was issued on 1/15/2020, and the facility is certified for Medicare and Medicaid.
Report Facts
Licensed beds: 36
Renewal expiration date: Mar 31, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brody Chandler | Administrator | Named on Nursing Home Licensure Renewal Application |
| Denise Kos | Director of Nursing | Named on Nursing Home Licensure Renewal Application |
Inspection Report
Annual Inspection
Census: 32
Capacity: 36
Deficiencies: 7
Aug 16, 2018
Visit Reason
Annual inspection of The Lighthouse at Lakeside Village to assess compliance with state and federal regulations for skilled nursing facilities, including life safety code requirements.
Findings
The facility was found to be generally compliant with long term care regulations but had multiple deficiencies related to life safety code including fire door separation, fire alarm and sprinkler system policies, sprinkler system maintenance, corridor door smoke seals, electrical system maintenance, and emergency generator fuel testing.
Severity Breakdown
SS=E: 1
SS=F: 6
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to maintain a 2-hour fire separation between Nursing Home and Assisted Living due to unapproved astragal on fire door. | SS=E |
| Incomplete fire alarm system out-of-service policy lacking notification procedures for State Fire Marshal. | SS=F |
| Failed to conduct required 3-year air leakage test on fire sprinkler dry system. | SS=F |
| Incomplete fire sprinkler system out-of-service policy lacking notification procedures for State Fire Marshal and insurance company. | SS=F |
| Corridor doors failed to resist passage of smoke due to visible light gaps around doors. | SS=F |
| Failed to test patient bed electrical receptacles annually throughout the facility. | SS=F |
| Failed to test emergency generator diesel fuel annually for quality. | SS=F |
Report Facts
Facility census: 32
Total licensed capacity: 36
Deficiency count: 7
Fire door correction completion date: Oct 1, 2018
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Staff A | Confirmed findings related to fire door astragal and fire watch policy deficiencies | |
| Brody Chandler | Administrator | Named as contact and confirmed awareness of electrical receptacle testing requirement |
Inspection Report
Annual Inspection
Census: 30
Capacity: 36
Deficiencies: 7
Jun 15, 2017
Visit Reason
Annual inspection of The Lighthouse at Lakeside Village nursing facility to assess compliance with federal and state regulations including resident rights, PASRR requirements, safety, and fire safety codes.
Findings
The facility was found deficient in multiple areas including failure to provide required liability and appeals notices to residents, failure to provide PASRR recommended services for a resident, unsafe mattress fit on a resident's bed, and multiple fire safety code violations including door latch failures and missing smoke detector by the fire alarm panel.
Severity Breakdown
SS=F: 4
SS=D: 3
Deficiencies (7)
| Description | Severity |
|---|---|
| Failed to provide liability and appeals notices for 4 discharged residents. | — |
| Failed to provide PASRR recommended services for one resident with Level II PASRR. | SS=D |
| Mattress did not fit bed frame properly for one resident, leaving a gap that posed an accident hazard. | SS=D |
| Failed to maintain 2-hour fire separation between Nursing Home and Assisted Living due to a fire door that failed to latch. | SS=F |
| Failed to install a smoke detector by the fire alarm panel. | SS=F |
| Allowed a 1-A fire extinguisher in a low hazard area instead of the required 2-A extinguisher. | SS=D |
| Corridor doors failed to latch and resist passage of smoke, including door to chapel. | SS=F |
Report Facts
Residents reviewed: 5
Facility census: 30
Licensed capacity: 36
Residents affected: 32
Gap size: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Director of Social Services and Admissions | DSS&A | Interviewed regarding missing liability and appeals notices |
| Director of Nursing | DON | Interviewed regarding PASRR services and missing notices |
| Facility Staff A | Confirmed fire door latch failures and missing smoke detector | |
| Maintenance A | Confirmed door latch failures |
Inspection Report
Routine
Census: 32
Capacity: 36
Deficiencies: 4
May 25, 2016
Visit Reason
The inspection was conducted as a standard routine survey to assess compliance with state and federal regulations governing skilled nursing facilities.
Findings
The facility was found deficient in several areas including failure to complete APS/CPS registry checks prior to hire for some staff, failure to complete a physical therapy evaluation for a resident, and life safety code violations related to hood suppression system inspections and electrical system circuits.
Severity Breakdown
SS=E: 1
SS=D: 1
SS=F: 2
Deficiencies (4)
| Description | Severity |
|---|---|
| Failed to complete APS/CPS registry checks prior to hire for 5 direct care staff members. | SS=E |
| Failed to complete a physical therapy evaluation for one resident as ordered. | SS=D |
| Failed to verify that the hood suppression system had been inspected every six months. | SS=F |
| Allowed non-life safety circuits to be connected to the Type II essential electrical system, life safety branch. | SS=F |
Report Facts
Number of nursing department employees: 35
Facility census: 31
Licensed capacity: 36
Current census: 32
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nurse Aide A | Named in APS/CPS registry check deficiency. | |
| Nurse Aide B | Named in APS/CPS registry check deficiency. | |
| Licensed Practical Nurse C | Named in APS/CPS registry check deficiency. | |
| Nurse Aide D | Named in APS/CPS registry check deficiency. | |
| Nurse Aide E | Named in APS/CPS registry check deficiency. | |
| Director of Nursing | Director of Nursing | Interviewed regarding APS/CPS registry checks and physical therapy evaluation. |
| Human Resources Staff Member F | Reported APS/CPS report received and candidate cleared to work. | |
| Human Resource Staff Member H | Reported personnel file kept pending until APS/CPS registry checks received. | |
| Vice President of Human Resources | Vice President of Human Resources | Reported Director of Nursing not informed about APS/CPS registry check status. |
| Physical Therapist G | Physical Therapist | Confirmed physical therapy order was valid but not completed. |
| Administrator A | Administrator | Acknowledged and verified life safety code findings. |
| Maintenance A | Maintenance Staff | Acknowledged and verified electrical system circuit findings. |
Inspection Report
Complaint Investigation
Census: 31
Deficiencies: 2
Oct 21, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint regarding staff licensing and appropriate positioning transfer at The Lighthouse At Lakeside Village on October 21-22, 2015.
Findings
The facility failed to ensure that a nursing assistant was qualified and licensed to administer medications, and failed to provide appropriate re-evaluation and interventions for resident transfers, resulting in ongoing injuries to a resident.
Complaint Details
The complaint alleged that the facility failed to ensure staff had active licenses to provide services and failed to provide appropriate positioning transfer services. The investigation substantiated these allegations.
Severity Breakdown
SS=G: 1
Deficiencies (2)
| Description | Severity |
|---|---|
| Provision of medication by an unlicensed person (Nursing Assistant C administered medications without evidence of qualification). | — |
| Failure to provide service for appropriate positioning transfer, including lack of re-evaluation and interventions for resident injuries. | SS=G |
Report Facts
Census: 31
Deficiency completion date: 2015
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nursing Assistant C | Nursing Assistant and Medication Assistant | Named in medication administration deficiency for lack of qualification and licensing. |
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit | Signed the complaint investigation letter. |
| Jacob Schultz | Administrator | Facility administrator addressed in the report. |
| Human Resources D | Human Resources | Confirmed lack of medication aide registry check for Nursing Assistant C. |
| Director of Nursing (DON) | Director of Nursing | Interviewed regarding transfer deficiencies and medication aide qualifications. |
| Nursing Assistant B | Nursing Assistant | Named in transfer injury incident involving Resident 1. |
| Nursing Assistant A | Nursing Assistant | Interviewed about Resident 1's transfer status. |
Inspection Report
Complaint Investigation
Census: 30
Deficiencies: 12
Apr 22, 2015
Visit Reason
An unannounced visit was conducted to investigate a complaint and annual survey at The Lighthouse At Lakeside Village on April 20-22, 2015. The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff.
Findings
The facility was found deficient in multiple areas including failure to re-evaluate individualized activity programs for a resident, failure to evaluate continence status and catheter use, failure to follow up on dental services plan, improper storage of drugs and supplies, failure to prevent cross contamination during medication administration and catheter care, inadequate ventilation in resident rooms, failure to conduct required fire drills, improper storage of oxygen, and unsafe electrical wiring practices.
Complaint Details
The complaint investigation included allegations that the facility failed to have sufficient staff to meet residents' needs, failed to change fall interventions after residents were identified at risk for falls, and failed to ensure medical records contained assessments of residents. The facility was found to be in compliance with these allegations.
Severity Breakdown
SS=D: 6
SS=E: 2
SS=F: 3
Deficiencies (12)
| Description | Severity |
|---|---|
| Facility staff failed to re-evaluate an individualized activity program for Resident 15. | SS=D |
| Facility staff failed to evaluate a decline in continence status and implement interventions for Resident 49 and failed to evaluate clinical indication for catheter use for Resident 13. | SS=D |
| Facility failed to follow up on dental services plan of care for Resident 9. | SS=D |
| Facility failed to ensure blood collection equipment, urine collection equipment, expired needles, unlabeled medications, and expired supplements were not available for use. | SS=F |
| Facility failed to administer medication in a manner to prevent potential cross contamination for Resident 15. | SS=D |
| Facility failed to ensure adequate outside ventilation in five resident rooms. | SS=E |
| Facility failed to provide self-closing device on the Clinic door used as a storage room. | SS=E |
| Facility failed to conduct a 2nd shift fire drill during the third quarter of 2014. | SS=F |
| Facility failed to store oxygen within a minimum distance of five foot from combustible items in the Supply Room and Clinic. | SS=F |
| Facility failed to assure that extension cords and power strips were not used for permanent wiring. | SS=F |
| Facility staff failed to ensure a Supra Pubic catheter drainage system was maintained below the bladder level for Resident 9. | SS=D |
| Facility failed to utilize hand washing and gloving techniques to prevent cross-contamination, failed to cleanse a supra pubic catheter insertion site and peri area to prevent potential cross contamination for Resident 9. | SS=D |
Report Facts
Deficiencies cited: 11
Facility census: 30
Facility census: 33
Resident count: 31
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Schultz | Administrator | Named as facility administrator in multiple documents. |
| Eve Lewis | Program Manager - Office of LTC Facilities - Licensure Unit - Division of Public Health - DHHS | Signed official correspondence and plan of correction acceptance. |
| Dee Kaser | Quality Improvement Advisor CIMRO of Nebraska | Conducted Informal Dispute Resolution conference. |
| Randi Hansen | Registered Nurse | Involved in complaint investigation and informal dispute resolution. |
| Susan Scholer | MD | Participated in informal dispute resolution. |
| Ted Fraser | Senior Vice President CIMRO of Nebraska | Contact for informal dispute resolution scheduling. |
Inspection Report
Annual Inspection
Census: 28
Deficiencies: 10
Mar 17, 2014
Visit Reason
Annual inspection to assess compliance with licensure regulations and life safety code standards at The Lighthouse Health Care Residences at Lakeside.
Findings
The facility was found deficient in developing comprehensive care plans for residents, maintaining chemical security, infection control practices, and life safety code compliance including fire safety and emergency preparedness.
Severity Breakdown
SS=D: 4
SS=E: 4
SS=F: 3
Deficiencies (10)
| Description | Severity |
|---|---|
| Failed to develop a comprehensive care plan related to pressure ulcer prevention for Resident 5. | SS=D |
| Failed to review and revise a comprehensive care plan related to nutritional interventions for Resident 39. | SS=D |
| Failed to maintain security of chemicals accessible to a self-mobile resident with poor safety awareness. | SS=D |
| Failed to cleanse a suprapubic catheter site properly and failed to use proper handwashing and gloving technique during treatment for Resident 15. | SS=D |
| Failed to provide corridors and exit ways with an interior finish that has a flame spread rating of Class A or Class B by allowing non-flame retardant plastic for dust containment in construction area. | SS=E |
| Failed to maintain electrical room door to close and latch properly, allowing potential fire and smoke spread. | SS=E |
| Failed to test battery operated emergency lights annually for 90 minutes and failed to document monthly function tests. | SS=F |
| Failed to conduct a first shift fire drill during the third quarter of 2013. | SS=F |
| Failed to verify smoke detector sensitivity testing as required. | SS=F |
| Unattended housekeeping carts were stored in exit corridors, obstructing egress. | SS=E |
Report Facts
Facility census: 28
Residents affected: 13
Weight loss: 10
Container weight: 1.81
Fire drill frequency: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| NA A | Nursing Assistant | Failed to properly cleanse suprapubic catheter site and use proper gloving technique |
| NA B | Nursing Assistant | Observed during suprapubic catheter care |
| Director of Nursing | DON | Interviewed regarding care plan deficiencies, chemical security, and resident safety |
| Administrator | Interviewed regarding fire safety and chemical security deficiencies | |
| Operating Engineer | Interviewed regarding emergency lighting testing | |
| MDS Coordinator | Interviewed regarding care plan revisions for weight loss |
Inspection Report
Annual Inspection
Census: 27
Deficiencies: 10
Jan 9, 2013
Visit Reason
The inspection was conducted as an annual survey to assess compliance with licensure regulations and the Life Safety Code for The Lighthouse Health Care Residences at Lakeside.
Findings
The facility was found deficient in multiple areas including failure to maintain accurate resident personal property records, incomplete care plan revisions for residents using scoop mattresses, medication administration errors, inadequate skin breakdown monitoring, fire safety door latch failures, incomplete fire drill documentation, sprinkler system maintenance issues, kitchen hood inspection delays, corridor obstructions, and improper use of power strips.
Severity Breakdown
SS=E: 3
SS=F: 6
Deficiencies (10)
| Description | Severity |
|---|---|
| Facility failed to maintain adequate records of residents' personal belongings at admission and discharge for five residents. | — |
| Facility failed to review and revise care plans for two residents regarding the use of scoop mattresses. | — |
| Facility failed to ensure residents received medications according to physician orders for two residents and failed to monitor skin breakdown per policy for one resident. | SS=E |
| Chapel door failed to close and latch within the door frame, affecting smoke passage resistance. | SS=F |
| Kitchen door to Cove Dining room failed to close and latch within the door frame. | SS=E |
| Facility failed to conduct fire drills once per shift per quarter during 2011 and 2012. | SS=F |
| Sprinkler system deficiencies including missing sprinkler escutcheon and misaligned sprinkler head assembly in resident rooms. | SS=F |
| Facility failed to maintain kitchen hood suppression system inspection bi-annually. | SS=F |
| Means of egress obstructed by resident bed and dresser in corridor. | SS=E |
| Improper use of power strips and electrical wiring in multiple areas including resident rooms and laundry. | SS=F |
Report Facts
Residents sampled: 27
Residents affected by door latch deficiency: 64
Residents affected by kitchen door latch deficiency: 13
Residents affected by corridor obstruction: 14
Facility census: 27
Fire drills missing: 3
Wound size increase: 4
Inspection Report
Annual Inspection
Census: 30
Deficiencies: 12
Aug 17, 2011
Visit Reason
Annual inspection of The Lighthouse Health Care Residences at Lakeside to assess compliance with Nebraska Administrative Code and Life Safety Code standards.
Findings
The facility was found deficient in multiple areas including failure to implement fall prevention interventions, medication administration errors, infection control lapses, life safety code violations related to smoke doors and fire protection, and electrical safety issues.
Severity Breakdown
SS=E: 3
SS=F: 8
SS=D: 1
Deficiencies (12)
| Description | Severity |
|---|---|
| Facility failed to implement assessed interventions to prevent falls for 3 residents (Residents 4, 8, and 9). | SS=E |
| Medication aides administered transdermal patches without specific directions and contrary to facility policy. | — |
| Medication error rate of 6.81% observed during medication administration. | SS=D |
| Failure to utilize proper hand washing and gloving techniques during personal care and treatments for 3 residents (Residents 1, 4, and 5). | SS=E |
| Physical Therapy doors failed to resist passage of smoke due to gaps greater than 1/8 inch. | SS=F |
| Smoke separation doors in Corridor B failed to close and latch properly. | SS=F |
| Hazardous area doors (storage, housekeeping, electrical, kitchen) failed to close and latch properly or had unsealed penetrations. | SS=F |
| Sprinkler system deficiencies including missing escutcheons, unsealed penetrations, and overdue quarterly inspections. | SS=F |
| Combustible decorations on resident doors were not verified or documented as flame retardant. | SS=F |
| Oxygen in use signs were not posted for rooms where oxygen bottles were used. | SS=F |
| Electrical safety violations including use of extension cords, storage blocking electrical panels, unapproved power strips, missing cover plates, and unverified electrical appliances. | SS=F |
| Alcohol based hand rub dispensers installed adjacent to electrical sources increasing fire risk. | SS=F |
Report Facts
Medication administration: 44
Medication errors: 3
Medication error rate: 6.81
Residents affected by fall prevention deficiency: 3
Facility census: 30
Residents affected by smoke door deficiency: 31
Notice
Capacity: 36
Deficiencies: 0
APP2016
Visit Reason
The document serves as a renewal application for the nursing home license of The Lighthouse at Lakeside Village, including verification of licensure through the renewal date and related administrative documents.
Findings
The documents confirm the facility meets statutory requirements for licensure renewal, including current fire marshal occupancy permit and certification of services offered.
Report Facts
Total licensed beds: 36
Renewal fee: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Schultz | Administrator | Named on the Nursing Home Licensure Renewal Application. |
| Denise Kass | Director of Nursing | Named on the Nursing Home Licensure Renewal Application. |
Notice
Capacity: 36
Deficiencies: 0
APP2017
Visit Reason
The document package is related to the Nursing Home Licensure Renewal for The Lighthouse at Lakeside Village, including the renewal application, fire marshal certificate, floor plans, board of directors list, and payment check.
Findings
The documents verify that the facility meets statutory requirements for licensure renewal and includes the current fire marshal occupancy permit for 36 beds. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 36
Renewal fee: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jacob Schultz | Administrator | Named on Nursing Home Licensure Renewal Application |
| Denise Kass | Director of Nursing | Named on Nursing Home Licensure Renewal Application |
Document
Capacity: 36
Deficiencies: 0
APP2018
Visit Reason
The documents pertain to the renewal of the nursing home license for The Lighthouse at Lakeside Village and include certification of licensure, renewal application, and occupancy permit.
Findings
The documents certify that the facility meets statutory requirements for licensure renewal, specify the licensed bed capacity, and confirm occupancy permit approval by the State Fire Marshal.
Report Facts
Licensed beds: 36
Renewal fee: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brody Chandler | Administrator | Named in the Nursing Home Licensure Renewal Application. |
| Denise Kass | Director of Nursing | Named in the Nursing Home Licensure Renewal Application. |
| Eric N. Gurley | President & CEO | Signed the Nursing Home Licensure Renewal Application as authorized representative. |
| Scott A. Bear | Senior VP & CFO | Signed the Nursing Home Licensure Renewal Application as authorized representative. |
Notice
Capacity: 36
Deficiencies: 0
APP2019
Visit Reason
The document package is submitted for the renewal of the nursing home license for The Lighthouse at Lakeside Village.
Findings
The documents confirm the facility's licensure renewal application, list of board directors, current fire marshal occupancy permit, schematic/floor plans, and payment of renewal fees. The occupancy permit certifies a maximum capacity of 36 beds.
Report Facts
Number of beds to be relicensed: 36
Renewal fee: 1550
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brody Chandler | Administrator | Named in licensure renewal application |
| Denise Kass | Director of Nursing | Named in licensure renewal application |
| Colleen Davis | Executive Assistant | Signed cover letter submitting renewal documents |
Document
Capacity: 36
Deficiencies: 0
APP2020
Visit Reason
The documents verify the licensing renewal of The Lighthouse at Lakeside Village SNF/NF DUAL CERT and provide the occupancy permit issued by the Nebraska State Fire Marshal.
Findings
The facility is licensed through 3/31/2021 with a total licensed capacity of 36 beds. The occupancy permit confirms the maximum occupancy of 36 beds was approved on 1/15/2020.
Report Facts
Licensed capacity: 36
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brody Chandler | Administrator | Named on facility licensing application. |
| Denise Kass | Director of Nursing | Named on facility licensing application. |
| Jim Kenney | Deputy State Fire Marshal | Inspected the facility for occupancy permit. |
Notice
Capacity: 36
Deficiencies: 0
APP2022
Visit Reason
This document set serves to verify the licensure renewal of The Lighthouse at Lakeside Village skilled nursing facility and includes the renewal application, occupancy permit, and related administrative information.
Findings
The documents confirm that The Lighthouse at Lakeside Village meets statutory requirements for licensure renewal as a skilled nursing facility with a licensed capacity of 36 beds. The occupancy permit was issued on 2021-11-18, and the renewal license expiration date is 2023-03-31.
Report Facts
Licensed capacity: 36
Renewal license expiration date: Expires 2023-03-31 as stated on renewal card
Occupancy permit issue date: Issued 2021-11-18 as per occupancy permit
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brody Chandler | Administrator | Named on Nursing Home Licensure Renewal Application |
| Jodi Jenkins | Director of Nursing | Named on Nursing Home Licensure Renewal Application |
| Eric N. Gurley | President & CEO | Signed Nursing Home Licensure Renewal Application |
| Scott Bear | SVP, CFO, Treasurer | Signed Nursing Home Licensure Renewal Application |
| Gary J. Amihone, MD | Chief Medical Officer, Director, Division of Public Health | Signed licensure verification card |
| Susen Lindner | Deputy State Fire Marshal | Inspected and approved occupancy permit |
Notice
Capacity: 36
Deficiencies: 0
APP2023
Visit Reason
This document serves to verify the licensure renewal of The Lighthouse at Lakeside Village skilled nursing facility and includes the Nursing Home Licensure Renewal Application.
Findings
The documents confirm the facility's licensure renewal status, ownership, accreditation, and bed capacity. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 36
Renewal license expiration date: 2023
Occupancy permit date issued: 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Allen Cress | Administrator | Named in the Nursing Home Licensure Renewal Application. |
| Bianca Carmel-Cooper | Director of Nursing | Named in the Nursing Home Licensure Renewal Application. |
Notice
Capacity: 36
Deficiencies: 0
APP2024
Visit Reason
This document serves to verify the renewal of the SNF/NF dual certification license for The Lighthouse at Lakeside Village and includes the nursing home licensure renewal application.
Findings
The documents confirm that The Lighthouse at Lakeside Village meets statutory requirements for licensure renewal as a skilled nursing facility with 36 licensed beds. No inspection findings or deficiencies are reported.
Report Facts
Total licensed beds: 36
Renewal license expiration date: Expires 3/31/2025 as shown on the renewal card.
Occupancy permit date issued: 3/15/2023 as shown on the Nebraska State Fire Marshal occupancy permit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Allen Creiss | Administrator | Named on the Nursing Home Licensure Renewal Application. |
| Bianca Carmel-Cooper | Director of Nursing | Named on the Nursing Home Licensure Renewal Application. |
| Eric N. Gurley | President & CEO | Authorized representative signing the renewal application. |
| Scott Bear | Treasurer & CFO | Authorized representative signing the renewal application. |
| Susen Lindner | Deputy State Fire Marshal | Inspected and approved the occupancy permit. |
Notice
Capacity: 54
Deficiencies: 0
APP2025
Visit Reason
The document serves as a Nursing Home Licensure Renewal Application for The Lighthouse at Lakeside Village, including verification of licensure and occupancy permit information.
Findings
The documents confirm the facility's licensure renewal status, maximum licensed capacity of 54 beds, and compliance with state fire marshal occupancy requirements.
Report Facts
Total licensed beds: 54
Renewal license expiration date: 2025
Notice
Deficiencies: 0
DAN102215
Visit Reason
This Notice of Disciplinary Action informs The Lighthouse At Lakeside Village skilled nursing facility that its license is placed on probation for 90 days beginning November 20, 2015, due to violations related to failure to re-evaluate transfer ability and implement interventions to prevent injuries.
Findings
The facility was found in violation of licensure regulations related to accidents and provision of medication by an unlicensed person, resulting in probation and requirements to submit plans of correction and ongoing reports on residents with accidents.
Report Facts
Probation period length: 90
Report due date: Nov 30, 2015
License number: Facility license #NH0009
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eve Lewis | RNC, Program Manager | Contact for submission of reports and responses related to the Notice |
| Courtney N. Phillips | Chief Executive Officer | Signed the Notice of Disciplinary Action |
| Becky Wisell | Administrator | Listed as Administrator in the Licensure Unit |
| Linda Stenvers | Staff Assistant II | Certified mailing of the Notice |
| Jacob Schultz | Administrator | Facility Administrator addressed in follow-up letter |
Report
Mar 12, 2025
File
health-inspection_2025-03-12.pdf
Report
Apr 4, 2024
File
health-inspection_2024-04-04.pdf
Report
Mar 21, 2023
File
health-inspection_2023-03-21.pdf
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