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Deficiency Records for Lacon Rehab and Nursing
A list of the most recent deficiencies for Lacon Rehab and Nursing. 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 Lacon Rehab and Nursing. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-09 | 2024-08-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-07-09 | 2024-07-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-09 | 2024-07-12 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-07-09 | 2024-07-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-07-09 | 2024-07-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-07-09 | 2024-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-09 | 2024-07-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-09 | 2024-07-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-09 | 2024-07-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-09 | 2024-07-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-06 | 2024-06-28 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-06-27 | 2024-06-28 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-06-27 | 2024-06-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-27 | 2024-06-28 | 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 | 2024-06-27 | 2024-06-28 | 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 | 2024-06-27 | 2024-06-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-27 | 2024-06-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-27 | 2024-06-28 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-06-27 | 2024-06-28 | 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 | 2024-06-27 | 2024-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-27 | 2024-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-27 | 2024-06-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-06-27 | 2024-06-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-02 | 2023-05-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-02 | 2023-05-03 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-24 | 2023-04-05 | 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 | 2023-03-24 | 2023-04-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-24 | 2023-04-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-24 | 2023-04-05 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-24 | 2023-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-24 | 2023-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-24 | 2023-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-24 | 2023-03-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-23 | 2023-03-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-23 | 2023-03-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-23 | 2023-03-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-23 | 2023-03-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-23 | 2023-03-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-23 | 2023-03-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-23 | 2023-03-25 | 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 | 2023-03-23 | 2023-03-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-23 | 2023-03-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-23 | 2023-03-24 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-29 | 2023-01-13 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-18 | 2022-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-24 | 2022-06-21 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-18 | 2022-03-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-01-18 | 2022-02-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-01-18 | 2022-02-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-18 | 2022-02-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-01-14 | 2022-02-04 | 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 | 2022-01-18 | 2022-02-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-01-18 | 2022-02-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-01-18 | 2022-02-03 | 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 | 2022-01-18 | 2022-01-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-18 | 2022-01-19 | N |
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