space
space
Peshtigo Times
space
space
space
Perspectives
* To the Editor:
space
space
Sports Shorts
* Predator Caller at UP Trappers Convention
* BAMC Menominee River Century Bike Ride June 28
* Peshtigo Church Plans Sports Camp, VBS
* Saint Thomas Aquinas Present Awards to Outstanding Athletes
* Peshtigo’s Jacobson is MVP Jacobson is Golfer of the Year

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
06-24-2015Perspectives
To the Editor:

06-24-2015Perspectives
From Our Readers

06-24-2015Front Page


06-24-2015Sports
Predator Caller at UP Trappers Convention

06-24-2015Sports
BAMC Menominee River Century Bike Ride June 28

06-24-2015Sports
Peshtigo Church Plans Sports Camp, VBS

06-24-2015Sports
Saint Thomas Aquinas Present Awards to Outstanding Athletes

06-24-2015Perspectives
Country Cousin

06-24-2015Perspectives
Tales from the old-timer

06-24-2015Obituaries
Ila M. Ziesmer

06-24-2015Obituaries
Elaine C. Wedemeier

06-24-2015Obituaries
Gerald L. Trottier

06-24-2015Obituaries
Marvin M. Rankinen

06-24-2015Obituaries
Joyce R. Parker

06-24-2015Obituaries
James A. Neshek

06-24-2015Obituaries
Michael K. McDermott

06-24-2015Obituaries
Doris M. Magnuson

06-24-2015Obituaries
Edward G. Kloida

06-24-2015Obituaries
Robert D. Hoffman

06-24-2015Obituaries
Letty B. Berg

06-24-2015Obituaries
Donald B. Sheets

06-24-2015Obituaries
Darwin D. Saxton

06-24-2015Obituaries
Sue M. Peterson

06-24-2015Obituaries
Pamela S. McMahon

06-24-2015Obituaries
Ella M. Marquardt

06-24-2015Obituaries
Walter Jeske Jr.

06-24-2015Obituaries
Charles C. Hall

06-24-2015Obituaries
Alvin R. Ermis

06-24-2015Obituaries
Vito M. Cinquepalmi Sr.

06-24-2015Community - Wausaukee
Parade in Wausaukee July 4

06-24-2015Community - Wausaukee
Rescue Squad Rep at Wausaukee Library

06-24-2015Community - Wausaukee
Silver Cliff Legion To Meet

06-24-2015Community - Wausaukee
Townsend Twins Honor Graduates

06-24-2015Community - Wausaukee
Wausaukee Medical Offers Sports Physicals

06-24-2015Community - Coleman
Library To Host Ice Cream Social

06-24-2015Community - Coleman
Library Closed July 3

06-24-2015Community - Coleman
Dedicate Living Waters Lutheran Church, Crivitz

06-24-2015Community - Coleman
1945, 50, 55 CHS Classes Reunion

06-24-2015Community - Crivitz
Free Movies in Park Thursdays

06-24-2015Community - Crivitz
Legion Gun, Knife Show on June 27

06-24-2015Community - Crivitz
19 Attend Even Monday Cards

06-24-2015Community - Crivitz
Crivitz Business Featured on HOARDERS TV Show

06-24-2015Front Page
Marinette County Breakfast on Mark Anderson Farm

06-24-2015Front Page
Town of Wagner Marks 100th Anniversary Sat.

06-24-2015Front Page
Marinette Accepts $500,000 From DNR For Dredging Costs

06-24-2015Front Page
Plan Commission Discuss Church in TIF District

06-24-2015Front Page
7 Gardens Featured in NLMGA Walk

06-17-2015Sports
Peshtigo’s Jacobson is MVP Jacobson is Golfer of the Year

06-17-2015Sports
Softball All Conference

06-17-2015Sports
All Conference Baseball

06-17-2015Sports
Wausaukee Varsity Football Coach Deschane Resigns

06-17-2015Perspectives
Country Cousin

06-17-2015Perspectives
From our readers

06-17-2015Perspectives
Tales from the old-timer

06-17-2015Obituaries
Josephine V. Truel

06-17-2015Obituaries
Robert C. Stewart

06-17-2015Obituaries
Umberto Spataro

06-17-2015Obituaries
Leonard J. Smith

06-17-2015Obituaries
Russell O. Seefeldt

06-17-2015Obituaries
Patricia A. Sadorf

06-17-2015Obituaries
Hunter J. Le May

06-17-2015Obituaries
Carol J. Kesler-Marois

06-17-2015Obituaries
Oscar W. Jandrey

06-17-2015Obituaries
Charles C. Hall

06-17-2015Obituaries
Dorothy J. Gostisha

06-17-2015Obituaries
Nancy L. Fuller

06-17-2015Obituaries
Cheryl “Joy” Eisenheim

06-17-2015Obituaries
Lana B. Campbell

06-17-2015Obituaries
Eugenia V. Sinclair

06-17-2015Obituaries
Richard D. Sellers

06-17-2015Obituaries
Beatrice I. Rosner

06-17-2015Obituaries
Charles Ronan

06-17-2015Obituaries
Daniel Raygo

06-17-2015Obituaries
Alton M. Olsen Sr.

06-17-2015Obituaries
Diane Niemiec

06-17-2015Obituaries
William F. Lierman

06-17-2015Obituaries
Nancy J. Liddle

06-17-2015Obituaries
Ruth H. Kolander

06-17-2015Obituaries
Peter M. Harding

06-17-2015Obituaries
Patricia M. Hall

06-17-2015Obituaries
Mildred C. Adams

06-17-2015Obituaries
Jacquelyn Y. (Akers) Aboul-Mouna

06-17-2015Community - Wausaukee
Athelstane Adds ATV Routes, Okays Licenses

06-17-2015Community - Wausaukee
Library Talk On Animal Shelter

06-17-2015Community - Wausaukee
Wausaukee Varsity Football Coach Jason Deschane Resigns

06-17-2015Community - Wausaukee
T/Wausaukee To Aid Firm, Approve Road Construction

06-17-2015Community - Crivitz
Kids Fishing Derby June 27

06-17-2015Community - Crivitz
100 Volunteers Attend Banquet

06-17-2015Community - Crivitz
Free Movies in Park at Crivitz

06-17-2015Community - Crivitz
Country Gospel Jam June 17th

06-17-2015Community - Coleman
Tia Swenty To Leave for Japan

06-17-2015Community - Coleman
Special School Board June 24

06-17-2015Community - Coleman
Heroes Topic Summer Reading

06-17-2015Community - Coleman
Big Craft, Vendor, Flea Sale at Equity

06-17-2015Front Page
Peshtigo On Verge Of School Site Purchase

06-17-2015Front Page
Despite Resident Objections Peshtigo Okays Dog Park Site

06-17-2015Front Page
Mark Andersons To Host Breakfast on Farm June 28

06-17-2015Front Page
Middle Inlet Offers $1,000 For Boat Landing Vandal Arrest

06-17-2015Front Page
Advertising for Peshtigo Community Rummage Sale Due June 19th

06-10-2015Sports
Marinette Golfers Take 5th Place at State Meet

06-10-2015Sports
Eight Area Atheletes Reach The State Medal Stand

06-10-2015Sports
Rangers Advance To Sectional Final; Defeated by Rib Lake 6-5

06-10-2015Sports
Coleman Bumps Crivitz; Advances To Sectionals

06-10-2015Perspectives
Country Cousin

06-10-2015Perspectives
From our readers

06-10-2015Perspectives
Tales from the old-timer

06-10-2015Obituaries
Roseann L. Younk

06-10-2015Obituaries
Harold E. Woods

06-10-2015Obituaries
Elizabeth K. Westman

06-10-2015Obituaries
Barbara Timm

06-10-2015Obituaries
John F. Sikora

06-10-2015Obituaries
Betty J. Seidl

06-10-2015Obituaries
Wyatt D. Schaal

06-10-2015Obituaries
Harold K. Race

06-10-2015Obituaries
Betty L. Pick

06-10-2015Obituaries
Sherry L. Peterson

06-10-2015Obituaries
Donald E. Patz

06-10-2015Obituaries
June R. Occhietti

06-10-2015Obituaries
Kathleen Milner

06-10-2015Obituaries
Rosalie Miller

06-10-2015Obituaries
Arlyn E. Gaertig

06-10-2015Obituaries
Kenneth Frewerd

06-10-2015Obituaries
Marianne E. Deede

06-10-2015Obituaries
Wayne E. Anttila

06-10-2015Community - Wausaukee
30 at Pembine Spring Fling

06-10-2015Community - Wausaukee
Issue Goodman DNR Permit

06-10-2015Community - Wausaukee
Wausaukee Junior, High School Quarter Honor Roll

06-10-2015Community - Wausaukee
T/Wagner To Borrow Fire Equipment Funds

06-10-2015Community - Crivitz
Digger Memorial Bike Run June 27

06-10-2015Community - Crivitz
Legion, Units To Meet June 17

06-10-2015Community - Crivitz
Free Movies in Park at Crivitz

06-10-2015Community - Crivitz
Crivitz Plans Big July 4 Parade

06-10-2015Community - Coleman
Coleman Hosts Movie in Park

06-10-2015Community - Coleman
Living Waters Church Dedication is June 14

06-10-2015Community - Coleman
Middle School Students of Month

06-10-2015Community - Coleman
Coleman High School Seniors Honored at Recognition Night

06-10-2015Front Page
Fire Destroys Outback Tavern, One Fireman Hurt

06-10-2015Front Page
Ski Cats Keep Saturdays At Lake Noquebay Park

06-10-2015Front Page
Smith Pleads Guilty In 2008 Death, Disappearance Case

06-10-2015Front Page
1 Killed, 2 Injured In 2nd County Fatality

06-10-2015Front Page
Walters Bids Farewell As Coleman Superintendent

06-03-2015Sports
State Anglers Pull Plug on Invasive Species

06-03-2015Sports
WIAA State Track & Field Meet in LaCrosse This Weekend

06-03-2015Sports
Area Division 3 Track Teams Qualify in 13 State Events

06-03-2015Sports
Area Teams Bounced in Regional Round

06-03-2015Perspectives
Country Cousin

06-03-2015Perspectives
From our readers

06-03-2015Perspectives
Tales from the old-timer

06-03-2015Obituaries
Ronald D. Woodworth

06-03-2015Obituaries
Bonita M. Witt


space
Peshtigo Times
WEB Poll!
Do you think that the confederate flag, or any others besides the state flag, should be flown over a capital building?
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