space
space
Peshtigo Times
space
space
space
Perspectives
* Country Cousin
space
space
Sports Shorts
* Marinette Takes Third in Waupaca; Bay Tourney Starts Thursday
* Jordan Jones Three Run Homer the Difference
* Undefeated Bulldogs Run Away With Conference Title
* Peshtigo Boys Three-peat; Dominate Running Events
* Peshtigo Boys Win Home Invite; Marinette Girls Finish Second

space
Peshtigo Fire
space
e-Edition
Now Available
For more information
click here
dot
THE CITY REBORN FROM THE ASHES OF AMERICA'S MOST DISASTROUS FOREST FIRE
space
dot
space

Violations Filed Against Lakewood Assisted Living

The Peshtigo Times has learned that three separate complaint investigations by the Wisconsin Department of Health Services Division of Quality Assurance (DQA) resulted in Notices of Violation being filed against Lakewood Assisted Living, LLC, 17185 Flynn Lane, Lakewood. The 20-bed community based assisted living facility (CBRF) was ordered not to admit new or additional residents, submit plans of correction, pay over $20,000 in forfeitures, and fulfill several other special orders.

All of the DQA concerns have been taken care of, Kathy Ambrosius of Green Bay, one of the owners, stated on Wednesday morning, April 24.

She said she and other owners were shocked when the inspection and deficiency reports came out. “We knew as owners we had to take control, and we did so immediately,” she said, adding they now have corrected everything that was necessary and have submitted all reports to the state. “As soon as the state has their scheduled visit we will again be able to accept new residents,” she said.

Residents already in the facility continue to live there and Ambrosius expects new residents will be admitted as soon as the state inspection and recertification are complete.

“We no longer have New Care managing it. Former Administrator Rebecca Marks has been replaced. We have hired a professional consultant and a new manager and are hiring all licensed employees.”

Ambrosius explained the Lakewood CBRF owners had hired New Care to manage and run their facility because New Care has its own facility in Crivitz, “and we thought they knew all the regulations, rules and proper care for the residents. New Care hired Marks as administrator.”

The first Notice of Violation that led to the changes at the Lakewood facility was dated March 15, 2013, and identified 16 separate deficiencies. Addressed to Marks, who was then administrator, it indicates that on January 14, 2013 (with information gathered through February 11, 2013) a complaint investigation and verification visit was conducted by DQA to determine compliance with state statutes related to the administration and operation of the facility. Based on that investigation and the 16 deficiencies identified, the CBRF was ordered to pay fines/forfeitures totaling $19,850.

A second Notice of Violation and Order was sent to Lakewood on April 2, recounting a subsequent investigation of two additional complaints that resulted in five additional deficiencies identified on March 13. The order to not admit new or additional residents was extended and the facility was ordered to pay additional forfeitures of $5,480.

Two of the identified deficiencies cited failures to thoroughly investigate complaints from residents and staff members about the misconduct of a staff member.

According to the report, these complaints were investigated very sparsely, included no written statements, and failed to address all allegations presented.

A separate deficiency included failure to send a written report to the state following an incident when law enforcement had to be called to the facility. The investigation showed that 911 had to be called because a visitor was causing a disturbance. According to the report, when asked about failure to notify the department, the Administrator responded, “I have to notify you? Okay, that’s fine. I didn’t know that.”

Another deficiency indicated that the facility had failed twice to send written reports to the state reporting an incident or accident resulting in serious injury requiring hospital admission or emergency room treatment of a resident. In one of those incidents, a resident had fallen and received an injured foot/ankle. Emergency care was sought for the patient, but the facility failed to notify the department as required.

Multiple violations were noted involving resident care and services, health, safety and resident rights, all of which led the department to conclude that “the license did not ensure qualified administration by supervising the daily operation of the facility.”

These violations included inadequacies in staff training, failing to ensure continuing education of the staff, failure to make sure over half of the residents received their medications at the intervals prescribed by their physicians, failure to develop comprehensive individual service plans for at least five residents, failure to revise care plans when there was a change in condition, and failure to provide appropriate staff levels to meet the needs of the residents.

Along these same lines, other violations included the administration of medication without the delegation of a registered nurse or licensed practical nurse.

A particularly vivid violation of the failure to provide resident supervision noted that one resident was allowed to wander through another resident’s blood, which coated his feet, exposing him to possible blood borne pathogens.

In this same category were violations of failure to ensure the residents were provided with appropriate leisure time activities and failure to post a monthly schedule of community activities.

Lastly, a violation noted that the administration did not ensure that staff followed an infection control program.

In regard to the violations related to the facility’s administration, the outgoing Administrator explained that she took the position of Administrator in October of 2012, but was now leaving because the licensee decided he/she wanted a licensed nursing home administrator in the position and that she was not licensed.

Several staff members reportedly told investigators they were never trained on certain procedures. One even quit working at the facility because she was asked to perform procedures she felt should only be done by a nurse.

Another violation indicated that one specific caregiver made several documented medication errors (four in 40 days), but Administration failed to ensure the caregiver was competent to do so, nor was she retrained or counseled regarding it.

Other violations were directly related to Administration’s failure to provide adequate staff on a 24-hour basis, which the reports indicated resulted in more resident falls, attempted elopements, and in some instances, residents waiting an entire week to receive a shower.

As a result of these violations, Lakewood was ordered not to admit any new or additional residents until the current violations are corrected and the facility is in compliance with the state. The facility was also directed to submit a plan of correction.

Special orders included that every resident and their families be notified of the violations, that a documented training and consultation plan be established, that administration immediately provide staff in sufficient numbers on a 24 hour basis, that all medications and medical devises be administered by a registered nurse or licensed practical nurse, and that the facility immediately provide a daily activity program to meet the interests and capabilities of the residents.

Lastly, based upon the 16 noted deficiencies, Lakewood Assisted Living was ordered to pay fines/forfeitures totaling $19,850.

A second Notice of Violation and Order was sent to Lakewood on April 2, 2013, recounting the investigation of two additional complaints resulting in five additional deficiencies cited on March 13, 2013. The order to not admit new or additional residents was extended and the facility was ordered to pay additional forfeitures of $5,480.

The first deficiency in that report noted the facility’s failure to report to the state when a resident’s whereabouts were unknown. The resident was later found to be safe - a friend had picked him up and they had left without informing anyone. The report states, however, that when staff discovered that the resident had left the facility they did not notify the administrator for almost two hours, and in turn, the administrator did not ever report the matter to the state.

A second deficiency noted that the facility did not ensure that a new cook was trained regarding safe food handling and exposure to blood, body fluids or other moist body substances, and had no formal dietary training.

Deficiency three revealed that a resident was “left in bed on at least two occasions for approximately 17 consecutive hours, without toileting, food or drink.” When the resident was finally taken care of, the bed was soaked and soiled with human waste. In addition, proper medication was also not offered or administered to the resident. That medication included treatment for bed sores.

Another deficiency dealt with the facility’s failure to provide or arrange services adequate to meet the needs of a resident for whom personal care services had been ordered to increase independence, for example staff-assisted physical therapy to meet minimum walking requirements.

At the time of the violations, Lakewood Assisted Living was being operated under the umbrella of NewCare Convalescent Center of Crivitz. The Peshtigo Times learned that this relationship had since been severed by owners of the Lakewood building, and this was confirmed by Ambrosius.


Recent stories, opinions and photos

Issue Date Department Headline
05-22-2015Sports
Marinette Takes Third in Waupaca; Bay Tourney Starts Thursday

05-22-2015Sports
Jordan Jones Three Run Homer the Difference

05-22-2015Sports
Undefeated Bulldogs Run Away With Conference Title

05-22-2015Sports
Peshtigo Boys Three-peat; Dominate Running Events

05-22-2015Perspectives
Country Cousin

05-22-2015Perspectives
From our readers

05-22-2015Perspectives
Tales from the old-timer

05-22-2015Obituaries
Evelyn F. Wood

05-22-2015Obituaries
Jesse D. Tice

05-22-2015Obituaries
Jaren E. Smith

05-22-2015Obituaries
Mary J. Pestrui-Murphy

05-22-2015Obituaries
Robert W. Roggendorf

05-22-2015Obituaries
Charles H. Olsen

05-22-2015Obituaries
Thomas Joseph McCarthy

05-22-2015Obituaries
Vincent C. Hanson

05-22-2015Obituaries
Ruth L. Grosse

05-22-2015Obituaries
Barbara M. Goetz

05-22-2015Obituaries
Dorothy J. Forcey

05-22-2015Obituaries
Alice K. Czajkowski

05-22-2015Obituaries
Raymond L. Bogardus Sr.

05-22-2015Obituaries
Betty M. Winter

05-22-2015Obituaries
Joyce E. Thompson

05-22-2015Obituaries
Delbert E. Rentmeester

05-22-2015Obituaries
Judith Ann Osterman

05-22-2015Obituaries
Robert L. Olson

05-22-2015Obituaries
Richard P. Okray

05-22-2015Obituaries
Cecilia M. Mayo

05-22-2015Obituaries
Marliss-ann Lundquist

05-22-2015Obituaries
Stephen D. LaCombe

05-22-2015Obituaries
June L. Headson

05-22-2015Obituaries
Jack K. Donovan

05-22-2015Obituaries
Richard D. Davis

05-22-2015Obituaries
Betty Allen

05-22-2015News
Aromatherapy Topic at Library

05-22-2015News
Legion Trap/22 Shoot is May 23

05-22-2015News
ResCare To Open Adult Day Center

05-22-2015News
Church Women Big Rummage Sale May 23 

05-22-2015Community - Wausaukee


05-22-2015Community - Wausaukee
Meet, Greet for New Principal

05-22-2015Community - Wausaukee
Athelstane Adds ATV Roads, Public Comments

05-22-2015Community - Wausaukee
Village Board Seeks Grants, Buy Vehicle

05-22-2015Community - Crivitz
Art Topic at Loomis Historical

05-22-2015Community - Crivitz
Stephenson Okays Licenses, Hiring, Town Hall Repair Work

05-22-2015Community - Crivitz
Red, White and Music Festival at Crivitz May 23

05-22-2015Community - Crivitz
Crivitz Elementary Receives Chromebooks Initiative

05-22-2015Community - Coleman
Woman’s Club Yard Sale in Beaver

05-22-2015Community - Coleman
Equity Park Craft, Flea Market June 20

05-22-2015Community - Coleman
Pound Woman’s Club To Award Scholarships

05-22-2015Community - Coleman
Village of Pound Picnic, Car Show June 26, 27

05-22-2015Front Page
Halvorson On Honors Flight For WWII, Korea Veterans

05-22-2015Front Page
New Marinette County Admin. Now On The Job

05-22-2015Front Page
Middle Inlet Again Offers $1,000 Reward for Street Sign Theft Info

05-22-2015Front Page
Two Residents Object To Kozuzek Road Dog Park

05-22-2015Front Page
Airport Seeks Proposals On Roof Repair, Cameras

05-14-2015Sports
Peshtigo Boys Win Home Invite; Marinette Girls Finish Second

05-14-2015Sports
Wausaukee Wins M&O Golf 9-Hole Meet

05-14-2015Sports
Barbarians Fall to Orions

05-14-2015Sports
Crivitz Topples Peshtigo; Cougars Take M&O Lead

05-14-2015Obituaries
Thomas E. Zeratsky

05-14-2015Obituaries
Donald H. Woller

05-14-2015Obituaries
Marie Werner

05-14-2015Obituaries
Janet D. Sundquist

05-14-2015Obituaries
Calvin L. Siegrist

05-14-2015Obituaries
Gordon A. Myers

05-14-2015Obituaries
Barbara L. Moss

05-14-2015Obituaries
Dwaine J. Mellen Sr.

05-14-2015Obituaries
Susan Daryl Lindberg

05-14-2015Obituaries
Ward E. Kimball, Jr.

05-14-2015Obituaries
Marvin R. Gusick

05-14-2015Obituaries
Charles M. Gibbons

05-14-2015Obituaries
Janice M. Everson

05-14-2015Obituaries
Lillian M. Chaltry

05-14-2015Obituaries
Phyllis Borie

05-14-2015Obituaries
Harold F. Amenson

05-14-2015Obituaries
June Zeugner

05-14-2015Obituaries
Nichole A. Skog

05-14-2015Obituaries
Robert G. Shaw

05-14-2015Obituaries
Dorothy C. Scheer

05-14-2015Obituaries
Vicki L. Miller

05-14-2015Obituaries
Michael R. McCormick

05-14-2015Obituaries
Evelyn M. Kanack

05-14-2015Obituaries
Mary Ann Hamilton

05-14-2015Obituaries
Eleanor R. Gorski

05-14-2015Obituaries
Kathleen A. Geltz

05-14-2015Obituaries
Maureen E. Frawley

05-14-2015Obituaries
Lois A. Doffek

05-14-2015Obituaries
Charles W. Carter

05-14-2015Obituaries
Maxine H. Bartels

05-14-2015Perspectives
Country Cousin

05-14-2015Perspectives
From our readers

05-14-2015Perspectives
Tales from the old-timer

05-14-2015News
PHS 1985 Class Reunion is Aug. 15

05-14-2015News
Marinette Legion Brat Fry May 21, 22

05-14-2015News
Legion To Place Flags on Graves

05-14-2015News
Can Order Wagner Centennial Books

05-14-2015Community - Wausaukee
Legion Post 66 Lists Memorial Day Services

05-14-2015Community - Wausaukee
Silver Cliff Fire Auxiliary Gives Award

05-14-2015Community - Wausaukee
Legion Auxiliary Unit 66 Lists Memorial Services

05-14-2015Community - Crivitz
Crivitz School Lists Students of Month

05-14-2015Community - Crivitz
Middle Inlet Potluck Reunion Is May 21

05-14-2015Community - Crivitz
Red, White and Music Festival at Crivitz May 23

05-14-2015Community - Crivitz
Five Stephenson Board Committees Hold Meets

05-14-2015Community - Coleman
Rosner, Crandall Students of Month

05-14-2015Community - Coleman
T/Pound Acts On Road, Bridge, Gutter Projects

05-14-2015Community - Coleman
Coleman School Board To Elect Officers May 18

05-14-2015Community - Coleman
Village of Pound Picnic, Car Show June 26, 27

05-14-2015Front Page
Mursau Pays Tribute to Law Enforcement Officers

05-14-2015Front Page
Plan Another Look At Ski Cat Use Of Park

05-14-2015Front Page
County Seeks Proposals For Cures to Pool Woes

05-14-2015Front Page
Number of School Lunches Decline at Marinette School

05-14-2015Front Page
Set Three Hearings On Shoreland Zoning Regs

05-07-2015Sports
Panther Boys Win Final Oconto Falls Invitational Held At Memorial Field

05-07-2015Sports
Marine’s Alex Cording Ties State Record With 8 Goals In One Match

05-07-2015Sports
Marinette , STAA and Peshtigo Win Triangulars

05-07-2015Sports
Badgers Dig In To Hold Off Wolverines

05-07-2015Obituaries
John E. Szymusiak

05-07-2015Obituaries
Gale A. Starnes

05-07-2015Obituaries
Ryan W. Shevey

05-07-2015Obituaries
Wilbert Padgett

05-07-2015Obituaries
Helen B. Menor

05-07-2015Obituaries
Earl G. Lynch

05-07-2015Obituaries
Karen G. Koldos

05-07-2015Obituaries
Genevieve A. Johnson

05-07-2015Obituaries
Doc Allen Hill

05-07-2015Obituaries
John Fifrick

05-07-2015Obituaries
Richard J. Bruehl

05-07-2015Obituaries
Clarence T. Benser, Sr.

05-07-2015Obituaries
Loretta M. Behnke

05-07-2015Obituaries
Clare E. Wilber

05-07-2015Obituaries
Donald V. Weyenberg

05-07-2015Obituaries
Peter J. Tarenski

05-07-2015Obituaries
L. Jay Spaulding

05-07-2015Obituaries
Ann F. Shaver

05-07-2015Obituaries
James E. Schroeder

05-07-2015Obituaries
Betty J. Redlich

05-07-2015Obituaries
LaVerne J. Quick

05-07-2015Obituaries
Anthony V. Piencikowski

05-07-2015Obituaries
Daniel R. Osterberg

05-07-2015Obituaries
Barbara Nowicki

05-07-2015Obituaries
Dr. Alice M. Lee

05-07-2015Obituaries
Gladys L. Kofler

05-07-2015Obituaries
Carol J. Hubert

05-07-2015Obituaries
Bobbie Frank

05-07-2015Obituaries
Dorothy A. Beyer

05-07-2015Perspectives
Country Cousin

05-07-2015Perspectives
From our readers

05-07-2015Perspectives
Tales from the old-timer

05-07-2015News
Co. Sheriff Auxiliary Seeks New Members

05-07-2015Community - Wausaukee
Wagner Town Board May 12

05-07-2015Community - Wausaukee
Legion Post To Place Flags


space
Peshtigo Times
WEB Poll!
Should the State of Wisconsin increase the speed limit to 70 mph on some highways?
space Yes
No
Undecided
space
TO VOTE CLICK
YES, NO or UNDECIDED

Suggest a Question
space .
space
FRONT
space
.
space
CLASSIFIEDS
space
.
space
COMMUNITY
space
.
space
GUEST BOOK
space
.
space
NEWS
space
.
space
OBITS
space
.
space
PERSPECTIVES
space
.
space
SPORTS
space
.
space
SUBSCRIBE
space
.
space
.
space
PESHTIGO FIRE
space
.
space
CUSTOM PRINTING
space
.
space
TIMES' SAVER
space
.
space
Click for Peshtigo, Wisconsin Forecast
FORECAST
space
Quick...
News or Ad Search
Enter News key words.
Enter Ad key words.



Peshtigo Times
841 Maple St
PO Box 187
Peshtigo, WI 54157
Phone: 715-582-4541
Email:
News@
PeshtigoTimes.com

space
Fax: 715-582-4662
© 2000-2015
All right reserved
space
Powered by
WEB Media
Interactive
COMMUNITY
WEB sites