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A report that examines operations at Lakeview Neurorehabilitation Center, shown here on Sept. 30, has been released. Earlier this year, a disability-rights group alleged Lakeview has exhibited a long-term 'pattern of poor treatment' of patients. (John Koziol/Union Leader Correspondent)

State: Range of staffing issues led to 'bad outcomes' at Lakeview NeuroRehabilitation


EFFINGHAM – A report released this morning says that “chronic and acute staffing deficits” improper supervision, as well as deficiencies in training, communication and crisis management at the Lakeview NeuroRehabilitation Center led to “problematic incidents” and “bad outcomes” for patients there.

In response to the report from the New Hampshire Department of Health and Human Services, David Armstrong on behalf of the 88-bed facility, which serves youths and adults with acquired brain injuries and developmental disabilities, said Lakeview would "fully comply" with the report's recommendations.

Those recommendations include Lakeview submitting what the DHHS called "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."

On Sept. 30, the NH Disabilities Rights Center released two documents that the center said showed systemic, long-term deficiencies at Lakeview, which has centers in Effingham and Belmont.  The group alleges one of those incidents lead to the death of a patient.

Gov. Maggie Hassan immediately ordered the DHHS to stop sending patients to Lakeview and also ordered two reports, the first of which focuses on whether Lakeview was in compliance with the regulatory requirements, according to the DHHS.

That report, said Deputy DHHS Commissioner Marilee Nihan, "…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."

Lakeview must submit a Plan of Correction to the DHHS by Dec. 31 that addresses how it intends to correct each deficiency; safeguards to prevent recurrence; and a date by which each deficiency shall be corrected.

The full licensing report is available on the DHHS website and by typing in Lakeview under "Facility Name."

Armstrong, Lakeview's administrator, said the facility has already begun to address the concerns identified in the licensing report, and is hiring outside experts as needed.

"We intend to use this report as an opportunity to further advance the quality of services we provide," Armstrong said.


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