| Lakehouse Healthcare & Rehabilitation Center | |
| 3737 Bryant Avenue South, Minneapolis, Minnesota 55409 | |
| (612) 827-5931 | |
| Name | Lakehouse Healthcare & Rehabilitation Center |
|---|---|
| Location | 3737 Bryant Avenue South, Minneapolis, Minnesota |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 260 |
| Occupancy Rate | 90.38% |
| Medicare ID (CCN) | 245055 |
| Legal Business Name | Lake Harriet Operator LLC |
| Ownership Type | For Profit - Limited Liability Company |
| NPI Number | 1407560832 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Lake Harriet Operator LLC |
| Doing Business As | Lake Harriet Nursing and Rehabilitation Center |
| Address | 3737 Bryant Ave S, Minneapolis, MN 55409 |
| Phone Number | 612-827-8382 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.34 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.7 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.71 | 0.86 |
| Nurse aide hours per resident per day | 1.94 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.09 | 3.42 |
| RN hours per resident per day on the weekend | 0.58 | 0.48 |
| Physical therapist hours per resident per day | 0.13 | 0.07 |
| Total nursing staff turnover | 34.5% | 45.8% |
| Registered nurse turnover | 20.6% | 42.9% |
| Number of administrators who have left the nursing home | 2 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 30, 2026 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Jun 2, 2026 |
| Apr 30, 2026 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. F0693, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jun 2, 2026 |
| Apr 30, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Jun 2, 2026 |
| Mar 10, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Apr 15, 2026 |
| Nov 19, 2025 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 6, 2026 |
| Sep 3, 2025 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678, Quality of Life and Care, Complaint inspection | Immediate jeopardy, isolated | Past non-compliance (already corrected) |
| Aug 15, 2025 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection, Complaint inspection | Potential for harm, widespread | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. F0925, Environmental, Standard inspection | Potential for harm, widespread | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Ensure each resident receives an accurate assessment. F0641, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Provide activities to meet all resident's needs. F0679, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Provide care or services that was trauma informed and/or culturally competent. F0699, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. F0808, Nutrition and Dietary, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2025 |
| Aug 15, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Oct 2, 2025 |
| Jul 18, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Sep 3, 2025 |
| Jul 18, 2025 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 3, 2025 |
| Jul 18, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. F0658, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Sep 3, 2025 |
| Jun 13, 2025 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Jul 15, 2025 |
| Jan 2, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. F0842, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Feb 5, 2025 |
| Dec 23, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Jan 14, 2025 |
| Oct 14, 2024 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Nov 5, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 25.08 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 7.96 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.46 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 1.05 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 5.73 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.94 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 91.97 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 70.19 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.7 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 18.35 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.57 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.27 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 85.29 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.89 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.15 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 21.53 | 15.38 |
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