Skip to main content
ReadyRule homepageReadyRule

Inspection visit

Follow-up on corrections

LAKEWOOD PARK MANORLicense 1986029502 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced case management visit during a complaint investigation visit to note additional deficiencies that were found during the complaint investigation. LPA met with Narine Mertkhanyan and explained the reason for the visit. On 8/25/23 LPA Flores initiated a complaint investigation. During the course of the investigation, it was found that Resident #1(R1) had a restricted health condition. R1’s physician’s report dated: 11/16/20 does not note R1 had dementia. However, on 6/19/23 upon R1’s hospitalization, the hospital noted R1 with dementia. Due to R1’s cognitive skills, R1 was not able to measure blood sugar and/or provide self with injections per regulations for restricted health conditions. During the same hospital visit of 6/19/23, it was found that blood test was highly elevated and “flagged as critical results.” Appraisal/Needs and Services plan dated 7/13/23 does not note any care for R1’s restricted health condition. R1 began receiving home health services on 7/14/23 and there are no records to indicate she was receiving them prior to that date. On 8/25/23 and 5/21/24 LPA conducted complaint investigation visits at the facility and did not find documents related to restricted health condition or provided documents upon request. Therefore, there are no records to indicate that R1 was receiving medication for restricted health condition or a plan to provide care for restricted health condition. Deficiencies are noted on LIC 809D on per Title 22 Regulations. Exit interviews was conducted with Cynthia Flores and a copy of this report LIC 809D, and appeal rights were provided.

Citations

5 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87468.2(a)(8)Type A

    Right to freedom from abuse and neglect

    Additional Personal Rights of Residents in Privately Operated Facilities (a)...: To be free from neglect, financial exploitation, involuntary seclusion, punishment, humiliation, intimidation, and verbal, mental, physical, or sexual abuse.This requirement is not met as evidence by: Based on interviews conducted and documents reviewed licensee failed to ensure R1 did not develop a wound which poses an immediate risk to the health, safety, or personal rights to the persons in care. *Immediate Civil Penalty for $500 is being issue*

  • 87468.2(a)(4)Type A

    Right to sufficient care and qualified staff

    Additional Personal Rights of Residents in Privately... (a)... :(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement is not met as evidence by: Based on interviews conducted and documents review licensee did not ensure R1 received medical attention in a timely manner which poses an immediate risk to the health, safety, or personal rights to the persons in care. *Immediate Civil Penalty for $500 is being issue*

  • 87468.1(a)(8)Type B

    Regular representative updates on care

    Personal Rights of Residents in All Facilities:(a) Residents...shall have...:(8) To have their representatives regularly informed by the licensee of activities related to care or services, including ongoing evaluations, as appropriate to their needs.This requirement is not met as evidence by: Based on interviews and document review licensee did not ensure that R1's family were informed of the wound development which poses a potential risk to the health, safety, or personal rights to the persons in care.

  • 87628(a)Type A

    Allowing diabetic residents based on self-management ability

    Diabetes: (a) The licensee shall be permitted to accept or retain a resident... if the resident is able to perform his/her own glucose testing... and is able to administer his/her own medication... or has it administered by an appropriately skilled professional.This requirement is not met as evidence by: Based on interviews and documents reviewed the licensee did not ensure R1 was able to perform own glucose testing or was checked by a skilled profesional which poses an immediate health, safety, or personal rights risk to the persons in care.

  • 87611(b)Type B

    General Requirements for Allowable Health Condition: (b) The licensee shall complete and maintain a current, written record of care for each resident that includes, but is not limited to, the following:This requirement is not met as evidence by: Based on interviews and documents reviewed licensee did not ensure facility maintain a plan of care for R1 who had a restricted health condition which poses a potential risk to health, safety, or personal rights of the persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the July 22, 2024 inspection of LAKEWOOD PARK MANOR?

This was an other inspection of LAKEWOOD PARK MANOR on July 22, 2024. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to LAKEWOOD PARK MANOR on July 22, 2024?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Additional Personal Rights of Residents in Privately Operated Facilities (a)...: To be free from neglect, financial expl..."

What type of inspection was this?

This was an other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.