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Complaint Investigation

Lakewood Rehabilitation & Healthcare Center

July 21, 2024 · Nanticoke, PA · 147 Old Newport Street
Citations 2
CMS Rating 1/5
Beds 110
Provider ID 395298
Healthcare Facility
Lakewood Rehabilitation & Healthcare Center
Nanticoke, PA  ·  View full profile →
Inspection Summary

LAKEWOOD REHABILITATION & HEALTHCARE CENTER in NANTICOKE, PA — inspection on July 21, 2024.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF600
Minimal harm or 28 Pa Code 201.14(a) Responsibility of Licensee Some affected

Review of Resident B1's Treatment Administration Record (TAR) dated June 10, 2024, through June 30, 2024, and July 1, 2024, through July 21, 2024, revealed that the TAR did no include the physician order to apply the Ace Wraps in the morning (AM).

The TARs noted solely that the Ace wraps were off in the evening and on at night. On July 9, 2024, and July 16, 2024, nursing staff signed the TAR indicating that the Ace wraps were off in the evening but there was no documentation that the Ace wraps were applied on those dates.

During an interview on July 21, 2024, at approximately 1:30 PM, the Director of Nursing failed to provide documented evidence that Resident B1's Ace wraps were being consistently applied and removed as per physician orders.

Further review of Resident B1's clinical record revealed a physician order initially dated April 23, 2024, for the administration of Novolog Flex Pen Subcutaneous Solution Pen Injector 100 units/milliliter (Insulin), with instructions for the dose to be based on a sliding scale, depending on the resident's blood sugar reading; inject as per the sliding scale: if the resident's blood sugar was between 0-150 0 units; if 151-200, administer 4 units; if 201-250, administer 6 units; if 251-300 administer 8 units; if 301-350 administer 10 units; if 351-400, administer 12 units; if [PHONE NUMBER], administer 14 units. If more than 401 call physician for further orders.

Subcutaneously before meals and at bedtime.

During interview with Resident B1 on July 21, 2024, at 9:00 AM the resident stated that he was concerned because his blood sugars and insulin coverage were being completed after meals instead of before meals.

395298

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395298 B.

Wing 07/21/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Lakewood Rehabilitation & Healthcare Center 147 Old Newport Street Nanticoke, PA 18634

According to long term care regulatory requirements under S483.12 Freedom from Abuse, Neglect, and Exploitation Mental and Verbal Abuse are defined as:

Mental abuse is the use of verbal or nonverbal conduct which causes or has the potential to cause the resident to experience humiliation, intimidation, fear, shame, agitation, or degradation.

Verbal abuse may be considered to be a type of mental abuse.

Verbal abuse includes the use of oral, written, or gestured communication, or sounds, to residents within hearing distance, regardless of age, ability to comprehend, or disability.

Examples of mental and verbal abuse include, but are not limited to:

o Harassing a resident;

o Mocking, insulting, ridiculing;

o Yelling or hovering over a resident, with the intent to intimidate;

o Threatening residents, including but limited to, depriving a resident of care or withholding a

resident from contact with family and friends; and

o Isolating a resident from social interaction or activities.

Review of Resident A1's clinical record revealed admission to the facility on [DATE], with diagnoses, which included Alzheimer's disease, adjustment disorder with anxiety, and major depression.

The resident was significantly cognitively impaired with a BIMS (Brief Interview for Mental Status a tool to assess cognitive function) score of 2.

395298

Form Approved OMB

STATEMENT OF DEFICIENCIES (X1) PROVIDER/SUPPLIER/CLIA (X2) MULTIPLE CONSTRUCTION (X3) DATE SURVEY AND PLAN OF CORRECTION IDENTIFICATION NUMBER: COMPLETED A.

Building 395298 B.

Wing 07/21/2024

NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE

Lakewood Rehabilitation & Healthcare Center 147 Old Newport Street Nanticoke, PA 18634

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in NANTICOKE, PA, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from LAKEWOOD REHABILITATION & HEALTHCARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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