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Deficiency Records for Lassen Nursing and Rehabilitation Center

A list of the most recent deficiencies for Lassen Nursing and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Lassen Nursing and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-10-24 2024-11-11 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-10-24 2024-11-11 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-10-24 2024-11-11 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-10-24 2024-11-11 N
Ensure medication error rates are not 5 percent or greater. Health 2024-10-24 2024-11-11 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2024-10-24 2024-11-11 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-10-24 2024-11-11 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2024-10-24 2024-11-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-10-24 2024-11-11 N
Provide and implement an infection prevention and control program. Health 2024-10-24 2024-11-11 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2024-10-30 2024-11-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-10-30 2024-11-08 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-10-30 2024-11-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-10-30 2024-11-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-10-30 2024-11-08 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-10-30 2024-11-08 N
Have proper medical gas storage and administration areas. Fire Safety 2024-10-30 2024-11-08 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2024-07-31 2024-08-08 Y
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2024-05-21 2024-05-29 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-05-21 2024-05-29 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-05-21 2024-05-29 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-05-21 2024-05-29 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-05-21 2024-05-29 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2024-05-21 2024-05-29 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-05-21 2024-05-29 Y
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2024-05-21 2024-05-29 Y
Provide or obtain dental services for each resident. Health 2024-04-04 2024-05-03 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-04-04 2024-05-02 Y
Ensure each resident receives an accurate assessment. Health 2024-04-04 2024-04-29 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-13 2023-12-29 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-08-07 2023-08-26 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-08-07 2023-08-26 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-08-07 2023-08-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-07 2023-08-26 N
Provide a written emergency evacuation plan. Fire Safety 2023-08-07 2023-08-26 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-08-07 2023-08-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-08-07 2023-08-26 N
Meet requirements for the use of electrical equipment. Fire Safety 2023-08-07 2023-08-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-08-07 2023-08-26 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-08-04 2023-08-23 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-08-04 2023-08-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-04 2023-08-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-04 2023-08-22 N
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2023-08-04 2023-08-21 N
Assess the resident when there is a significant change in condition Health 2023-08-04 2023-08-21 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-08-04 2023-08-21 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-08-04 2023-08-21 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-31 2023-06-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-30 2023-06-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-21 2023-05-04 Y
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Health 2023-04-17 2023-04-24 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-04-17 2023-04-24 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-10-12 2022-10-24 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-07-14 2022-08-17 Y
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2022-07-14 2022-08-17 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-07-14 2022-08-17 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-07-14 2022-08-17 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-14 2022-08-17 Y
Keep all essential equipment working safely. Health 2022-07-14 2022-08-17 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-07-14 2022-08-17 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-07-01 2022-07-22 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-09-12 2019-10-24 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2019-09-12 2019-10-24 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2019-09-12 2019-10-24 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2019-09-12 2019-10-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-12 2019-10-24 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-09-12 2019-10-24 N
Keep all essential equipment working safely. Health 2019-09-12 2019-10-24 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2019-09-12 2019-10-24 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2019-09-24 2019-10-09 N
Establish staff and initial training requirements. Fire Safety 2019-09-24 2019-10-09 N
Use approved construction type or materials. Fire Safety 2019-09-24 2019-10-09 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-09-24 2019-10-09 N
Enure that solid fuel-burning fireplaces are not in patient sleeping areas. Fire Safety 2019-09-24 2019-10-09 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-09-24 2019-10-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-09-24 2019-10-09 N

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