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Deficiency Records for Lake Crossing Health Center Pac LLC
A list of the most recent deficiencies for Lake Crossing Health Center Pac LLC. 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 Crossing Health Center Pac LLC. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-07 | 2024-05-28 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-04-07 | 2024-05-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-07 | 2024-05-28 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-04-07 | 2024-05-28 | 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 | 2024-04-07 | 2024-05-28 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-04-07 | 2024-05-28 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-07 | 2024-05-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-07 | 2024-05-28 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-04-07 | 2024-05-28 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-07 | 2024-05-28 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-04-07 | 2024-05-28 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-06 | 2024-05-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-06 | 2024-05-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-06 | 2024-05-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-06 | 2024-05-28 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-05-13 | 2022-06-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-13 | 2022-06-27 | 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 | 2022-05-13 | 2022-06-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-13 | 2022-06-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-13 | 2022-06-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-10 | 2022-06-27 | 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 | 2019-02-28 | 2019-04-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-28 | 2019-04-14 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-02-28 | 2019-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-28 | 2019-04-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-28 | 2019-04-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-03-06 | 2019-04-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-06 | 2019-04-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-06 | 2019-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-06 | 2019-04-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-06 | 2019-04-14 | N |
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