space
space
Peshtigo Times
space
space
space
Perspectives
* Country Cousin
space
space
Sports Shorts
* Cousins Subs Sports Awards Scholarships
* Area Wrestling - Gillett/Suring Downs Dogs for Second Spot in M&O
* M&O Girls Basketball - Lady Bulldogs Fall to State Ranked Royals
* M&O Boys Basketball - Wausaukee Battles Back to Beat St.Thomas Aquinas
* UW-Marinette Takes Lead Over Huskies in East

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
02-03-2016Obituaries
Patricia A. Voight

02-03-2016Obituaries
Charles Vine

02-03-2016Obituaries
Richard J. Vertz, SFC (R)

02-03-2016Obituaries
Sister Margie Traeger

02-03-2016Obituaries
Elizabeth M. Steeno

02-03-2016Obituaries
Delores “Dee” (Heisler) Scully

02-03-2016Obituaries
Vernette A. Schultz

02-03-2016Obituaries
Abigail R. Reiswitz

02-03-2016Obituaries
Kenneth Maloney

02-03-2016Obituaries
Dan Lorenz

02-03-2016Obituaries
Leland E. Kamps

02-03-2016Obituaries
Beverly J. Ehlinger

02-03-2016Obituaries
Lawrence J. Denowski

02-03-2016Obituaries
Barbara A. Decker

02-03-2016Obituaries
Elizabeth M. Steeno

02-03-2016Obituaries
Walter J. Remic Jr.

02-03-2016Obituaries
Theresa A. Nault

02-03-2016Obituaries
Bryan Mattison

02-03-2016Obituaries
David S. Jennings

02-03-2016Obituaries
Vernon D. Holmer, Jr.

02-03-2016Obituaries
Sharon Hanson

02-03-2016Obituaries
Anna A. Furst 

02-03-2016Obituaries
Alden P. Edwards

02-03-2016Obituaries
Bernard “Bernie” J. Boucher

02-03-2016Sports
Cousins Subs Sports Awards Scholarships

02-03-2016Sports
Area Wrestling - Gillett/Suring Downs Dogs for Second Spot in M&O

02-03-2016Sports
M&O Girls Basketball - Lady Bulldogs Fall to State Ranked Royals

02-03-2016Sports
M&O Boys Basketball - Wausaukee Battles Back to Beat St.Thomas Aquinas

02-03-2016Perspectives
Country Cousin

02-03-2016Perspectives
From our readers

02-03-2016Perspectives
From My Window

02-03-2016Community - Wausaukee
Natural Resources Board Elects New Officers

02-03-2016Community - Wausaukee
Wausaukee Blood Drive February 8th

02-03-2016Community - Wausaukee
Wausaukee Junior, Senior High Honor Students

02-03-2016Community - Wausaukee
Hillside Assembly to Host Wild Game Banquet and Seminars

02-03-2016Community - Crivitz
CHS Senior Class Play on Feb. 21

02-03-2016Community - Crivitz
Crivitz High School Quarter Honor Roll

02-03-2016Community - Crivitz
Tomaszewski Gets On UJ Honor Roll

02-03-2016Community - Crivitz
Northland at Dunbar To Continue Camps, Rentals

02-03-2016Community - Coleman
Coleman Middle School Lists Semester, Quarter Honor Rolls

02-03-2016Community - Coleman
Ashley Dellenbach Benefit Feb. 7th

02-03-2016Community - Coleman
Coleman Has Mortgage of Former Compe Building

02-03-2016Community - Coleman
Semester, Quarter Honor Rolls for Coleman High

02-03-2016Front Page
Drug Court Exceeds Hopes, Now Looking At Mental Court

02-03-2016Front Page
Crivitz School Considers Background Check Options

02-03-2016Front Page
Peshtigo Chamber Takes Nominations for Richard Roland Persons of the Year

02-03-2016Front Page
Storm Causes Business, All Schools Closings

02-03-2016Front Page
Marinette Council Approves Annexation of New Hospital Site

01-27-2016Front Page
Cold Water Rescue Training

01-27-2016Perspectives
Country Cousin

01-27-2016Front Page
County Writes Off $500,000 Loan To Defunct Company

01-27-2016Front Page
Judge Hears Crivitz Suit Oral Arguments

01-27-2016Front Page
Wausaukee Faces March Water Inspection Deadline

01-27-2016Front Page
Hattie St. Bridge Project Outlined at Public Meet

01-27-2016Perspectives
From our readers

01-27-2016Perspectives
From our readers

01-27-2016Front Page
DOT To Air Hwy. 41 Plans At 5 p.m. Public Meet Jan. 28

01-27-2016Perspectives
From My Window

01-27-2016Sports
UW-Marinette Takes Lead Over Huskies in East

01-27-2016Sports
Coleman Grapplers Stop Bay Port on Alumni Night

01-27-2016Sports
Peshtigo Continues Winning Ways, Extends Lead

01-27-2016Sports
Wolverines Sweep Rangers, Take Half Game Lead

01-27-2016Community - Wausaukee
Open Enrollment at Wausaukee

01-27-2016Community - Wausaukee
9th District Top in State in Auxiliary Membership

01-27-2016Community - Wausaukee
Says Wausaukee Rescue Squad Staffed And Solvent

01-27-2016Community - Wausaukee
Wausaukee Blood Drive February 8th

01-27-2016Community - Crivitz
Marinette County K9 Visits Crivitz School

01-27-2016Community - Crivitz
13th Annual Crivitz Craft Fest is May 7

01-27-2016Community - Coleman
ZZ Top Tribute Band at Equity Hall Jan. 30

01-27-2016Community - Coleman
Coleman School Looks At Conference Realignments

01-27-2016Community - Coleman
Village Board To Meet Feb. 1

01-27-2016Community - Coleman
KC Fish Fry To Start

01-27-2016Obituaries
Kenneth R. Schuman

01-27-2016Obituaries
Frank Steele

01-27-2016Obituaries
Kenneth E. Seefeldt

01-27-2016Obituaries
Maurice J. Rhude

01-27-2016Obituaries
William H. Olsen, Sr.

01-27-2016Obituaries
Leslie J. Lovato

01-27-2016Obituaries
Marian G. Linsmeier

01-27-2016Obituaries
Virginia M. Korch

01-27-2016Obituaries
Mary Haworth

01-27-2016Obituaries
John C. Behnke 

01-27-2016Obituaries
Douglas J. Bailey

01-27-2016Obituaries
Allen Van Winkle

01-27-2016Obituaries
Robert L. Rondeau

01-27-2016Obituaries
Robert Rosera

01-27-2016Obituaries
Tiodolo Fidel Perea

01-27-2016Obituaries
Ava E. Moody

01-27-2016Obituaries
Jim C. Maynard, Sr.

01-27-2016Obituaries
Craig A. Lind

01-27-2016Obituaries
Emma Koenig

01-27-2016Obituaries
Rose M. Kettleson

01-27-2016Obituaries
Donald Jensen

01-27-2016Obituaries
Stanley Jaroszewski

01-27-2016Obituaries
Mary A. Jacobson

01-27-2016Obituaries
Walter Holtz

01-27-2016Obituaries
Daniel R. Ethington

01-27-2016Obituaries
Mildred G. Elsner

01-20-2016Front Page
Again Ask City To Okay 12% Sewer Rate Hike

01-20-2016Front Page
Peshtigo School Board OKs $33.9 Million Referendum

01-20-2016Front Page
Pottratz Hopes Crowd At Jan. 28 DOT/Hwy. 41 Meet

01-20-2016Front Page
Salt Sand Available For MI Town Residents

01-20-2016Front Page
County Board To Act On Appointment, Grant

01-20-2016Community - Wausaukee
Silver Cliff Rescue Serves Athelstane

01-20-2016Community - Wausaukee
Athelstane Has New Code Of Ordinances For Review

01-20-2016Community - Wausaukee
Wausaukee Rec Winterfest Jan. 30

01-20-2016Community - Wausaukee
Wausaukee Blood Drive on Feb. 8

01-20-2016Community - Crivitz
Crivitz Church Valentine’s Drive

01-20-2016Community - Crivitz
Craft-O-Rama at Crivitz Feb. 13

01-20-2016Community - Crivitz
Crivitz Trustees Raise Village Employee Pay

01-20-2016Community - Crivitz
Complains About Airport to Stephenson Town Board

01-20-2016Community - Coleman
VanDrisse on Dean’s List

01-20-2016Community - Coleman
Lions Ice Fishing Banquet on Feb. 5

01-20-2016Community - Coleman
Free Throw Contest Jan. 27 at Coleman

01-20-2016Community - Coleman
Equine Dentistry Topic at Equity Hall Jan. 28

01-20-2016Sports
Emergency Rule for Lake Superior Trout

01-20-2016Sports
Little Suamico Lady Wrestler Has 3 Wins

01-20-2016Sports
Red Arrow Snowmobile Club Big Annual Fish-A-Ree Feb. 6-7

01-20-2016Sports
M&O Boys Basketball-Peshtigo Stuns Crivitz, Three Teams Share M&O Penthouse

01-20-2016Perspectives
Country Cousin

01-20-2016Perspectives
From our readers

01-20-2016Perspectives
From My Window

01-20-2016Obituaries
Judge John Wiebusch

01-20-2016Obituaries
Michael J. Walk

01-20-2016Obituaries
Donald E. Utecht

01-20-2016Obituaries
Roy P. Trowbridge

01-20-2016Obituaries
Peter H. Thielen

01-20-2016Obituaries
Marilyn K. Swanson

01-20-2016Obituaries
Harry Strong

01-20-2016Obituaries
Mark J. Schwaller

01-20-2016Obituaries
Guy M. Sager

01-20-2016Obituaries
Eugene M. Ravet

01-20-2016Obituaries
Carol Peterson

01-20-2016Obituaries
Tom L. Miller

01-20-2016Obituaries
Jaden Marzu

01-20-2016Obituaries
Donald F. Johnston

01-20-2016Obituaries
MaryEllen Gallino

01-20-2016Obituaries
James A. Fehrenbach

01-20-2016Obituaries
Vicki L. Engel

01-20-2016Obituaries
Donald J. Ducheny, Sr.

01-20-2016Obituaries
Wilbur R. Curtis

01-20-2016Obituaries
William Bonner

01-20-2016Obituaries
Lois J. Bomber

01-20-2016Obituaries
Beverly M. Bader

01-20-2016Obituaries
Willard F. Alswager

01-20-2016Obituaries
Carol Wellens

01-20-2016Obituaries
Walter E. Schardt, Jr.

01-20-2016Obituaries
Paul Saddler

01-20-2016Obituaries
Jacqueline R. Kershek

01-20-2016Obituaries
Neal W. Kent


space
Peshtigo Times
WEB Poll!
Do you think Donald Trump will be a Republican nominee for President?
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
© 2000-2016
All right reserved
space
Powered by
WEB Media
Interactive
COMMUNITY
WEB sites