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Deficiency Records for Lakewood Post Acute and Rehabilitation
A list of the most recent deficiencies for Lakewood Post Acute 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 Lakewood Post Acute 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? |
|---|---|---|---|---|
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-28 | 2023-12-19 | 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 | 2023-09-28 | 2023-12-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-19 | 2023-11-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-19 | 2023-11-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-19 | 2023-11-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-19 | 2023-11-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-19 | 2023-11-27 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-10-19 | 2023-11-27 | 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 | 2023-10-19 | 2023-11-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-19 | 2023-10-31 | N |
| Have an externally vented heating system. | Fire Safety | 2023-10-19 | 2023-10-26 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-09-28 | 2023-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-28 | 2023-10-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-28 | 2023-10-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-28 | 2023-10-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-28 | 2023-10-22 | N |
| 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 | 2023-09-28 | 2023-10-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-28 | 2023-10-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-28 | 2023-10-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-28 | 2023-10-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-28 | 2023-10-22 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-28 | 2023-10-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-19 | 2023-05-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-07 | 2022-11-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-07 | 2022-11-04 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-10-07 | 2022-11-04 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-07 | 2022-11-04 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-10-07 | 2022-11-04 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-07 | 2022-11-04 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-27 | 2022-11-03 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-29 | 2022-07-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-03 | 2022-04-04 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-03-03 | 2022-04-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-03 | 2022-04-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-03 | 2022-04-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-03 | 2022-03-30 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-09-03 | 2020-10-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-03 | 2020-10-16 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2020-09-03 | 2020-10-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-03 | 2020-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-03 | 2020-10-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-03 | 2020-09-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-09-03 | 2020-09-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-09-03 | 2020-09-14 | 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 | 2020-09-03 | 2020-09-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-03 | 2020-09-14 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-09-03 | 2020-09-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-25 | 2020-03-23 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2020-02-25 | 2020-03-23 | 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 | 2020-02-25 | 2020-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-25 | 2020-03-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-25 | 2020-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-25 | 2020-03-23 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-02-25 | 2020-03-23 | 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 | 2020-02-25 | 2020-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-25 | 2020-03-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-25 | 2020-03-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-01 | 2019-03-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-01 | 2019-03-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-01 | 2019-03-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-07 | 2019-02-25 | N |
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