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Deficiency Records for Allure of Lake Storey
A list of the most recent deficiencies for Allure of Lake Storey. 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 Allure of Lake Storey. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-17 | 2024-07-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-18 | 2024-07-19 | 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 | 2024-07-18 | 2024-07-19 | 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 | 2024-07-18 | 2024-07-19 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-07-18 | 2024-07-19 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-17 | 2024-07-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-07-17 | 2024-07-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-07-17 | 2024-07-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-17 | 2024-07-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-17 | 2024-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-05 | 2024-04-23 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-04-05 | 2024-04-06 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-18 | 2023-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-18 | 2023-11-21 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-08-17 | 2023-11-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-17 | 2023-11-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-17 | 2023-11-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| Develop a communication plan. | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-07-18 | 2023-08-17 | 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 | 2023-07-18 | 2023-08-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-18 | 2023-08-17 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2023-07-18 | 2023-08-17 | 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 | 2023-07-14 | 2023-07-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-17 | 2022-10-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-17 | 2022-10-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-08-17 | 2022-10-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-08-17 | 2022-10-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-17 | 2022-10-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-08-17 | 2022-10-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-08-17 | 2022-10-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-17 | 2022-10-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-17 | 2022-10-22 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2022-08-17 | 2022-10-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-17 | 2022-10-22 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2022-08-17 | 2022-10-22 | 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 | 2022-08-18 | 2022-08-30 | 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 | 2022-08-17 | 2022-08-20 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-28 | 2022-03-11 | Y |
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