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Deficiency Records for Lotus Nursing and Rehabilitation Center

A list of the most recent deficiencies for Lotus 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 Lotus 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?
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-11 2024-02-11 Y
Ensure staff are vaccinated for COVID-19 Health 2023-04-11 2023-05-06 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-03-03 2023-04-07 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-03-03 2023-04-07 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 2023-03-03 2023-04-07 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-03-03 2023-04-07 N
Ensure each resident receives an accurate assessment. Health 2023-03-03 2023-04-07 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-03-03 2023-04-07 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-03-03 2023-04-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-03 2023-04-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-03 2023-04-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-03 2023-04-07 N
Provide enough food/fluids to maintain a resident's health. Health 2023-03-03 2023-04-07 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-03-03 2023-04-07 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-03-03 2023-04-07 N
Ensure medication error rates are not 5 percent or greater. Health 2023-03-03 2023-04-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-03 2023-04-07 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-03-03 2023-04-07 N
Provide and implement an infection prevention and control program. Health 2023-03-03 2023-04-07 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-03-03 2023-04-07 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 2023-03-03 2023-04-07 Y
List the names and contact information of those in the facility. Fire Safety 2023-03-01 2023-04-07 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 2023-03-01 2023-04-07 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-03-01 2023-04-07 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-03-01 2023-04-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-01 2023-04-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-03-01 2023-04-07 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-03-01 2023-04-07 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-03-01 2023-04-07 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-03-01 2023-04-07 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-01-10 2023-02-10 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-01-10 2023-02-10 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-10-19 2022-11-07 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-08-26 2022-09-22 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-08-26 2022-09-22 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2022-08-26 2022-09-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-26 2022-08-26 Y
Ensure each resident receives an accurate assessment. Health 2021-04-21 2021-05-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-21 2021-05-21 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-04-21 2021-05-21 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-04-21 2021-05-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-09-19 2019-10-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-09-19 2019-10-25 N
Have restrictions on the use of portable space heaters. Fire Safety 2019-09-17 2019-10-25 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2019-09-17 2019-10-25 N

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