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Deficiency Records for Lake City Nursing and Rehabilitation Center LLC
A list of the most recent deficiencies for Lake City Nursing and Rehabilitation Center 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 City Nursing and Rehabilitation Center 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-18 | 2024-09-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-18 | 2024-09-01 | 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 | 2024-07-18 | 2024-09-01 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-18 | 2024-09-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-18 | 2024-09-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-18 | 2024-09-01 | 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 | 2024-07-18 | 2024-09-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-18 | 2024-09-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-09-01 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-15 | 2024-09-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-15 | 2024-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-15 | 2024-09-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-15 | 2024-09-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-15 | 2024-09-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-15 | 2024-09-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-15 | 2024-09-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-07-15 | 2024-09-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-15 | 2024-09-01 | 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 | 2022-10-28 | 2022-12-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-28 | 2022-12-19 | Y |
| 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 | 2022-10-28 | 2022-12-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-28 | 2022-12-19 | Y |
| 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 | 2022-10-28 | 2022-12-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-28 | 2022-12-19 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-26 | 2022-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-26 | 2022-12-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-26 | 2022-12-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-30 | 2022-11-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-30 | 2022-11-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-30 | 2022-11-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-30 | 2022-11-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-30 | 2022-11-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-07 | 2022-09-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-18 | 2019-09-01 | 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 | 2019-07-18 | 2019-09-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-07-18 | 2019-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-18 | 2019-09-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-15 | 2019-09-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-07-15 | 2019-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-15 | 2019-09-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-15 | 2019-09-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-15 | 2019-09-01 | N |
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