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NH Department of Health and Human Services Releases Report on Licensing Review of Lakeview NeuroRehabilitation Center
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Health Facilities Administration
Publish Date:
December 15, 2014

Concord, NH – The New Hampshire Department of Health and Human Services (DHHS) released a report on a licensing complaint inspection review of Lakeview NeuroRehabilitation Center. Lakeview NeuroRehabilitation Center is an 88-bed residential facility located in Effingham, New Hampshire that cares for individuals with physical, neurological, cognitive, and behavioral impairments. The inspection was prompted by a complaint filed by the New Hampshire Disabilities Rights Center in late September.

The licensing review of Lakeview focused on its current operation and whether the facility was in compliance with the regulatory requirements set forth in NH RSA 151 and He-P 807.
In its review, the team focused on three primary questions:

  1. Does Lakeview comply or not comply with the requirements set forth in NH RSA 151 and He-P 807?
  2. Do the current practices, policies and resources at Lakeview provide appropriate assessment, treatment planning, case management, discharge planning and related services for residents consistent with regulations and best practices?
  3. Does Lakeview have in place appropriate procedures and policies to effectively ensure the safety of residents, staff and visitors?

The review found that chronic and acute staffing deficits; not maintaining proper levels of supervision at all times; admitting residents with a higher level of acuity than the facility can effectively handle; deficiencies in training, communication, crisis management and program oversight; and lack of a robust quality improvement function have contributed at times to problematic incidents and “bad outcomes” for program residents. The report states that Lakeview is required to submit an acceptable Plan of Correction (POC) to address and ameliorate the issues identified in the report and to come into compliance with statutory and regulatory requirements.

Lakeview must submit a Plan of Correction to the Department by December 31st (21 days from the date Lakeview was provided the report He-P 807.12). The POC must address:

  • How the licensee intends to correct each deficiency;
  • What measures will be put in place, or what system changes will be made to ensure that the deficiency does not recur; and
  • The date by which each deficiency shall be corrected.

Once the POC is accepted, the Department will post it online along with the inspection report.

According to Deputy Commissioner Marilee Nihan, “This report raises serious concerns about Lakeview’s ability to provide quality care in a safe and effective way to this vulnerable population. While I do appreciate the difficulties and complexities in providing safe care and treatment to those with severe brain injuries, individuals must be provided with safe, quality care. The findings in this report illustrate that Lakeview needs to greatly improve and maintain its staffing, training, and quality systems.”

The licensing report is now available on the facilities licensing page at and by typing in Lakeview under Facility Name.

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New Hampshire Department of Health and Human Services
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