space
space
Peshtigo Times
space
space
space
Perspectives
* From Our Readers
space
space
Sports Shorts
* Marinette Hoops Club Nov. 1 4th, 5th Grade Boys Scores
* Hunters Hats Must Be 50% Orange
* Safe Deer Hunting Tips, ATVs, UTVs Great Tools
* Over 550,000 Orange Coats To Take To The Woods Saturday
* Nine Maroons Bring Home All-U.P. Honors

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
11-20-2014Sports
Marinette Hoops Club Nov. 1 4th, 5th Grade Boys Scores

11-20-2014Sports
Hunters Hats Must Be 50% Orange

11-20-2014Sports
Safe Deer Hunting Tips, ATVs, UTVs Great Tools

11-20-2014Sports
Over 550,000 Orange Coats To Take To The Woods Saturday

11-20-2014Perspectives
From Our Readers

11-20-2014Perspectives
From our readers

11-20-2014Perspectives
COUNTRY COUSIN

11-20-2014Perspectives
Tales from the old-timer

11-20-2014Obituaries
Antone A. Schmidt

11-20-2014Obituaries
Thomas A. Petri

11-20-2014Obituaries
Warren C. Peterson

11-20-2014Obituaries
Clarice M. LaCount

11-20-2014Obituaries
Rob Jahnke

11-20-2014Obituaries
Patricia J. Groth

11-20-2014Obituaries
Francis P. Dupuis

11-20-2014Obituaries
Irene M. Demmith

11-20-2014Obituaries
Thomas R. Wozniak

11-20-2014Obituaries
Leonard A. Wahlstrom

11-20-2014Obituaries
Janet D. Sleeter

11-20-2014Obituaries
William A. Rose, Jr.

11-20-2014Obituaries
Genevieve R. Raboin

11-20-2014Obituaries
Dean P. Powers

11-20-2014Obituaries
Jerrod Lemke 

11-20-2014Obituaries
Edna Lang

11-20-2014Obituaries
Esther J. Klukas

11-20-2014Obituaries
Carl Hansen

11-20-2014Obituaries
Hayden D. Gagnon

11-20-2014Obituaries
Eugene F. Fristad

11-20-2014Obituaries
John Fiedorowicz

11-20-2014Obituaries
Marie L. Ebbole

11-20-2014Obituaries
Shirley L. Beyer

11-20-2014Obituaries
Karen J. Becker

11-20-2014Obituaries
Bernard R. Becker

11-20-2014Obituaries
Cleon G. Allard

11-20-2014Obituaries
Palma G. Adams

11-20-2014Obituaries
Loraine E. Stepien

11-20-2014News
Unit 66 Bake Sale is Nov. 20

11-20-2014News
Free Thanksgiving Dinner at St. Mary’s

11-20-2014News
Church Hunter’s Supper Nov. 22

11-20-2014Community - Wausaukee
Wausaukee Travel Club Ireland Trip

11-20-2014Community - Wausaukee
Athelstane Craft Fair Nov. 22

11-20-2014Community - Wausaukee
Wausaukee Elementary School Holds Family Literacy Night

11-20-2014Community - Wausaukee
Legion Auxiliary Unit 66 Bake Sale at Nimrod Nov. 20

11-20-2014Community - Crivitz
NEWCAP Vendor Craft Sale Nov. 22

11-20-2014Community - Crivitz
Loomis Historical Christmas Potluck

11-20-2014Community - Crivitz
Crivitz Blood Drive Dec. 1

11-20-2014Community - Crivitz
LCMC Thanksgiving Service, Dinner

11-20-2014Community - Coleman
Coleman Elementary Students Earn Perfect Attendance

11-20-2014Community - Coleman
Sadie Duckert is Kohl Award Nominee

11-20-2014Community - Coleman
Coleman 5th Grade Honor Roll Listed

11-20-2014Community - Coleman
Village of Pound Approves Budget

11-20-2014Front Page
Town of Peshtigo Tax Is Again 78 Cents Per $1,000

11-20-2014Front Page
Voters To Decide Offices For State, Local, Schools

11-20-2014Front Page
Suit Filed Against District, Damas, Over Cell Phone Use

11-20-2014Front Page
Marinette School Board Approves Salary System

11-20-2014Front Page
EMTs, Staff Trained for Ebola

11-13-2014Sports
Nine Maroons Bring Home All-U.P. Honors

11-13-2014Sports
Bucs Bounce Back From Sluggish Start To Take Care Of Cougars By 19 At Home

11-13-2014Sports
Plenty Of Local Hoops Talent For 2014 Buccaneers

11-13-2014Sports
Maroons Cruise Past Calumet

11-13-2014Obituaries
Harold Zimmerman Jr.

11-13-2014Obituaries
Jeanne M. Vandenbush

11-13-2014Obituaries
William L. “Tap” Tappen

11-13-2014Obituaries
Elenore T. Sladky

11-13-2014Obituaries
Leo L. Skowronek, Sr.

11-13-2014Obituaries
Anna N. Rotter

11-13-2014Obituaries
William F. Nerat

11-13-2014Obituaries
Catherine “Kate” Morois

11-13-2014Obituaries
Lilith J. Lubinski

11-13-2014Obituaries
Sylvia M. Lesperance

11-13-2014Obituaries
Helen Kostrewa

11-13-2014Obituaries
Matthew J. DeLaet

11-13-2014Obituaries
Gary W. Bardin

11-13-2014Obituaries
Bernice M. Anderson

11-13-2014Obituaries
James P. Zimmerman

11-13-2014Obituaries
Davis G. Whittier, Sr.

11-13-2014Obituaries
Roger A. Wendt

11-13-2014Obituaries
Richard M. Schultz

11-13-2014Obituaries
Margaret M. Powalka

11-13-2014Obituaries
Rebecca Ruth List

11-13-2014Obituaries
Sophie Kudelka

11-13-2014Obituaries
Ronald J. Klatt

11-13-2014Obituaries
Emma Jashinsky

11-13-2014Obituaries
Myron D. Janik

11-13-2014
Helen S. Gomske

11-13-2014Obituaries
Stephen Elson

11-13-2014Obituaries
Giles Donlevy

11-13-2014Obituaries
Larry Dausey

11-13-2014Obituaries
Ronald Brazeau

11-13-2014Obituaries
Francis M. Bernardy

11-13-2014Obituaries
Constance M. Adamek

11-13-2014Perspectives
Country Cousin

11-13-2014Perspectives
From our readers

11-13-2014Perspectives
Tales from the old-timer

11-12-2014Community - Wausaukee
Athelstane Craft Fair Is Nov. 22

11-12-2014Community - Wausaukee
First Quarter Honor Roll for Wausaukee Junior/Senior High

11-12-2014Community - Wausaukee
Wausaukee Performing Arts Class Play is Nov. 17, 18

11-12-2014Community - Wausaukee
Benefit Fundraiser For Lori Clow Nov. 15

11-12-2014Community - Crivitz
CAWC Auction at St. Mary Hall

11-12-2014Community - Crivitz
BAMC Welcomes Gauthier to Crivitz Rehab Clinic

11-12-2014Community - Crivitz
T/ Stephenson Tax Rate Down

11-12-2014Community - Crivitz
Anglers Partnership Releases 2,100 Walleye

11-12-2014Community - Coleman
Fire Destroys Home, Business Of Veteran

11-12-2014Community - Coleman
Coleman School Board Monthly Meet Nov. 17

11-12-2014Community - Coleman
Coleman Middle School Lists Students of Month

11-12-2014Community - Coleman
Village of Pound Considers Earley, Lepinski Land Deals

11-12-2014Front Page
Benefit Holiday Tour Of Homes Dec. 5, 6

11-12-2014Front Page
Council Says “No” To School In Industrial Park

11-12-2014Front Page
Grover Approves $15 Per $100,000 Tax Hike

11-12-2014Front Page
Anderson Resigns, Pazynski Chairs Twin County Airport

11-12-2014Front Page
DHHS Joins United Way Prescription Drug Summit

11-06-2014Obituaries
Darlene A. (Luffoff) Richards

11-06-2014Obituaries
Warren Peterson

11-06-2014Obituaries
Mary L. LaPlant

11-06-2014Obituaries
Shirley Ruth Olsen

11-06-2014Obituaries
James J. Milligan

11-06-2014Obituaries
Richard B. Losse

11-06-2014Obituaries
Barbara J. Lauterbach

11-06-2014Obituaries
Arlys E. Kassner

11-06-2014Obituaries
Jeffrey A. Garvaglia

11-06-2014Obituaries
Margaret G. Cain

11-06-2014Obituaries
Rose M. Bray

11-06-2014Obituaries
Diane L. Bolander

11-06-2014Obituaries
John M. Bjorkman

11-06-2014Obituaries
Burt A. Whitlow

11-06-2014Obituaries
Sandra L. Sequin

11-06-2014Obituaries
Hazel M. Rhode

11-06-2014Obituaries
Brian R. Pusich

11-06-2014Obituaries
Elaine M. Peterson

11-06-2014Obituaries
Merrill J. Peters

11-06-2014Obituaries
Michael J. Perrigoue

11-06-2014Obituaries
Jerome Meyer

11-06-2014Obituaries
Jeffrey M. MacDonald

11-06-2014Obituaries
Kathleen J. Lerret

11-06-2014Obituaries
JoAnn M. Lauterborn

11-06-2014Obituaries
Frank Kveton, Jr.

11-06-2014Obituaries
Kenneth J. Kozak

11-06-2014Obituaries
Francis Froze

11-06-2014Obituaries
Tug Flynn

11-06-2014Obituaries
Janice Emerson

11-06-2014Obituaries
Donald G. Bice

11-06-2014Sports
Niagara Girls Advance Against Suring, Eliminated By Newmann

11-06-2014Sports
Peshtigo’s Nault & Gillett’s Herzog Pace Area Runners

11-06-2014Sports
Gillett Falls To Almond-Bancroft

11-06-2014Sports
T’Jacks Fall To Rebels In Plautz’s Final Game As Head Coach

11-06-2014Perspectives
Country Cousin

11-06-2014Perspectives
From our readers

11-06-2014Perspectives
Tales from the old-timer

11-06-2014News
Vets Day Program at Crivitz School Nov. 11

11-06-2014News
“Pink” Hatters Group Formed


space
Peshtigo Times
WEB Poll!
Should President Obama be issuing an executive order to grant amnesty to illegal immigrants?
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
© 2000-2014
All right reserved
space
Powered by
WEB Media
Interactive
COMMUNITY
WEB sites