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Deficiency Records for Lake Wales Wellness and Rehabilitation Center

A list of the most recent deficiencies for Lake Wales Wellness 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 Lake Wales Wellness 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?
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-06-24 2024-07-24 N
Ensure each resident receives an accurate assessment. Health 2024-06-24 2024-07-24 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-06-24 2024-07-24 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-06-24 2024-07-24 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-06-24 2024-07-24 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-06-24 2024-07-24 N
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 2024-06-24 2024-07-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-24 2024-07-24 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2024-06-24 2024-07-24 N
Keep all essential equipment working safely. Health 2024-06-24 2024-07-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-06-24 2024-07-24 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-06-24 2024-07-24 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-06-24 2024-07-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-06-24 2024-07-24 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2024-06-24 2024-07-24 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-02-06 2024-03-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-19 2023-07-10 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-06-19 2023-07-07 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-08-11 2022-09-11 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2022-08-11 2022-09-11 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-08-11 2022-09-11 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 2022-08-11 2022-09-11 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2022-08-11 2022-09-11 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-08-11 2022-09-11 N
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 2022-08-11 2022-09-11 N
Ensure medication error rates are not 5 percent or greater. Health 2022-08-11 2022-09-11 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 2022-08-11 2022-09-11 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-08-11 2022-09-11 N
Provide and implement an infection prevention and control program. Health 2022-08-11 2022-09-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-11 2022-09-11 Y
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2022-08-08 2022-09-11 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-08-08 2022-09-11 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-08-08 2022-09-11 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-03-11 2022-04-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-11 2022-04-05 Y
Ensure each resident receives an accurate assessment. Health 2021-03-26 2021-04-23 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-03-26 2021-04-23 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-03-26 2021-04-23 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2021-03-26 2021-04-23 N
Provide and implement an infection prevention and control program. Health 2021-03-26 2021-04-23 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 2021-03-24 2021-04-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-03-24 2021-04-23 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-03-24 2021-04-23 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-03-24 2021-04-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-03-24 2021-04-23 N
Have proper medical gas storage and administration areas. Fire Safety 2021-03-24 2021-04-23 N

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