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Deficiency Records for Lake Port Square Health Center
A list of the most recent deficiencies for Lake Port Square Health 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 Lake Port Square Health 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 | 2024-04-11 | 2024-05-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-25 | 2023-11-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-25 | 2023-11-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-25 | 2023-11-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-25 | 2023-11-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-25 | 2023-11-28 | N |
| Post nurse staffing information every day. | Health | 2023-10-25 | 2023-11-28 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-25 | 2023-11-28 | 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 | 2023-10-25 | 2023-11-28 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-10-25 | 2023-11-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-25 | 2023-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-25 | 2023-11-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-25 | 2023-11-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-25 | 2023-11-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-25 | 2023-11-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-25 | 2023-11-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-25 | 2023-11-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-06 | 2022-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-06 | 2022-06-28 | 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 | 2022-05-06 | 2022-06-24 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-05-06 | 2022-06-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-06 | 2022-06-22 | 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 | 2022-05-06 | 2022-06-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-06 | 2022-06-05 | 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 | 2022-05-06 | 2022-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-06 | 2022-06-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-06 | 2022-06-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-12-03 | 2021-01-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-12-03 | 2021-01-15 | N |
| 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 | 2020-12-03 | 2021-01-15 | 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 | 2020-12-03 | 2021-01-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-03 | 2021-01-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-12-01 | 2021-01-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-12-01 | 2021-01-15 | N |
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