Lake Terrace Health and Rehabilitation Center

Health Inspections

! Special Focus Facility: This home is being closely monitored because of a history of bad care.

Health Inspections
1
Health Deficiencies
This Nursing Home: 15
WI State Average: 6
U.S. Average: 6
WI Deficiencies Range: 1–25
Complaints & Incidents: 6
Updated April 12, 2014.

This rating indicates how well this home has complied with standards for food preparation and other health-related activities in state inspections conducted approximately every 15 months. Results from inspections after the latest date shown below may be available at Nursing Home Compare.

June 05, 2013 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Give each resident enough fluids to keep them healthy and prevent dehydration.
Some
Few
6/5/2013
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Low
Some
7/5/2013
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Low
Some
7/5/2013
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Low
Some
7/5/2013
Have a program that investigates, controls and keeps infection from spreading.
Low
Some
7/5/2013
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Low
Few
7/5/2013
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
7/5/2013
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Low
Few
7/5/2013
Ensure that residents are safe from serious medication errors.
Low
Few
7/5/2013
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
Low
Few
7/5/2013
Provide care by qualified persons according to each resident's written plan of care.
Low
Few
7/5/2013
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
7/5/2013
Keep clinical record information safe.
Very Low
Many
7/5/2013
Post nurse staffing information/data on a daily basis.
Very Low
Many
7/5/2013
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Very Low
Some
7/5/2013

November 13, 2012 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide activities to meet the interests and needs of each resident.
Low
Some
12/13/2012
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Low
Few
12/13/2012
Store, cook, and serve food in a safe and clean way.
Low
Few
12/13/2012
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Low
Few
12/13/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
12/13/2012
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Low
Few
12/13/2012
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Low
Few
12/13/2012
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
Low
Few
12/13/2012
Provide care by qualified persons according to each resident's written plan of care.
Low
Few
12/13/2012

June 07, 2012 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Keep residents' personal and medical records private and confidential.
Low
Few
7/7/2012
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
7/7/2012
Make sure that special or therapeutic diets are ordered by the attending doctor.
Low
Few
7/7/2012
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Low
Few
7/7/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
7/7/2012

June 05, 2013 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide housekeeping and maintenance services.
Low
Some
7/5/2013
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Low
Some
7/5/2013
Keep residents' personal and medical records private and confidential.
Low
Some
7/5/2013
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Low
Few
7/5/2013
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Some
7/5/2013
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Low
Few
7/5/2013

March 27, 2013 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
3/27/2013
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
3/27/2013

February 25, 2013 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Some
Few
3/27/2013
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Low
Few
3/27/2013
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Low
Few
3/27/2013

November 13, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident .
Some
Few
12/13/2012
Keep each resident free from physical restraints, unless needed for medical treatment.
Low
Few
12/13/2012
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Low
Few
12/13/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Some
12/13/2012

October 10, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
11/5/2012
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Some
11/5/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Some
11/5/2012
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Low
Few
11/5/2012

June 07, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
7/7/2012

January 05, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Try to resolve each resident's complaints quickly.
Low
Some
2/8/2012
Store, cook, and serve food in a safe and clean way.
Low
Some
2/8/2012
Provide necessary care and services to maintain or improve the highest well being of each resident .
High
Few
2/8/2012
Provide housekeeping and maintenance services.
Low
Some
2/8/2012
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Low
Few
2/8/2012
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Low
Some
2/8/2012
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed.
Low
Few
2/8/2012
Have a program that investigates, controls and keeps infection from spreading.
High
Many
2/8/2012
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Low
Few
2/8/2012
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
High
Some
2/8/2012
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Few
2/8/2012
Dispose of garbage and refuse properly.
Very Low
Many
2/8/2012
Develop policies and procedures for influenza and pneumococcal immunizations.
Low
Some
2/8/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Some
2/8/2012
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Low
Few
2/8/2012

January 04, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Other fire safety features required by fire safety codes.
High
Many
2/8/2012

August 19, 2011 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Low
Some
9/18/2011
Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
High
Some
9/18/2011
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Some
Few
9/18/2011
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
High
Few
9/18/2011
Ensure services provided by the nursing facility meet professional standards of quality.
High
Some
9/18/2011
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Low
Few
9/18/2011
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Some
9/18/2011
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Low
Few
9/18/2011

June 09, 2011 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Low
Some
7/8/2011

April 06, 2011 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Provide necessary care and services to maintain or improve the highest well being of each resident .
Low
Few
5/3/2011
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Few
5/3/2011
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Some
Few
5/3/2011
Ensure that residents are safe from serious medication errors.
Low
Few
5/3/2011
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
5/3/2011
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Low
Few
5/3/2011
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Some
5/3/2011
Conduct initial and periodic assessments of each resident's functional capacity.
Low
Few
5/3/2011
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Low
Few
5/3/2011

Note: Because of differences in calculation, all data may not match those shown on Nursing Home Compare, a website run by the federal Centers for Medicare & Medicaid Services. CMS has approved the U.S. News methodology.

Last updated April 12, 2014.


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