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Deficiency Records for Bella Terra Lagrange

A list of the most recent deficiencies for Bella Terra Lagrange. 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 Bella Terra Lagrange. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-06-24 2024-07-05 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-04-23 2024-05-10 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-08 2024-02-23 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-02-08 2024-02-16 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-02-08 2024-02-16 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 2024-02-08 2024-02-16 N
Provide properly protected cooking facilities. Fire Safety 2024-02-08 2024-02-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-08 2024-02-16 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-02-08 2024-02-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-02-08 2024-02-16 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-02-08 2024-02-16 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-02-08 2024-02-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-02-08 2024-02-16 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-02-01 2024-02-15 N
Keep residents' personal and medical records private and confidential. Health 2024-02-01 2024-02-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-02-01 2024-02-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-01 2024-02-15 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 2024-02-01 2024-02-15 N
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 2024-02-01 2024-02-15 N
Ensure medication error rates are not 5 percent or greater. Health 2024-02-01 2024-02-15 N
Provide and implement an infection prevention and control program. Health 2024-02-01 2024-02-15 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-02-01 2024-02-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-07 2023-06-07 N
Ensure that residents are free from significant medication errors. Health 2023-04-13 2023-04-24 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-07 2023-04-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-09 2023-03-21 Y
Have properly located and lighted "Exit" signs. Fire Safety 2023-03-07 2023-03-20 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 2023-03-07 2023-03-20 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-03-07 2023-03-20 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-03-07 2023-03-20 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-03-03 2023-03-16 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 2023-03-03 2023-03-16 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-03-03 2023-03-16 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-03-03 2023-03-16 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 2023-03-03 2023-03-16 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-01-03 2023-01-13 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2022-10-12 2022-10-18 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-12 2022-10-18 Y
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 2022-04-05 2022-04-06 Y
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2021-11-09 2021-11-10 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-11-09 2021-11-10 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 2021-11-09 2021-11-10 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-11-05 2021-11-05 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-11-05 2021-11-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-05 2021-11-05 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-11-05 2021-11-05 N
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 2021-11-05 2021-11-05 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 2021-11-05 2021-11-05 N

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