Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around October 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lakeview Methodist Health Care Center during CMS and state inspections, most recent first.
The facility failed to ensure beverageware was completely dry before storing, risking bacterial growth. Observations revealed stacked cups with visible condensation, and a dietary aide confirmed moisture presence. The dietary manager stated staff should allow beverageware to air dry completely and avoid stacking. The administrator acknowledged the need for monitoring to ensure policy adherence.
A facility failed to assess a resident for self-administration of medications, resulting in prescription creams being left at the bedside without proper evaluation. The resident, who required extensive assistance and had multiple diagnoses, was observed with miconazole nitrate ointment and diclofenac sodium gel within reach. Interviews with an LPN and the DON confirmed the lack of assessment, contrary to the facility's policy requiring an interdisciplinary team evaluation and a physician's order.
The facility failed to ensure accurate MDS assessments for two residents. One resident with dementia had a wanderguard not documented in the MDS, and another resident's discharge was incorrectly coded as a hospital transfer instead of to a family member's home. The MDS coordinator acknowledged these errors, and the DON expected accurate coding per the RAI manual.
A facility failed to revise a care plan for a resident with a stage III pressure ulcer, lacking specific interventions like heel protectors and repositioning. Observations showed the resident often without prescribed protective measures, and staff interviews revealed inconsistent documentation and adherence to the care plan. The DON confirmed the absence of required documentation and daily skin assessments.
The facility failed to prevent and manage pressure ulcers for two residents, leading to deficiencies in care. One resident with Parkinson's disease had a stage III ulcer that was not present on admission, and interventions like heel protectors were inconsistently applied. Another resident with diabetes developed a stage III ulcer due to a tight shoe, and weekly skin audits were not consistently performed. Staff interviews confirmed lapses in documentation and adherence to care plans, contributing to the deficiency.
A resident with rheumatoid arthritis and other conditions was found using an unauthorized electric heating pad in their room, contrary to the facility's policy and medical orders. The resident's care plan included alternative pain relief methods, but the Aqua-K pad specified in the orders was not used. Facility staff, including the DON, were unaware of the heating pad's presence, and no policy on heating pad use was provided.
Two residents with severe cognitive impairment and multiple diagnoses consented to the pneumococcal vaccine, but the facility failed to administer it as per CDC recommendations. The infection preventionist and another RN were responsible for ensuring vaccinations, but both confirmed the vaccines were not given. The DON stated the facility followed CDC guidance, and the policy required offering the vaccine within thirty days of admission.
The facility failed to deliver resident mail on Saturdays, affecting all residents. Several residents raised concerns during a Resident Council meeting about not receiving mail on Saturdays. The activity director confirmed that mail was not delivered on Saturdays due to staff absence after 1:00 p.m., and the post office delivered mail after this time. The staffing coordinator noted the lack of a secure location for Saturday mail delivery, leading to mail being held at the post office. The administrator was unaware of the issue, despite the facility's policy requiring mail delivery within 24 hours, including Saturdays.
A resident with bilateral urostomies did not receive urostomy care as per physician's orders, with missed treatments documented in the TAR and issues like leaking bags noted in progress notes. Observations showed undated and uninitialed ostomy bags, and interviews with nursing staff revealed lapses in following expected protocols for dressing changes.
Improper Drying of Beverageware
Penalty
Summary
The facility failed to ensure that beverageware was completely dry before storing, which could lead to bacterial growth. During an observation, multiple beverageware items, including clear plastic cups, light blue plastic cups, and thermal coffee cups, were found stacked on trays with visible condensation inside the cups. A dietary aide confirmed the presence of moisture in the cups and explained that the beverageware was placed on a rubber shelf-liner to air dry after being removed from the dishwasher. However, the aide acknowledged that moisture remaining in the cups could lead to bacterial growth. The dietary manager confirmed that staff were instructed to allow beverageware to air dry completely before storing and to avoid stacking the cups. The facility's Dishwashing Machine Use policy required food service staff to be trained in all steps of dishwashing machine use, including allowing items to air dry after a complete cycle. The administrator acknowledged the need for monitoring by dietary leadership staff to ensure adherence to policies, especially with four kitchenettes in the facility.
Failure to Assess Resident for Self-Administration of Medications
Penalty
Summary
The facility failed to ensure that a resident, identified as R264, was appropriately assessed and deemed suitable to self-administer medications. R264's medical records indicated diagnoses including a bloodstream infection, muscle spasm of the back, and lack of blood flow to the muscle. The care plan noted that R264 required extensive staff assistance for various activities and was at risk for ineffective coping related to health status. Despite these needs, R264 was observed with two prescription creams, miconazole nitrate ointment and diclofenac sodium gel, at the bedside without an assessment for self-administration of medication being completed. During observations, the creams were noted to be within reach of R264, who was sleeping in bed. Interviews with an LPN and the DON confirmed that no assessment had been conducted to determine R264's ability to self-administer medications. The facility's policy required an interdisciplinary team assessment and a physician's order before allowing self-administration, which was not followed in this case. The LPN removed the medications from R264's room after acknowledging the oversight.
Inaccurate MDS Assessments for Residents
Penalty
Summary
The facility failed to ensure accurate assessments in the Minimum Data Set (MDS) for two residents. One resident, diagnosed with dementia and senile degeneration of the brain, was observed wearing a wanderguard bracelet, which was not documented in the MDS under alarms. During an observation, the resident was seen propelling herself in a wheelchair and attempting to exit the unit, indicating the need for an elopement alarm. The MDS coordinator confirmed the omission and acknowledged the inaccuracy in the resident's MDS. Another resident's discharge MDS was inaccurately coded, indicating a planned discharge to a short-term general hospital, while the discharge summary stated the resident was discharged to a family member's home. The MDS coordinator admitted the error in coding, and the Director of Nursing (DON) expressed the expectation for accurate MDS coding in accordance with the Resident Assessment Instrument (RAI) manual. The facility's policy on MDS completion and accuracy was requested but not provided.
Failure to Revise Care Plan for Pressure Ulcer Prevention
Penalty
Summary
The facility failed to revise a care plan to address pressure ulcer risk and preventative measures for a resident diagnosed with Parkinson's disease, lymphedema, and a high body mass index. The resident had a stage III pressure ulcer on the left lateral malleolus, which was not present upon admission. The care plan, last revised on 6/28/24, included general interventions for pressure ulcer management but lacked specific measures such as the use of an air mattress, repositioning, chair cushion, and foot/heel protector. Observations and interviews revealed that the resident was often found lying in bed without the prescribed heel/foot protector or rolled towel for positioning, despite having an air mattress on the bed. The resident reported having a sore near the heel that required daily dressing changes, which was not consistently applied. The wound care nurse confirmed the absence of the heel/foot protector and dressing during an examination and noted that the pressure ulcer had improved but required ongoing protection. Interviews with staff indicated a lack of documentation and adherence to the care plan, with nursing assistants responsible for applying the heel protectors but not consistently documenting their use. The Director of Nursing acknowledged the absence of documentation for the heel/foot boot and confirmed that skin assessments were not completed daily as required. The facility's policies emphasized the need for individualized care plans and pressure ulcer prevention, which were not adequately implemented for this resident.
Inadequate Pressure Ulcer Management and Documentation
Penalty
Summary
The facility failed to comprehensively assess and implement interventions to prevent the development of new pressure ulcers for two residents, R31 and R48. R31, diagnosed with Parkinson's disease and lymphedema, had a stage III pressure ulcer on the left lateral malleolus that was not present upon admission. Despite having physician orders for pressure reduction interventions, such as applying a rolled towel and using a heel/foot protector, these measures were not consistently implemented. Observations revealed that R31's heel/foot protector was often not in use, and skin assessments were not completed weekly as required by facility protocol. R48, with diagnoses including type two diabetes mellitus and chronic kidney disease, also had a stage III pressure ulcer that developed after admission. The ulcer was reportedly caused by a tight shoe, and although it was believed to be healed, the treatment orders remained active. Weekly skin audits and wound assessments were not consistently performed, with significant gaps in documentation. The facility's policy required weekly body/skin audits and documentation, which were not adhered to, contributing to the deficiency. Interviews with staff, including the DON and wound care nurse, confirmed the lack of consistent documentation and adherence to care plans. The DON acknowledged that skin assessments were not completed as required, and the heel/foot protector was not documented in the task list until recently. This lack of consistent care and documentation led to the development and inadequate management of pressure ulcers for both residents.
Unauthorized Use of Electric Heating Pad in Resident's Room
Penalty
Summary
The facility failed to ensure that a resident, identified as R314, was free from potential injury due to the use of an unauthorized electric heating pad. R314, who has diagnoses of rheumatoid arthritis, disc degeneration, and age-related osteoporosis, was observed using a Walgreen's brand electric heating pad in her room. The resident's care plan included alternative pain relief methods such as warm blankets and massages, and the medical orders specified the use of an Aqua-K pad for pain relief. However, the treatment administration record indicated that the Aqua-K pad had not been used in the preceding months, and the electric heating pad was not part of the approved treatment plan. Interviews with facility staff, including an LPN, an RN, the maintenance director, and the DON, revealed that none were aware of the presence of the heating pad in R314's room. The DON stated that electric heating pads brought from home were not allowed due to the risk of injury, such as burns or electrical shock, and expected staff to have reported its presence. The facility's policy on the use of heating pads was requested but not provided, indicating a lack of documented guidelines or enforcement regarding the use of such devices in the facility.
Failure to Administer Pneumococcal Vaccine to Consenting Residents
Penalty
Summary
The facility failed to administer the pneumococcal vaccine to two residents, despite having obtained their consent, in accordance with CDC recommendations. Resident 36, who had severe cognitive impairment and diagnoses including stroke, hypertension, and Parkinson's Disease, consented to the Pneumovax vaccine on May 13, 2024, but there was no record of the vaccine being administered. Similarly, Resident 58, also with severe cognitive impairment and diagnoses such as anemia, coronary artery disease, and dementia, consented to the vaccine on September 16, 2024, but did not receive it. Interviews with facility staff revealed that the registered nurse responsible for infection prevention and another registered nurse were tasked with ensuring vaccinations were administered. Both confirmed that the residents had consented to the vaccine, but it was not administered as expected. The director of nursing also confirmed that the facility followed CDC guidance and was responsible for ensuring vaccinations were given once consent was obtained. The facility's policy stated that residents should be assessed for vaccine eligibility upon admission and offered the vaccine within thirty days unless contraindicated or previously vaccinated.
Failure to Deliver Resident Mail on Saturdays
Penalty
Summary
The facility failed to ensure that residents had access to their mail on Saturdays, affecting all 61 residents. During a Resident Council meeting, several residents expressed concerns about not receiving mail on Saturdays, with mail only being delivered from Monday to Friday. The activity director confirmed that mail was not delivered on Saturdays because the activity staff, responsible for mail delivery, were not present after 1:00 p.m., and the post office delivered mail after this time. Consequently, mail was not distributed to residents on Saturdays. The staffing coordinator explained that the facility lacked a secure location for the post office to deliver mail on Saturdays, leading to the suspension of Saturday mail delivery. The mail was held at the post office to prevent packages and personal mail from being left unsecured. The facility's administrator was unaware of this issue and expected residents to receive mail on Saturdays if delivered by the post office. The facility's policy stated that mail should be delivered to residents within 24 hours of delivery, including Saturdays.
Failure to Follow Urostomy Care Orders
Penalty
Summary
The facility failed to adhere to physician's orders for urostomy bag changes for a resident with bilateral urostomies, as observed in the treatment administration records (TAR) and progress notes. The resident, who had a history of bladder cancer, renal insufficiency, and other significant health issues, required urostomy care twice weekly as per physician's orders. However, the TAR indicated that the urostomy care was not completed on two occasions, and there was no documentation explaining the missed treatments. Additionally, progress notes revealed issues with the urostomy bags, such as leaking and improper positioning, which were not addressed in a timely manner. During an observation, it was noted that the resident's ostomy bags were not dated or initialed, contrary to the facility's expectations for dressing changes. Interviews with the assistant director of nursing (ADON) and the director of nursing (DON) confirmed that the expected protocol was not followed. The ADON admitted to possibly forgetting to sign off on a urostomy pouch change, and the DON emphasized the importance of completing and documenting treatments as scheduled. The facility's policy on urostomy bag changes was reviewed, but the deficiency in following the prescribed care and documentation was evident.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Fairmont
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Truman Senior Living | 13.1 mi | — | 13 | 0 |
| Seasons Healthcare | 14.4 mi | — | 0 | 0 |
| Valley Vue Care Center | 17.1 mi | — | 4 | 0 |
| St Lukes Lutheran Care Center | 18.9 mi | — | 0 | 0 |
| Estherville Community Care Center | 23.9 mi | — | 18 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.