LAKEWOOD HEALTH AND REHAB, LLC

LOCATED: 2323 MCCAIN BOULEVARD, NORTH LITTLE ROCK, AR 72116

LAKEWOOD HEALTH AND REHAB, LLC was cited by the DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES for the following deficiencies:

PLEASE NOTE: The following highlighted quoted text is only a portion of the full report/survey submitted by DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES. The full report/survey can be found here.

FACILITY FAILED TO GIVE RESIDENTS PROPER TREATMENT TO PREVENT NEW BED (PRESSURE) SORES OR HEAL EXISTING BED SORES.

LEVEL OF HARM –ACTUAL HARM

**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY**

Complaint # (AR 766) was substantiated (all or in part) with these findings:

Based on observation, record review and interview, the facility failed to ensure necessary treatment and services were provided to promote the healing of pressure ulcers for Resident #3. The facility failed to ensure the physician was promptly consulted regarding deterioration of pressure ulcers and need for treatment changes for 1 of 1 (Resident #3) case mix resident who had a pressure ulcer. The failed practice resulted in a pattern of harm for Resident #3 whose pressure ulcers continued to deteriorate and had the potential to affect 6 residents in the facility who had a pressure ulcer.

On 11/3/15 at 9:45 a.m., Licensed Practical Nurse (LPN) #1 provided wound care for the resident. A large dressing was removed from the coccyx area to reveal a pressure ulcer that measured 9.0 cm x 4.8 cm x 1.8 cm. There was a small area of white slough in the base of the wound with 1.7 cm undermining at 6 o’clock. LPN #1 stated, she had a deep tissue injury (DTI) when she returned from the hospital, but it actually got to looking better. Then it quickly deteriorated and just sort of fell out. I was shocked. It happened so fast I thought maybe it was a Kennedy ulcer. I thought she maybe needed to go to the wound clinic, but she’s on Hospice and they don’t allow that. The wound was cleaned with Sea Cleanse and 4x4s. Gauze soaked with 1/2 Dakins was packed into the wound and then covered with a large [MEDICATION NAME] dressing.

A pressure relieving boot was removed from the resident’s right foot. A dressing to the right outer ankle was removed and revealed a pressure ulcer that measured 2.7 cm x 2.1 cm. The wound bed was yellow slough and the peri wound was bright red. The wound was cleaned with Sea Cleanse and 4x4s. Silver Alginate was placed in the wound bed and it was covered with a dressing. LPN #1 stated, she’s on Hospice so I can’t be real aggressive on treating these.

On 11/3/15 at 4:00 p.m., the Director of Nursing (DON) was asked if Resident #3 had gone to the wound clinic as it was written in the physician progress notes [REDACTED].

On 11/4/15 at 9:25 a.m., LPN #1 was asked why the physician wasn’t notified of the deterioration in the wounds and why the treatments weren’t changed sooner when the wounds failed to improve. He stated, I have learned a lot since yesterday with this. It’s my fault and it won’t happen again.

Personal Note from NHA-Advocates: NHAA shares with all the families of loved ones who are confined to nursing homes the pain and anguish of putting them in the care of someone else. We expect our loved ones to be treated with dignity and honor in the homes we place them. We cannot emphasize enough to family members of nursing home residents; frequent visits are essential to our loved ones’ well-being and safety. This nursing home and many others across the country are cited for abuse and neglect.

You can make a difference. If you have a loved one living in this nursing home or any other nursing home where you suspect any form of abuse or neglect, contact us immediately.

We can help you and your loved one file a state complaint, hire a specialized nursing home attorney or help you find a more suitable location for your loved one.

Contact us through our CONTACT FORM located on our website here below or on the sidebar or call our toll free hot line number: 1-800-645-5262.

You can make a difference even if your loved one has already passed away.