Health inspection·May 12, 2023

F 0609 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Based on record review and interview, the facility failed to report the findings of 4 of 4 allegations of misappropriation of property to the State Survey Agency within five working days of the incident, involving Resident #1, #2, #3, and #4. The findings included: Record review revealed allegations of misappropriation of resident property (narcotics) from Resident #1, #2, #3, and #4, were reported to the State Survey Agency on 04/10/23 and 04/11/23. The details include the following: Staff A, Licensed Practical Nurse (LPN) who worked the East Unit Medication Cart #2 on 04/09/23 on the 7 AM - 3 PM shift, and Staff B, LPN who worked the East Unit Medication Cart #1 on 04/08/23 on the 11 PM - 7 AM shift and again on 04/09/23 on the 3 PM - 11 PM shift, identified a possible concern with the controlled medications on 04/09/23 at approximately 4 PM. These two direct care nurses notified their Director of Nursing (DON) and attempted to resolve an issue with missing narcotic cards (bubble packs with individual pills in each section, with up to 30 pills possible per card). On 04/10/23 the DON was able to locate the missing narcotic cards, that had been emptied and discarded into the shredder box along with blank narcotic sheets. The nursing staff and managerial staff were able to determine Staff C, LPN, had forged initials and names as witnesses in order to remove five narcotic medication cards from the above mentioned four residents, that included 122 pills. The pills were never found but the empty narcotic cards and blank corresponding narcotic sheets were found in the shredder box. During the entrance conference on 05/11/23 at 11:33 AM, the DON was asked to locate and provide evidence of the investigation of misappropriation of resident medication by Staff C. Evidence and interviews revealed a thorough investigation was completed by the facility. The Nursing Home Administrator (NHA) had completed four individual reports of misappropriation of resident medications, one for each resident involved. Review of the requested Summary Log for each report revealed the following: The State Survey Agency immediate report for Resident #1 was submitted on 04/11/23, and the five-day report was submitted on 04/26/23, eleven business days after the event. The State Survey Agency immediate report for Resident #2 was submitted on 04/11/23, and the five-day report was submitted on 04/25/23, ten business days after the event. The State Survey Agency immediate report for Resident #3 was submitted on 04/11/23, and the Page 1 of 2 105268 105268 05/12/2023 Lakeside Health Center 2501 N Australian Avenue West Palm Beach, FL 33407

F 0609 five-day report was submitted on 04/25/23, ten business days after the event. Level of Harm - Minimal harm or potential for actual harm The State Survey Agency immediate report for Resident #4 was submitted on 04/10/23, and the five-day report was submitted on 04/25/23, eleven business days after the event. Residents Affected - Few During an interview on 05/12/23 at 1:32 PM, when asked why the five-day reports were submitted late for the above four residents, the NHA stated, There is no good reason. The NHA stated they had an accreditation survey, followed by their annual recertification survey, and then the drug diversion incident, and it just got missed. 105268 Page 2 of 2