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Deficiency Records for Blue Lake Post Acute
A list of the most recent deficiencies for Blue Lake Post Acute. 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 Blue Lake Post Acute. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-18 | 2024-08-18 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-07-18 | 2024-08-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-07-18 | 2024-08-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-07-18 | 2024-08-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-18 | 2024-08-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-18 | 2024-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-18 | 2024-08-18 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-07-18 | 2024-08-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-08-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-17 | 2024-08-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-17 | 2024-08-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-17 | 2024-08-18 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-07-17 | 2024-08-18 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-07-17 | 2024-08-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-13 | 2023-05-05 | Y |
| 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 | 2022-08-18 | 2022-09-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-24 | 2022-03-25 | 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 | 2022-02-24 | 2022-03-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-02-24 | 2022-03-25 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2022-02-24 | 2022-03-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-24 | 2022-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-24 | 2022-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-24 | 2022-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-24 | 2022-03-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-24 | 2022-03-25 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-24 | 2022-03-25 | N |
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