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Deficiency Records for Hidden Lakes Senior Living Community
A list of the most recent deficiencies for Hidden Lakes Senior Living Community. 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 Hidden Lakes Senior Living Community. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-12 | 2024-09-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-12 | 2024-09-16 | 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 | 2024-08-14 | 2024-09-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-14 | 2024-09-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-14 | 2024-09-14 | 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 | 2024-08-14 | 2024-09-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-14 | 2024-09-14 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-08-14 | 2024-09-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-08-14 | 2024-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-14 | 2024-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-10-27 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-27 | 2023-10-27 | Y |
| 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 | 2023-05-22 | 2023-06-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-22 | 2023-06-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-18 | 2023-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-18 | 2023-06-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-18 | 2023-06-18 | N |
| Post nurse staffing information every day. | Health | 2023-05-18 | 2023-06-18 | 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 | 2023-05-18 | 2023-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-18 | 2023-06-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-18 | 2023-06-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-01 | 2022-03-03 | 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 | 2022-02-03 | 2022-03-02 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-02-03 | 2022-03-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-03 | 2022-03-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-03 | 2022-03-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-03 | 2022-03-02 | N |
| Report COVID19 data to residents and families. | Health | 2022-02-03 | 2022-03-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-02-03 | 2022-03-02 | Y |
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