Lakewood Rehabilitation & Healthcare Center
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.
Inspection Findings
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
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.