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Lakeside Health & Rehab: Unsafe Transfer Injuries - IL
The left had a small skin tear on top....
Latest reports, citations, and penalties from CMS data
The left had a small skin tear on top....
They searched inside the building and outside....
That's what inspectors found when they visited the facility on November 17, 2025, following a complaint....
The resident's physician did not find out any of this had happened until three days later....
Inspectors rated the harm as minimal or potential, and noted few residents were affected....
At the hospital, she received another milligram of Narcan....
That explanation didn't hold up once inspectors pulled the paperwork....
The resident, identified in inspection records as R2, was admitted to Beaver Dam Health Care Center with sepsis....
The aide who frightened her, identified in inspection records only as CNA E, was fired six weeks later....
That session covered working with dementia patients, behavioral management, and documentation....
Nebulizer treatments are not a minor matter for nursing home residents....
The resident, identified in inspection records only as R1, was known throughout the facility for behaviors that made constant supervision essential....
The jeopardy designation was not lifted until October 30, nearly a month after it began....
The deficiency was cited during a complaint inspection completed November 14, 2025....
The administrator confirmed it herself....
Fifteen minutes after being told, the family asked that the resident be sent to the emergency room....
This is what inspectors found at Bentwood Nursing & Rehab on October 21, 2025....
Two certified nursing assistants were working the transfer together, one standing in front of the wheelchair and one behind....
The inspection, triggered by a complaint, found the lapse affected a small number of residents....
The facility's census was 70 residents....