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Deficiency Records for Lakeland Rehab and Healthcare Center
A list of the most recent deficiencies for Lakeland Rehab and Healthcare Center. 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 Lakeland Rehab and Healthcare Center. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-25 | 2024-06-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-11 | 2024-06-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-11 | 2024-06-18 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| 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 | 2024-05-20 | 2024-06-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-20 | 2024-06-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-14 | 2024-06-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-24 | 2024-06-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-24 | 2024-06-13 | 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 | 2024-05-24 | 2024-06-13 | 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 | 2024-05-24 | 2024-06-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-24 | 2024-06-13 | 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 | 2024-05-24 | 2024-06-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-14 | 2024-04-16 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-12-04 | 2023-12-11 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-04-20 | 2023-05-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-19 | 2023-05-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-19 | 2023-05-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-19 | 2023-05-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-23 | 2022-04-22 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-23 | 2022-04-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-23 | 2022-04-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-23 | 2022-04-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-23 | 2022-04-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-23 | 2022-04-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-03-23 | 2022-04-22 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-03-23 | 2022-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-25 | 2022-04-15 | 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 | 2022-03-25 | 2022-04-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-03-25 | 2022-04-15 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-03-25 | 2022-04-15 | 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 | 2022-03-25 | 2022-04-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-25 | 2022-04-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-08 | 2021-11-08 | Y |
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