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Deficiency Records for The Club at Lake Gibson

A list of the most recent deficiencies for The Club at Lake Gibson. 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 The Club at Lake Gibson. 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?
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 2024-07-18 2024-08-13 Y
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 2022-12-02 2023-02-22 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-12-02 2023-02-22 N
Ensure staff are vaccinated for COVID-19 Health 2022-12-19 2023-01-05 N
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 2022-11-29 2023-01-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-11-29 2023-01-03 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-11-29 2023-01-03 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-11-29 2023-01-03 N
Assess the resident when there is a significant change in condition Health 2022-12-02 2022-12-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-02 2022-12-31 N
Provide activities to meet all resident's needs. Health 2022-12-02 2022-12-31 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-02 2022-12-31 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 2022-12-02 2022-12-31 N
Provide or obtain dental services for each resident. Health 2022-12-02 2022-12-31 N
Provide and implement an infection prevention and control program. Health 2022-12-02 2022-12-31 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-12-02 2022-12-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-02 2022-12-31 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-12-02 2022-12-31 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-12-02 2022-12-31 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-12-02 2022-12-31 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-02 2022-12-31 Y

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