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Deficiency Records for Lowry Hills Care and Rehabilitation
A list of the most recent deficiencies for Lowry Hills Care and Rehabilitation. 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 Lowry Hills Care and Rehabilitation. 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? |
|---|---|---|---|---|
| Install proper backup exit lighting. | Fire Safety | 2024-05-22 | 2024-06-18 | 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 | 2024-05-22 | 2024-06-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-22 | 2024-06-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-22 | 2024-06-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-22 | 2024-06-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-22 | 2024-06-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-22 | 2024-06-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-22 | 2024-06-18 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-05-22 | 2024-06-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-22 | 2024-06-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-22 | 2024-06-18 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-05-07 | 2024-05-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-07 | 2024-05-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-07 | 2024-05-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-07 | 2024-05-10 | 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 | 2024-05-07 | 2024-05-10 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-05-07 | 2024-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-07 | 2024-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-07 | 2024-05-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-07 | 2024-05-10 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-05-07 | 2024-05-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-07 | 2024-05-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-07 | 2024-05-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-06 | 2023-12-08 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-21 | 2023-04-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-18 | 2023-04-19 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-21 | 2023-03-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-21 | 2023-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-26 | 2023-02-24 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-01-26 | 2023-02-24 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-01-26 | 2023-02-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-21 | 2023-02-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-21 | 2023-02-22 | 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 | 2023-01-26 | 2023-02-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-02-21 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-01-26 | 2023-02-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-26 | 2023-02-21 | 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 | 2023-01-26 | 2023-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-26 | 2023-02-21 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-01-26 | 2023-02-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-26 | 2023-02-21 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-02-21 | 2023-02-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-26 | 2023-02-21 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-01-26 | 2023-02-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-04 | 2022-01-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-04 | 2022-01-07 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-11-04 | 2022-01-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-08 | 2022-01-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-08 | 2022-01-06 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-10-14 | 2022-01-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-14 | 2022-01-06 | N |
| Respond appropriately to all alleged violations. | Health | 2021-10-14 | 2022-01-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-10-14 | 2022-01-06 | N |
| Provide activities to meet all resident's needs. | Health | 2021-10-14 | 2022-01-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-14 | 2022-01-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-10-14 | 2022-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-14 | 2022-01-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-11-04 | 2022-01-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-04 | 2022-01-04 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2021-11-04 | 2022-01-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-04 | 2021-12-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-04 | 2021-12-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-04 | 2021-12-01 | 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 | 2021-11-04 | 2021-12-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-04 | 2021-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-04 | 2021-12-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-04 | 2021-12-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-04 | 2021-12-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-04 | 2021-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-04 | 2021-11-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-14 | 2021-11-12 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-10-14 | 2021-11-12 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-10-14 | 2021-11-12 | 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 | 2021-10-14 | 2021-11-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-14 | 2021-11-12 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-10-14 | 2021-11-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-14 | 2021-11-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-14 | 2021-11-12 | 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 | 2021-10-14 | 2021-11-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-14 | 2021-11-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-14 | 2021-11-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-10-14 | 2021-11-12 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-10-14 | 2021-11-12 | N |
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