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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? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-10-03 | 2024-11-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-10-03 | 2024-11-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-03 | 2024-11-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-03 | 2024-11-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-03 | 2024-11-22 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-10-03 | 2024-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-03 | 2024-11-22 | N |
| 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 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 |
| 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 |
| 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 |
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