Above average — CMS composite of the measures below.
The next survey window likely opens around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Lakeside Generations Health Care Center during CMS and state inspections, most recent first.
A resident with CHF and chronic respiratory failure was discharged from the hospital with an order for Furosemide 40 mg daily, but facility staff failed to transcribe this order into the EHR and did not initiate the CHF order set, including daily weights and respiratory monitoring. The resident was not placed on daily weights at admission, later showed significant, documented weight gain over multiple days, and received no Furosemide doses for 13 consecutive days, as confirmed by the MAR. The medication error was discovered only after an outside vascular clinic requested medication and weight information, prompting staff to review the hospital discharge summary and recognize that the Furosemide order and CHF order set had been omitted. Interviews with an LPN and an RN revealed distractions during admission order transcription and failure to identify the CHF diagnosis, and subsequent documentation showed the resident experienced rapid weight gain, worsening respiratory status, hypoxia, and hospitalization for acute on chronic CHF and hypoxic respiratory failure.
The facility failed to date and store food items properly in the freezer, affecting all residents who consume meals from the kitchen. During a kitchen tour, it was found that several food items were not in their original packaging and lacked dates indicating when they were opened. A staff member mentioned removing items from boxes to save space. A follow-up tour revealed additional items without proper labeling, highlighting a need for staff education on dating opened packages.
The facility failed to assess and document the appropriate use and placement of an hourglass sling for three residents during Hoyer transfers, leading to a fall and injury for one resident. The residents' medical records lacked evidence of assessments for sling size and usage, and improper sling placement was confirmed by staff. The facility's procedures for selecting and documenting sling size were inadequate, contributing to the deficiency.
A resident with complex medical conditions and a recent femur fracture was at risk for pressure injuries due to inadequate updates to her care plan. Despite being wheelchair-bound and primarily seated in a recliner, the facility failed to implement or document necessary interventions for pressure relief. The care plan did not reflect the resident's current condition or address her refusal to use a pressure redistribution mattress due to pain.
A resident with acute respiratory disease and a urinary catheter was observed receiving care without proper hand hygiene practices by staff. Nursing assistants and a registered nurse failed to perform hand hygiene between glove changes during incontinence, catheter, and wound care, despite handling soiled materials. The facility's policy requires hand hygiene to prevent infection spread, but staff interviews revealed lapses in following these protocols.
Failure to Transcribe and Administer Furosemide for CHF Resident Leading to Harm
Penalty
Summary
The deficiency involves the facility’s failure to transcribe and administer a prescribed diuretic, Furosemide, for a resident with a diagnosis of chronic congestive heart failure and chronic respiratory failure with hypoxia. The resident was discharged from the hospital with an order for Furosemide 20 mg tablets, with instructions to begin on a specified date and take two tablets (40 mg) by mouth once daily in the morning for acute chronic diastolic congestive heart failure. This order was not entered into the facility’s electronic health record (EHR) when the resident was admitted, and the congestive heart failure (CHF) order set was not initiated as required by the facility’s admission checklist and procedures. As a result, the resident’s physician orders in the EHR did not include Furosemide, and the CHF monitoring order set, including daily weights and respiratory assessments, was not started as expected. The resident’s care plan indicated that medications were to be administered as ordered and that staff were to monitor fluid restriction and record weights according to facility policy. However, the resident was not placed on daily weights upon admission, and daily weights were only initiated later, after a delay. Weight records showed a progressive and significant weight gain over a period of days, including an increase of more than 7 pounds in three days and a total gain of over 17 pounds in less than three weeks. Despite these documented weight increases, there was no evidence in the record of a comprehensive assessment or analysis to determine the cause of the weight gain. The January medication administration record confirmed that the resident did not receive any doses of Furosemide 40 mg for 13 consecutive days following the date the medication was to be started per the hospital discharge order. The medication incident was eventually identified when an outside vascular clinic contacted the facility for the resident’s medication administration and weight information and discovered that Furosemide had not been given as ordered. Facility staff then reviewed the hospital discharge summary and confirmed that the Furosemide order and CHF order set had not been transcribed into the facility’s physician orders. Interviews with the LPN who transcribed the admission orders and the RN who verified them revealed that distractions during order transcription and failure to recognize the CHF diagnosis contributed to missing the Furosemide order and not initiating the CHF order set. Subsequent progress notes and hospital records documented that the resident experienced rapid weight gain, worsening respiratory status, hypoxia, and was transferred and admitted to the hospital with acute on chronic congestive heart failure and hypoxic respiratory failure. Multiple clinical staff, including nursing, a physician assistant, a pharmacist, the regional clinical director, and the medical director, acknowledged that the resident did not receive the prescribed Furosemide doses and described the relationship between missed Furosemide and the resident’s fluid overload, weight gain, and respiratory distress.
Failure to Date and Store Food Properly in Freezer
Penalty
Summary
The facility failed to properly date and store food items in the freezer, which could potentially affect all 43 residents who consume meals prepared in the kitchen. During an initial kitchen tour, it was observed that a bag of precooked chicken and a bag of ravioli were not in their original packaging and lacked a packaging date. Additionally, two partial bags of chicken patties and two partial bags of cheese curds were opened but did not have any indication of when they were opened. An unidentified staff member mentioned that items were removed from their boxes to save space in preparation for a delivery. A follow-up tour of the freezer revealed further issues, including an open bag of onions and a bag of mixed vegetables, both of which lacked labeling to indicate when they were opened. The Director of Food and Nutrition Services acknowledged the issue and noted that the vegetables were not present the previous day, indicating a need for further staff education on the importance of dating opened packages. The facility's policy on Refrigerator and Freezer Storage requires all food in the freezer to be wrapped tightly, labeled, and dated if not in the original container, which was not adhered to in these instances.
Failure to Assess and Properly Use Hourglass Sling Leads to Resident Fall
Penalty
Summary
The facility failed to provide care in accordance with professional standards of practice by not completing assessments for the use and placement of an hourglass sling during Hoyer transfers for three residents. These residents, who were dependent on staff for transfers, had various medical conditions such as cognitive impairment, stroke, coronary artery disease, hypertension, diabetes, and hemiplegia. The medical records for these residents lacked evidence of assessments for the appropriate size, usage, and application of the full body lift sling, as well as the residents' cognition levels or appropriateness to use the sling. One resident, who was severely cognitively impaired, experienced a fall from the Hoyer sling during a transfer, resulting in a small laceration to the head. The fall occurred because the sling was improperly placed, with the lower thick section at the base of the buttock instead of between the middle of the lower thigh and just above the knee joint. Nursing assistants involved in the transfer confirmed the improper placement of the sling, which led to the resident sliding out of it. The facility's procedures for selecting and documenting the appropriate sling size and type were inadequate. The registered nurse manager and director of nursing acknowledged that there was no formal assessment tool or documentation process in place for determining the correct sling size and placement. The facility's policy required assessments for sling size on admission and with significant weight changes, but this was not followed, contributing to the deficiency in care.
Failure to Update Care Plan for Resident at Risk of Pressure Injuries
Penalty
Summary
The facility failed to adequately review and update the care plan for a resident (R10) who was at risk for pressure ulcers/injuries. R10, who was alert and oriented, had a history of complex medical conditions including diabetes, hypertension, and peripheral vascular disease. Despite being independent in many activities of daily living, R10 had experienced a fall resulting in a right femur fracture and was subsequently wheelchair-bound. Upon returning from the hospital, R10's care plan was not updated to reflect her new condition, including the recent fracture and her inability to rest in bed due to pain. Observations and interviews revealed that R10 was primarily seated in a recliner and had not used her bed since returning from the hospital. The care plan lacked interventions for offloading or changing positions to prevent pressure injuries, despite R10's Braden Scale score indicating a risk for skin breakdown. The facility's documentation did not reflect discussions about the risks and benefits of not using pressure-relieving interventions, such as pressure reduction cushions or laying down in bed, which were necessary given R10's condition. The facility's policy required care plans to be updated routinely to reflect the resident's current condition, but this was not adhered to in R10's case. The director of nursing acknowledged the lack of interventions and documentation regarding R10's skin condition and the potential for further skin breakdown. Despite having a pressure redistribution mattress, R10's care plan did not address her refusal to use it due to pain, nor did it include alternative interventions to mitigate the risk of pressure injuries while she remained in her recliner.
Failure to Implement Hand Hygiene Protocols During Resident Care
Penalty
Summary
The facility failed to consistently implement hand hygiene during the provision of personal care for a resident identified as R99, who was observed for wound care. R99's primary diagnosis was acute respiratory disease, and the resident also had a urinary catheter due to urine retention. During an observation on December 4, 2024, nursing assistants NA-A and NA-B were noted to perform hand hygiene before entering the room and donning gowns and gloves. However, throughout the care process, they repeatedly failed to perform hand hygiene between glove changes, despite handling soiled materials and using a walkie-talkie without sanitizing their hands. The report details multiple instances where hand hygiene was neglected. NA-A and NA-B did not perform hand hygiene after removing soiled gloves and before donning new ones, even after handling contaminated items. This occurred during incontinence care, catheter care, and wound care. Additionally, RN-B, who arrived to complete wound care, also failed to perform hand hygiene after removing gloves and gown, carrying contaminated items out of the room without sanitizing hands. The facility's policy requires hand hygiene to be performed before and after glove use, and between glove changes, to prevent the spread of infections. Interviews with the staff revealed an awareness of the hand hygiene protocol, yet it was not consistently followed. NA-A acknowledged the absence of pocket sanitizer and the improper handling of the walkie-talkie. RN-A also admitted to not sanitizing between glove changes during wound care. The Director of Nursing confirmed the expectation for hand hygiene to be completed at various stages of care to prevent infection spread, aligning with the facility's infection control policy.
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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 Dassel
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Cokato Manor | 5.1 mi | ★★★★★ | 5 | 0 |
| Meeker Manor Rehabilitation Center, Llc | 10.8 mi | ★★★★★ | 15 | 0 |
| Good Samaritan Society - Howard Lake | 11 mi | ★★★★★ | 10 | 0 |
| The Gardens At Winsted Llc | 14.6 mi | ★★★★★ | 6 | 0 |
| Harmony River Living Center | 15.4 mi | ★★★★★ | 8 | 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 July 2026) and official state health department websites.