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Deficiency Records for Lena Living Center
A list of the most recent deficiencies for Lena Living 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 Lena Living 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? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2024-08-27 | 2024-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-01 | 2024-08-15 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-25 | 2024-07-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-25 | 2024-06-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-04-25 | 2024-05-30 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-04-25 | 2024-05-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-04-25 | 2024-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-25 | 2024-05-28 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-04-25 | 2024-05-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-04-25 | 2024-05-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-04-25 | 2024-05-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-25 | 2024-05-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-25 | 2024-05-24 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-04-25 | 2024-05-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-12 | 2024-05-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-12 | 2024-05-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-12 | 2024-05-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-12 | 2024-05-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-12 | 2024-05-03 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-04-12 | 2024-05-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-12 | 2024-05-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-04-12 | 2024-05-03 | 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 | 2024-01-26 | 2024-03-09 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-05-25 | 2023-07-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-06-08 | 2023-07-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-08 | 2023-07-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-06-08 | 2023-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-08 | 2023-07-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-06-08 | 2023-07-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-06-08 | 2023-07-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-08 | 2023-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-08 | 2023-06-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-08 | 2023-06-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-25 | 2023-06-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-25 | 2023-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-25 | 2023-06-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-25 | 2023-06-08 | 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 | 2023-05-25 | 2023-06-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-25 | 2023-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-25 | 2023-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-25 | 2023-06-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-25 | 2023-06-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-22 | 2023-04-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-22 | 2023-04-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-22 | 2023-04-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-04 | 2022-06-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-04 | 2022-06-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-13 | 2022-06-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-05-13 | 2022-06-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-13 | 2022-06-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-13 | 2022-06-03 | 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 | 2022-05-04 | 2022-05-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-04 | 2022-05-26 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-05-04 | 2022-05-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-04 | 2022-05-26 | 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 | 2022-05-04 | 2022-05-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-04 | 2022-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-04 | 2022-05-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-04 | 2022-05-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-04 | 2022-05-23 | 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 | 2022-05-04 | 2022-05-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-04 | 2022-05-10 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-26 | 2022-04-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-26 | 2022-04-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-31 | 2022-04-14 | 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 | 2022-03-31 | 2022-04-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-31 | 2022-04-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-23 | 2022-04-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-23 | 2022-04-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-23 | 2022-04-07 | 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 | 2022-03-23 | 2022-04-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-26 | 2022-02-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-20 | 2022-02-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-20 | 2022-02-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-20 | 2022-02-07 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-20 | 2022-02-07 | Y |
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