space
space
Peshtigo Times
space
space
space
Perspectives
* From My Window
space
space
Sports Shorts
* Marinette/Menominee Open Summer Seasons with Wins
* Five High Schools Claim WIAA State Softball Titles
* Busy Season For Marinette Parks & Rec & Public Works
* WIAA Softball State Tourney Starts June 7
* Area Golfers Battle Through Tough State Course

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

Issue Date: April 24, 2013

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
06-14-2018Front Page
Coleman Annexes Property For Cheese Factory Project

06-14-2018Front Page
Pound Fireman's Picnic, Car Show Both In June

06-14-2018Front Page
Environmental Groups Pledge To Continue Back Forty Fight

06-14-2018Front Page
PFAS Found At Tyco Stanton Street Facility

06-14-2018Front Page
Grover Residents Advised To Keep Fire Signs Visible

06-14-2018Community - Coleman
Renovation Tour On Coleman School Board June 18 Agenda

06-14-2018Community - Coleman
Village Pound Car Show is June 30th

06-14-2018Community - Coleman
Continue to Feature Cougar Walls of Fame

06-14-2018Community - Coleman
4th Annual Craft, Vendor Fair at Equity Park June 16

06-14-2018Community - Crivitz
Crivitz Junior High Students Attain Honors

06-14-2018Community - Crivitz
Crivitz Legion Run for Recovery

06-14-2018
Ice Cream Social at Crivitz June 28

06-14-2018Community - Crivitz
Monthly CPR Class at Crivitz Clinic

06-14-2018Community - Wausaukee
Wausaukee Announces 4th Quarter Honor Roll

06-14-2018Community - Wausaukee
Alee Aragon Addresses Auxiliary

06-14-2018Community - Wausaukee
Wausaukee Back to School Program Receives $3,000

06-14-2018Community - Wausaukee
WBA Sponsors Farmers Market

06-14-2018Sports
Marinette/Menominee Open Summer Seasons with Wins

06-14-2018
Area Golfers Receive GCAW Academic All State Honors

06-14-2018Sports
Five High Schools Claim WIAA State Softball Titles

06-14-2018Sports
Busy Season For Marinette Parks & Rec & Public Works

06-14-2018Perspectives
From My Window

06-14-2018Perspectives
Country Cousin

06-14-2018Perspectives
From Our Readers

06-07-2018Sports
WIAA Softball State Tourney Starts June 7

06-07-2018Sports
Area Golfers Battle Through Tough State Course

06-07-2018Sports
Peshtigo's Rauch Captures D2 State Pole Vault Title

06-07-2018Sports
Coleman/Wausaukee Bow Out In Sectionals

06-07-2018Perspectives
From Our Readers

06-07-2018Perspectives
Country Cousin

06-07-2018Perspectives
From My Window

06-07-2018Obituaries
Richard L. Dantinne

06-07-2018Obituaries
Mildred Donlevy 

06-07-2018Obituaries
Clara (Wasmund) Druckrey

06-07-2018Obituaries
John F. Egofske

06-07-2018Obituaries
Dixie K. Gard

06-07-2018Obituaries
Lila M. Hallada

06-07-2018Obituaries
Myron C. Klika

06-07-2018Obituaries
Donald D. Kroening

06-07-2018Obituaries
Kent W. Lantow

06-07-2018Obituaries
John W. Lesniak

06-07-2018Obituaries
Marsha A. Lindgren

06-07-2018Obituaries
Beth M. Mireau

06-07-2018Obituaries
Bonnie R. Berton-Neumeyer

06-07-2018Obituaries
Nancy J. Prange

06-07-2018Obituaries
Bruce E. Ranzinger

06-07-2018Obituaries
Ellen M. Raygo

06-07-2018Obituaries
Kathryn Schahczinski

06-07-2018Obituaries
Russell L. Schwartz

06-07-2018Obituaries
Kenneth J. VanDreel

06-07-2018Obituaries
John P. Wingers

06-07-2018Obituaries
Leonard F. Wirkus

06-07-2018Community - Wausaukee
Church Rummage Sale/Cook Out

06-07-2018Community - Wausaukee
SC Fire-Rescue to Plan Picnic

06-07-2018Community - Crivitz
Crivitz Class of 1988 Reunion on Aug. 18

06-07-2018Community - Crivitz
Ice Cream Social at Crivitz June 28

06-07-2018Community - Crivitz
Meeting for Girl Scouts at Crivitz

06-07-2018Community - Crivitz
Woman's Club Pop-Up Sale

06-07-2018Community - Coleman
Village Pound Car Show is June 30th

06-07-2018Community - Coleman
Pound Fire Picnic Dates June 15-16

06-07-2018Community - Coleman
Coleman Utility Board To Meet

06-07-2018Community - Coleman
Coleman Schools List Summer Office Hours

06-07-2018Front Page
New Brazeau Building Honors Elizabeth Washebek

06-07-2018Front Page
Final Permit Issued For Back Forty Mine

06-07-2018Front Page
Peshtigo Council Approves 1% Hike In Water Rates

06-07-2018Front Page
Late Season Snow Blamed For City Recreation Issues

06-07-2018Front Page
Town Peshtigo Airs Road, Billing Issues

05-31-2018Perspectives
From My Window

05-31-2018Sports
Rangers/Badgers Face Off in Regional Final Today

05-31-2018Sports
Rangers Are Last Team Standing on Tournament Trail

05-31-2018Sports
Area Athletes Head To State Meet In LaCrosse

05-31-2018Sports
Peshtigo Takes Perfect Record To State

05-31-2018Perspectives
Country Cousin

05-31-2018Obituaries
Earl J. Alsteen

05-31-2018Obituaries
Elizabeth L. Anglehart

05-31-2018Obituaries
James A. Benesh

05-31-2018Obituaries
Paul R. Berntson

05-31-2018Obituaries
Dale R. Borneman

05-31-2018Obituaries
Robert F. Brown, Jr.

05-31-2018Obituaries
Norman Buhrandt

05-31-2018Obituaries
Roberta C. Couillard

05-31-2018Obituaries
Richard Deschaine

05-31-2018Obituaries
Karen and Dennis Fry

05-31-2018Obituaries
Raymond A. Gorman

05-31-2018Obituaries
Glenn G. Harris

05-31-2018Obituaries
Charles W. Hatton 

05-31-2018Obituaries
Stella M. Horvath

05-31-2018Obituaries
Patricia A. Johnston

05-31-2018Obituaries
Sandra S. Kasik

05-31-2018Obituaries
Carol L. Klein

05-31-2018Obituaries
Arlie K. Manning

05-31-2018Obituaries
Patrice L. Messenger

05-31-2018Obituaries
Laurie Nicklaus

05-31-2018Obituaries
Helen M. Peterson

05-31-2018Obituaries
Rita Peterson

05-31-2018Obituaries
Jacqueline Rudolph

05-31-2018Obituaries
Gertrude Tetzlaff

05-31-2018Obituaries
William M. Thierling

05-31-2018Obituaries
Joy M. Van Hecke

05-31-2018Obituaries
Daniel D. VanHoff

05-31-2018Obituaries
Ramon G. Varrientos

05-31-2018Obituaries
Leonard J. Williams

05-31-2018Community - Wausaukee
Seven Red Cross Scholarship Winners

05-31-2018Community - Wausaukee
 Wausuakee Lions Big Cash Raffle

05-31-2018Community - Wausaukee
WBA Farmers Market New Location This Year

05-31-2018Community - Crivitz
Sports Awards Winners At Crivitz High School

05-31-2018
NE WI Kids Fishing Outing July 7 at Laona

05-31-2018Community - Crivitz
Lions Golf Scramble at Crivitz June 2nd

05-31-2018Community - Crivitz
De Smidt's Awards Four Scholarships

05-31-2018Community - Coleman
Coleman Village Board June 4

05-31-2018Community - Coleman
4th Annual Craft, Vendor Fair at Equity Park June 16

05-31-2018Community - Coleman
Pound Fire Dept. Picnic July 15-16

05-31-2018Community - Coleman
Equity Softball Tourney June 1, 2

05-31-2018Front Page
Vietnam Memorial Dedicated During Memorial Day Services In Peshtigo

05-31-2018Front Page
Vietnam Vet Louis Gamelin Gets Hero's Welcome Home

05-31-2018Front Page
MCABI Lays Out Plan For Larger Role, More Funding

05-31-2018Front Page
Non-Ferrous Metallic Mines Prohibited In Marinette County

05-31-2018Front Page
Marinette County Is Seeking New Highway Commissioner

05-24-2018Obituaries
Dorothy M. Duda

05-24-2018Obituaries
Joseph J. Effert, Jr.

05-24-2018Obituaries
John W. Johnson 

05-24-2018Obituaries
Harry W. Kasten

05-24-2018Obituaries
Gerald A. Kirt

05-24-2018Obituaries
Rose L. Matekine

05-24-2018Obituaries
Carol Nordquist

05-24-2018Obituaries
Debra J. Schindler

05-24-2018Obituaries
Ellen M. Sconzert

05-24-2018Obituaries
Maxine Seefeldt

05-24-2018Obituaries
Irvin L. Tachick

05-24-2018Perspectives
Country Cousin

05-24-2018Perspectives
From our readers

05-24-2018Perspectives
From My Window

05-24-2018Sports
Five Area Team Qualify For Sectional Play

05-24-2018Sports
Area Athletes Qualify For Sectional Competition

05-24-2018Sports
Area Teams Wrap Up Regular Season's,Begin Regional Action

05-24-2018Sports
Regional Tournament Play to Begin Thursday

05-24-2018Community - Wausaukee
Wausaukee Village, Town Rummage Sale

05-24-2018Community - Wausaukee
WBA Farmers Market New Location This Year

05-24-2018
Wausaukee Greenhouse Flower, Vegetable Sale

05-24-2018Community - Wausaukee
Wausaukee Blood Drive at Wausaukee June 18

05-24-2018Community - Crivitz
Distribute Poppies In Crivitz May 17-26

05-24-2018Community - Crivitz
Apostolic Church Special Services

05-24-2018Community - Crivitz
Lifetouch Photography at St. Mary, Crivitz

05-24-2018Community - Crivitz
Crivitz Museum To Open for Season May 26

05-24-2018Community - Coleman
Pound Hillside Honors Military

05-24-2018Community - Coleman
Village Pound Car Show is June 30th

05-24-2018Community - Coleman
Yard Sale For Scholarships

05-24-2018Community - Coleman
Senior Club to Meet

05-24-2018Front Page
Crivitz High School Campus Is Now Gordon P. Rieden Learning Center

05-24-2018Front Page
County Board To Consider Stricter Mining Provisions


space
Peshtigo Times
WEB Poll!
Do you think President Trump did a good job negotiating with North Korean President Kim Jong-un.
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
© 2000-2018
All right reserved
space
Powered by
WEB Media
Interactive
COMMUNITY
WEB sites