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Deficiency Records for Aperion Care Lakeshore
A list of the most recent deficiencies for Aperion Care Lakeshore. 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 Aperion Care Lakeshore. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-30 | 2024-09-03 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-08-12 | 2024-08-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-03 | 2024-05-24 | N |
| 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 | 2024-05-03 | 2024-05-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-03 | 2024-05-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-03 | 2024-05-16 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-05-03 | 2024-05-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-05-03 | 2024-05-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-03 | 2024-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-03 | 2024-05-16 | 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 | 2024-05-03 | 2024-05-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-03 | 2024-05-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-03 | 2024-05-16 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-05-03 | 2024-05-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-03 | 2024-05-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-05-03 | 2024-05-16 | 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 | 2024-05-03 | 2024-05-16 | 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 | 2024-05-03 | 2024-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-03 | 2024-05-16 | N |
| Dispose of garbage and refuse properly. | Health | 2024-05-03 | 2024-05-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-03 | 2024-05-16 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-05-03 | 2024-05-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-03 | 2024-05-16 | 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 | 2024-04-25 | 2024-05-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-25 | 2024-05-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-28 | 2024-04-04 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-03-28 | 2024-04-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-13 | 2024-02-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-13 | 2024-02-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-26 | 2024-02-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-26 | 2024-02-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-26 | 2024-02-02 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-26 | 2024-02-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-05 | 2023-10-24 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-05 | 2023-10-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-05 | 2023-10-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-25 | 2023-08-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-25 | 2023-08-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-25 | 2023-08-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-25 | 2023-08-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-25 | 2023-08-29 | Y |
| 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 | 2023-08-25 | 2023-08-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-25 | 2023-08-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-25 | 2023-08-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-25 | 2023-08-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-23 | 2023-07-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-23 | 2023-07-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-23 | 2023-07-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-15 | 2023-06-01 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-05-15 | 2023-06-01 | 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 | 2023-03-29 | 2023-04-17 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-07 | 2023-04-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-07 | 2023-04-17 | N |
| 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 | 2023-04-07 | 2023-04-17 | 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 | 2023-04-07 | 2023-04-17 | 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 | 2023-04-07 | 2023-04-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-07 | 2023-04-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-07 | 2023-04-17 | N |
| Post nurse staffing information every day. | Health | 2023-04-07 | 2023-04-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-07 | 2023-04-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-07 | 2023-04-17 | 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 | 2023-04-07 | 2023-04-17 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-04-07 | 2023-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-07 | 2023-04-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-07 | 2023-04-17 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-04-07 | 2023-04-17 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2023-03-29 | 2023-04-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-21 | 2023-03-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-21 | 2023-03-02 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-01-12 | 2023-01-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-18 | 2022-12-02 | 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 | 2022-10-27 | 2022-11-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-01 | 2022-09-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-01 | 2022-09-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-23 | 2022-09-02 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-08-23 | 2022-09-02 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-08-23 | 2022-09-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-23 | 2022-09-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-23 | 2022-09-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-14 | 2022-09-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-14 | 2022-07-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-14 | 2022-07-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-14 | 2022-07-28 | 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 | 2022-07-14 | 2022-07-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-14 | 2022-07-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-06 | 2022-05-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-06 | 2022-05-25 | 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 | 2022-05-06 | 2022-05-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-06 | 2022-05-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-06 | 2022-05-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-06 | 2022-05-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-06 | 2022-05-25 | 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 | 2022-05-06 | 2022-05-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-06 | 2022-05-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-06 | 2022-05-25 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-05-06 | 2022-05-25 | N |
| 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 | 2022-05-06 | 2022-05-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-06 | 2022-05-19 | N |
| 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 | 2022-05-06 | 2022-05-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-31 | 2022-04-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-23 | 2022-04-11 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-03-23 | 2022-04-11 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-01-20 | 2022-02-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-06 | 2022-01-28 | 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 | 2022-01-06 | 2022-01-28 | Y |
| Post nurse staffing information every day. | Health | 2022-01-06 | 2022-01-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-22 | 2021-12-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-22 | 2021-12-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-29 | 2021-11-15 | Y |
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