Lakewood Care Center

The facility failed to ensure proper referral and follow-up to meet the routine healthcare needs of residents. Specifically, staff failed to notify the physician when residents' blood pressure readings fell outside of prescribed parameters (systolic <100 or >150; diastolic <50 or >100) for 3 of 5 sampled residents.

The facility failed to administer medications as ordered by a licensed prescribing practitioner for 4 out of 5 sampled residents during the morning medication pass on 12/12/21. This included failure to properly administer medications for various conditions such as high blood pressure, diabetes, heart failure, and Parkinson's disease.

The facility failed to administer medications as ordered by a licensed prescribing practitioner for 4 out of 5 sampled residents during the morning medication pass on 12/12/21. Specifically, multiple medications for conditions such as high blood pressure, heart attack risk reduction, and diabetes were not documented as administered, and no reasons for these omissions were recorded in the eMAR or progress notes.

The facility failed to ensure that a registered nurse completed required quarterly on-site reviews and physical assessments for several residents. Specifically, for three sampled residents, the facility did not provide the necessary professional oversight for tasks such as finger stick blood sugar monitoring, medication administration by injection, and care for residents using physical restraints or specialized feeding techniques.

The facility failed to maintain plumbing equipment in a safe and operating condition. Specifically, multiple shower stalls and bathtubs in the women's and men's common rooms, as well as a shared sink in Room #18, had missing handles, broken holders, or missing shower heads.

The facility failed to maintain plumbing equipment in a safe and operating condition. Specifically, multiple shower stalls and bathtubs in both the men's and women's common areas, as well as a resident room sink, were missing essential components such as handles, shower heads, and control knobs.