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Deficiency Records for Charming Lakes Rehab

A list of the most recent deficiencies for Charming Lakes Rehab. 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 Charming Lakes Rehab. 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 enough food/fluids to maintain a resident's health. Health 2023-05-25 2023-09-05 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-05-25 2023-09-05 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-07-27 2023-09-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-27 2023-09-05 Y
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 2023-07-27 2023-09-05 Y
Honor the resident's right to manage his or her financial affairs. Health 2023-05-25 2023-06-24 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 2023-05-25 2023-06-24 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-05-25 2023-06-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-25 2023-06-24 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-05-25 2023-06-24 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-05-25 2023-06-24 N
Ensure medication error rates are not 5 percent or greater. Health 2023-05-25 2023-06-24 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-05-25 2023-06-24 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-05-25 2023-06-24 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-05-25 2023-06-24 Y
Provide properly protected cooking facilities. Fire Safety 2023-05-23 2023-06-20 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-05-23 2023-06-14 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-05-23 2023-06-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-28 2023-01-26 Y
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 2022-05-09 2022-05-27 Y
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 2021-08-13 2021-09-17 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2021-08-13 2021-09-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-08-13 2021-09-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-08-13 2021-09-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-08-13 2021-09-17 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-08-13 2021-09-17 N
Post nurse staffing information every day. Health 2021-08-13 2021-09-17 N
Ensure medication error rates are not 5 percent or greater. Health 2021-08-13 2021-09-17 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 2021-08-13 2021-09-17 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2021-08-13 2021-09-17 N
Provide and implement an infection prevention and control program. Health 2021-08-13 2021-09-17 N
Keep all essential equipment working safely. Health 2021-08-13 2021-09-17 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-08-11 2021-09-10 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-08-11 2021-09-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-08-11 2021-09-10 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-08-11 2021-09-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-08-11 2021-09-10 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-08-11 2021-09-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-08-11 2021-09-10 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-08-11 2021-09-10 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2019-10-11 2019-11-05 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-10-11 2019-11-05 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-10-11 2019-11-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-10-11 2019-11-04 N
Provide enough food/fluids to maintain a resident's health. Health 2019-10-11 2019-11-04 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 2019-10-11 2019-11-04 N

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