[{"_1":2,"_111":-5,"_112":-5},"loaderData",{"_3":4,"_26":27},"root",{"_5":6,"_17":10,"_18":19,"_20":21,"_22":10,"_23":-5,"_24":-5,"_25":10},"user",{"_7":8,"_9":10,"_11":10,"_12":-5,"_13":-5,"_14":15,"_16":-5},"roles",[],"isAuthenticated",false,"isPremium","planName","subscriptionStatus","featureFlags",{},"insightsBudget","isDevelopmentHost","userPreferences",{},"recaptchaSiteKey","6LcvOJcUAAAAAHsB-gPGfGktcRlKpH7OTIU_dMTD","isImpersonating","impersonation","affiliateStatus","isFreedomPortal","routes/v2/article/layout",{"_28":29,"_30":31},"notFound",true,"relatedArticles",[32,75,87,99],{"_33":34,"_35":36,"_37":38,"_39":40,"_41":42,"_43":44,"_45":46,"_47":48,"_49":50,"_51":52,"_53":54,"_55":56,"_57":58,"_59":60,"_61":62,"_63":64,"_65":66,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},"mediaId",6163416,"mediaKeyId","5435103-4526cbbd22b57cfc19af8292846ccd60","parentId",5435103,"title","Lakeland Healthcare Center reports medication error, self-reports to state; two low-level citations recommended","audioSeconds",272,"startMs",260000,"endMs",532000,"viewUrl","/Search/View?dp=1&key=5435103-4526cbbd22b57cfc19af8292846ccd60&start=260&end=532","thumbnailUrl","https://assets.pipeline.soar.com/5435103-4526cbbd22b57cfc19af8292846ccd60/thumbnail_260000.jpg","articleUrl","/articles/6163416/Walworth-County/Wisconsin/Lakeland-Healthcare-Center-reports-medication-error-self-reports-to-state-two-low-level-citations-recommended","mediaUrl","https://secure.pipeline.soar.com/6163416-09f78a65b7608e44450d51022a79bc5c/orig.mp4?Expires=1773724828&Signature=n1VJE3-4~g6l0WyIzLlbGHLsrXh9QuwQn8thh3UxPWd9dd1989yaSkqMvo9IewgqPu7LQGHnhcqp8VEplVs5WY1FPlVJ3-CfnflovrtZipDHXZ7ZZFpYHlt2lcIy8eoqNFm-HzgTWC3Yzp4RPbOWWqsmUOzOIPBrzBVFlFgL83YgRvaJR9FukwwGl-xhE~j26d8zUXdZKHZtcOSqnhITaPSFLeKmOClpCXb0BYown8Ir34VKl5pszMWDLwUAD8Isnax48C9MTUmfESFyNyKS6itmHQwqawuDq5jNvZWesQT8j7UI7ri8mBFMDeoAxjAFFo7Mqt~3Og~H36A09C2lgg__&Key-Pair-Id=KUT5TJCACFTXG","author","WI / Walworth County ","date","2025-07-16T00:00:00Z","article","Lakeland Healthcare Center officials disclosed to the Board of Trustees on July 16 that an employee gave a resident a PRN (as-needed) medication without a physician’s order, prompting an internal investigation and a self-report to the state Department of Health Services.

The incident was first reported to facility management on June 23, the presenter said; staff who reviewed the case concluded the employee acted willfully. The facility notified the Walworth County Sheriff’s Department, which reviewed the facility’s investigation and observed medication administration; the sheriff’s office also interviewed staff. The presenter said DHS inspected about a week after the facility’s self-report and is recommending two low-level citations: F609 (reporting of abuse) for delayed notification of facility leadership and F760 (medication error) for the improper administration. The facility said it has not yet received a final Statement of Deficiencies.

Why it matters: state regulators treat administration of medication without a physician order as meeting the state definition of abuse when it is willful and could harm a resident. The recommended F-tags carry reputational and regulatory consequences and trigger a required plan-of-correction process.

Board members were told the facility immediately began an internal investigation, reeducated nursing staff on medication procedures and the facility’s abuse policy, and conducted a full audit of PRN medications on the resident’s wing. The presenter said the audit found no other medication mishandling. The facility reported the employee to DHS for further review.

The presenter described a narrow, policy change: if a resident has a PRN medication order but does not use the medication within 30 days, the facility will discontinue that PRN order (the order can be reinstated if the resident needs it and a physician signs a new order). The presenter said that change is intended to reduce the amount of unused PRN medication maintained on the unit.

Regulatory and follow-up steps: the presenter said DHS has 10 business days to send its Statement of Deficiencies and the facility then has 10 calendar days to respond with a plan of correction or request an informal dispute resolution (IDR). The presenter told trustees the facility expects the follow-up to be a desk review and that they will file the required plan of correction promptly.

Discussion vs. action: trustees discussed the incident during the meeting’s “self-report, state survey” agenda item. No formal disciplinary vote or personnel action was recorded in the meeting minutes; the actions described were investigative and administrative (investigation, reporting to DHS, reeducation and policy change). The presenter characterized the employee’s conduct as willful and said DHS was continuing its review.

What remains unspecified: the transcript does not specify the employee’s name, job title, whether the resident experienced harm, nor the exact medication involved; the presenter said the resident was not asking for the medication. The facility said DHS’s recommended citations were “low level” and “no harm” but the facility had not yet received a final written determination.

Next steps for the facility: submit the plan of correction to DHS within the regulatory timeframe, await the agency’s final Statement of Deficiencies, and continue any DHS or law-enforcement follow-up. The facility also said it has reeducated staff and altered PRN policy to reduce future risk.","mediaType","Video","parentTitle","Walworth County Lakeland Health Care Center Board of Trustees - July 16, 2025","oneSentenceSummary","Lakeland Healthcare Center officials disclosed to the Board of Trustees on July 16 that an employee gave a resident a PRN (as-needed) medication without a physician’s order, prompting an internal investigation and a self-report to the state Department of Health Services.","taxTitle","Walworth County, Wisconsin","taxId",54224,"location","headline","","shortSummary",{"_33":76,"_35":36,"_37":38,"_39":77,"_41":78,"_43":79,"_45":80,"_47":81,"_49":82,"_51":83,"_53":84,"_55":56,"_57":58,"_59":85,"_61":62,"_63":64,"_65":86,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6163402,"Social services report: admissions rise, dementia care and peer-support expansions at Lakeland Healthcare Center",849,924000,1773000,"/Search/View?dp=1&key=5435103-4526cbbd22b57cfc19af8292846ccd60&start=924&end=1773","https://assets.pipeline.soar.com/5435103-4526cbbd22b57cfc19af8292846ccd60/thumbnail_924000.jpg","/articles/6163402/Walworth-County/Wisconsin/Social-services-report-admissions-rise-dementia-care-and-peer-support-expansions-at-Lakeland-Healthcare-Center","https://secure.pipeline.soar.com/6163402-2a138b25de4ce21768f789fcbb2e849a/orig.mp4?Expires=1773724828&Signature=RF9PA9JbLqrRwx1pH09ip-EFLWKPhDunEZrBAARFf37ZKa8~14I4DNFDChZLB7z~AbY83WO03udDMP0iXHWV4PwZE-HFkk4wcD5TO1RbhOVK7oxR4zRk29enKc6hnPH0ZiO5IVf1F3O75kCm3MMyIJBZ29x0bApnf-xl5L6~Bk8Qh-YyLhZxBrCzBnOQ7uTuYUrhXDomyPfrjl5WiG113L6n4uwVI7U~BvdDmujQdDazGTzqkJjd4mL6-5SKFk0UhN58YjRRgG~OlIdnGis0mZ7P9epZsohlCvxfbgTW372NAJRCnOY~cvW3XhlGjTngkymtoayOYeZUP8IChcEvuw__&Key-Pair-Id=KUT5TJCACFTXG","Mel Davis, manager of social services at Lakeland Healthcare Center, and Mary Stenzl, admissions coordinator, presented the department’s annual report to the Board of Trustees on July 16, describing higher admissions, program expansions and staffing changes.

Why it matters: social services coordinate resident transitions, family support and psychosocial care needs; changes in referrals, capacity and community partnerships affect residents’ access to services and post-acute discharge outcomes.

Admissions and census: Mary Stenzl reported that from January through June 2025 the facility admitted 115 residents and discharged 100. The department noted a January spike in referrals tied to elective surgeries and a recent increase in the facility’s maximum census from 83 to 89 because of improved nursing and CNA staffing. The admissions presenter said day-of-meeting census was 87 and the waiting list fluctuated (about 23–24 people at one point).

Programs and partnerships: Mel Davis said the facility has a new medical group, Oak Medical, working with the facility on gradual dose reductions for psychotropic medications. Social services highlighted expanded dementia training, outside-provider dementia-care sessions, development of a peer-support program (in partnership with Health and Human Services) that had received about eight referrals year-to-date, and ongoing trauma-informed-care education for staff.

Community engagement and workforce development: the presenters said the department participates in Meals on Wheels rotations, runs a caregiver-connections support group, has provided advanced directive/POA training in the community and will host an MSW intern from UW–Madison starting in September. The presenters also said Gateway nursing students access virtual dementia training even when they do not perform clinical practicum at LHCC.

Staffing notes and goals: presenters introduced a recent promotion/appointment: Andrea Jacobs was named assistant administrator; she previously served as a social worker and has worked with Walworth County for 13 years. Social services’ goals include maintaining dementia-specific care recognition, continuing tabletop emergency exercises with partners (public health, DPW, Lakeland School), increasing use of the facility van for transports, and expanding caregiver-connections into community residential settings.

Discussion vs. action: trustees received the report and asked no substantive follow-up action; the presentation recorded program initiatives, staffing additions and community partnerships but no formal votes.

What remains unspecified: the presentation did not provide full financial details for program costs or quantify the expected fiscal impact of an increased census.","Social services staff reported increased admissions and a higher maximum census, new partnerships for dementia care, a peer-support program for staff and an MSW intern from UW–Madison; the department also highlighted community outreach and caregiver support programs.",{"_33":88,"_35":36,"_37":38,"_39":89,"_41":90,"_43":91,"_45":92,"_47":93,"_49":94,"_51":95,"_53":96,"_55":56,"_57":58,"_59":97,"_61":62,"_63":64,"_65":98,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6163407,"Lakeland Healthcare Center boards sets 2025 budget goals, considers raising census target for 2026 after occupancy gains",1931,209000,2140000,"/Search/View?dp=1&key=5435103-4526cbbd22b57cfc19af8292846ccd60&start=209&end=2140","https://assets.pipeline.soar.com/5435103-4526cbbd22b57cfc19af8292846ccd60/thumbnail_209000.jpg","/articles/6163407/Walworth-County/Wisconsin/Lakeland-Healthcare-Center-boards-sets-2025-budget-goals-considers-raising-census-target-for-2026-after-occupancy-gains","https://secure.pipeline.soar.com/6163407-b98c0f0a85113d8be776b428a056c08b/orig.mp4?Expires=1773724828&Signature=dIW4~kr7t27rcfXNI8jZMtnsWUsHyfp5tTDVqDN0X0nrncrfWo7vJ2Z9hrWhvxmj6a8s5tgD~0kYH8d3-ZaIAMRjrweaCoa0KyAVvtGVdA7J81tHcCaX5Nhk1rnzQA6CWQcl4TJFHs5MpaCTSGk5s5y7usd3kQuMMeVufdTQdI6IxcSnMtFrUgq7m7eDbZCctrbFmj8Bn5vuzO9C-S5CJT8zDBcTg6eQ4YcVFkkyaOu-lK3sxH1AAEMhKQ3X-DYfVIWtrseE8o87dIJ-yV-UWIqvyDSRbtfWAoJTkaTBOdSdHZpJo~pkbrQW55nP3nzsZxtpqZYyopoZYdeuq613Qg__&Key-Pair-Id=KUT5TJCACFTXG","Lakeland Healthcare Center staff told the Board of Trustees on July 16 that they are developing a budget designed to avoid increasing full-time equivalent (FTE) staff and to come in below the 2025 budgeted totals.

Why it matters: staffing and census assumptions drive long-term care facility revenue and expense projections and affect decisions about overtime, temporary hours and program capacity.

Budget goals and assumptions: the presenter said the facility’s budget-development goal is twofold: not to increase FTE count at LHCC and to come in under the 2025 authorized budget. Staff asked trustees for feedback on priorities and said they would bring a balanced draft to county administrators.

Census and operations: trustees heard that resident census increased through the first half of 2025. Admissions and discharges through June showed 115 admissions and 100 discharges year-to-date; the facility’s maximum census allocation had been 83 last year because of staffing constraints but was increased to 89 after recruiting more nurses and CNAs. The presenter reported a day-of-meeting census of 87.

For 2026 planning, the presenter said staff expect to raise the budgeted target census from 84 to 85 because actual occupancy has exceeded prior expectations; the presenter noted that expenses will rise with higher census but revenues should too. Payer mix reported for the period was roughly 60% Medicaid, about 15% Medicare and just under 26% private pay.

Labor and cost effects: trustees were told the facility continues to offer crisis and weekend overtime to CNAs to maintain minimum staffing and that some injuries related to resident transfers have resulted in larger workers’ compensation claims; the presenter said risk-management and body-mechanics training are in progress.

Discussion vs. action: trustees received the update and had an opportunity to ask questions; no formal budget adoption or vote occurred at the meeting. Staff said they would present a budget to county administrators (Mark and Jessica were named as county administrators) in the coming weeks.

What remains unspecified: the transcript did not include a finalized 2026 budget, exact FTE counts, or the detailed revenue/expense modeling underpinning the proposed census change.","Trustees were told leadership aims to hold FTE counts steady and bring a 2025 budget under previous targets; rising census (87 on meeting day) prompted staff to propose raising the 2026 planning census from 84 to 85 to reflect higher occupancy and revenue.",{"_33":100,"_35":36,"_37":38,"_39":101,"_41":102,"_43":103,"_45":104,"_47":105,"_49":106,"_51":107,"_53":108,"_55":56,"_57":58,"_59":109,"_61":62,"_63":64,"_65":110,"_67":68,"_69":70,"_71":68,"_72":73,"_74":73},6163411,"Lakeland Healthcare Center reopens kitchen; wing ready pending DHS inspection, fire-suppression work will add scope",135,1782000,1917000,"/Search/View?dp=1&key=5435103-4526cbbd22b57cfc19af8292846ccd60&start=1782&end=1917","https://assets.pipeline.soar.com/5435103-4526cbbd22b57cfc19af8292846ccd60/thumbnail_1782000.jpg","/articles/6163411/Walworth-County/Wisconsin/Lakeland-Healthcare-Center-reopens-kitchen-wing-ready-pending-DHS-inspection-fire-suppression-work-will-add-scope","https://secure.pipeline.soar.com/6163411-97b68ded316eba2b64d237d23fb5b8f1/orig.mp4?Expires=1773724828&Signature=NvVFdyCFp36juvoippai19MK6MnkafgOZyCkLQM1HVRqMCUAoAp9hyNissv442WrwB3pzQ~7fzs9eDQwXo7L1W3iMpGwVsJjucaByoAX~LOowkTl7IMPZceRcWg7ccsL49oiHeLw7khnkVugIP4F9Zdy20yRXJMsb80ME4rmhb2xVl42Wpe4kjXzkvJQ~vRJzdZI9WoJ1lx1LBVUJktHX1s9tXRUdyo6Jp9Cj~JcJmvhROvYhmM-4Cx~d7yjOmsSSCG3CARJq9tjuH0A96fwV~v2W4i0cb8C3midvh7eFOMzJHX13cHiNMUmSoxoHrZrg5gC~P8uwVCY39h0oUlgew__&Key-Pair-Id=KUT5TJCACFTXG","Lakeland Healthcare Center leaders told the Board of Trustees on July 16 that the facility kitchen has reopened and that the first renovated resident wing is ready for occupancy pending a final inspection from the Department of Health Services.

The presenter said a DHS final inspection was expected Friday at 9 a.m. and that staff had been coordinating family moves in and out of the renovated space. The facility invited trustees to tours with the architect and construction team.

Why it matters: reopening the kitchen and returning a renovated wing to service affects capacity, resident experience and facility operations. Trustees were also briefed on construction budget management and a separate infrastructure issue that will affect project scope.

Contingency and budget: the presenter reported the project contingency sits at about $118,000 and that Public Works will request an increase in contingency of $195,000 at the county finance meeting to ensure funds to complete outstanding work. The presenter said the roof project is running significantly under budget — potentially hundreds of thousands of dollars under — which prompted consideration of reallocating funds to contingency.

Fire-suppression issue: the presenter summarized prior work identifying intermittent water-pressure problems that affect the fire-suppression system. After investigation, staff concluded the issue related to changes in the City of Elkhorn’s water tower levels; the facility filed a plan of correction that includes engineering work and the purchase and installation of a pump to meet required pressure thresholds regardless of city water levels. The presenter said the pump installation will address the deficiency regardless of any future municipal changes.

Discussion vs. action: trustees received updates and were invited to tours; the capital-projects update did not record a formal board vote at the meeting. The presenter said a formal contingency increase request will be considered by the county finance committee the following day.

What remains unspecified: the transcript did not provide a final dollar figure for the fire-suppression engineering or pump purchase, nor confirm the finance committee’s decision; the presenter gave an approximate contingency balance and the proposed contingency increase amount.","The facility reopened its kitchen and has one renovated wing ready for occupancy pending a final DHS inspection; trustees were told a change in the fire-suppression system scope will require engineering and a pump purchase and a request to increase contingency funding will go to county finance.","actionData","errors"]

Article not found

Lakeland Healthcare Center reports medication error, self-reports to state; two low-level citations recommended

Social services report: admissions rise, dementia care and peer-support expansions at Lakeland Healthcare Center

Lakeland Healthcare Center boards sets 2025 budget goals, considers raising census target for 2026 after occupancy gains

Lakeland Healthcare Center reopens kitchen; wing ready pending DHS inspection, fire-suppression work will add scope