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Deficiency Records for Great Lakes Healthcare Center
A list of the most recent deficiencies for Great Lakes 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 Great Lakes 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-19 | 2024-09-05 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-08-19 | 2024-09-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-16 | 2024-08-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-16 | 2024-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-16 | 2024-08-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-23 | 2024-05-10 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-04-23 | 2024-05-10 | Y |
| 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 | 2024-04-23 | 2024-05-10 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-04-23 | 2024-05-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-23 | 2024-05-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-23 | 2024-05-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-23 | 2024-05-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-12 | 2024-03-02 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-05 | 2024-02-16 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-02-05 | 2024-02-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-12 | 2024-02-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-12 | 2024-02-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-12 | 2024-02-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-12 | 2024-02-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-12 | 2024-02-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-12 | 2024-02-03 | 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 | 2024-01-12 | 2024-02-03 | 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 | 2024-01-12 | 2024-02-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-12 | 2024-02-03 | 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 | 2024-01-12 | 2024-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-12 | 2024-02-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-12 | 2024-02-03 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-09-12 | 2023-09-29 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-12 | 2023-09-29 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-09-12 | 2023-09-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-12 | 2023-09-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-12 | 2023-09-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-12 | 2023-09-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-12 | 2023-09-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-03 | 2023-08-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-03 | 2023-08-18 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-03 | 2023-08-18 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-08-03 | 2023-08-18 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-09 | 2023-02-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-21 | 2023-02-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-21 | 2023-02-27 | Y |
| 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 | 2023-01-26 | 2023-02-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-26 | 2023-02-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-21 | 2023-02-09 | 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 | 2022-12-21 | 2023-02-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-12-21 | 2023-02-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-21 | 2023-02-09 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-12-21 | 2023-02-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-21 | 2023-02-09 | 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 | 2022-12-21 | 2023-02-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-12-21 | 2023-02-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-21 | 2023-02-09 | 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 | 2022-12-21 | 2023-02-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-21 | 2023-02-09 | N |
| Provide or obtain dental services for each resident. | Health | 2022-12-21 | 2023-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-21 | 2023-02-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-21 | 2023-02-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-21 | 2023-02-09 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-12-21 | 2023-02-09 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-12-21 | 2023-02-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-21 | 2023-02-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-21 | 2023-02-09 | 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 | 2022-12-21 | 2023-02-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-12 | 2022-08-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-12 | 2022-08-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-09 | 2022-07-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-09 | 2022-07-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-09 | 2022-07-01 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-09 | 2022-07-01 | Y |
| 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 | 2022-06-09 | 2022-07-01 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-06-09 | 2022-07-01 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-05-11 | 2022-06-13 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-05-11 | 2022-06-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-11 | 2022-06-13 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-11 | 2022-06-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-28 | 2022-04-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-01 | 2022-03-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-19 | 2022-02-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-19 | 2022-02-12 | N |
| 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 | 2022-01-19 | 2022-02-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-19 | 2022-02-12 | Y |
| 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 | 2022-01-19 | 2022-02-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-19 | 2022-02-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-18 | 2021-12-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2021-12-09 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-10-04 | 2021-11-08 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-10-04 | 2021-11-08 | 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 | 2021-10-04 | 2021-11-08 | N |
| Provide appropriate foot care. | Health | 2021-10-04 | 2021-11-08 | 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 | 2021-10-04 | 2021-11-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-04 | 2021-11-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-04 | 2021-11-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-04 | 2021-11-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-04 | 2021-11-08 | 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 | 2021-10-04 | 2021-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-04 | 2021-11-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-04 | 2021-11-08 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-04 | 2021-11-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-04 | 2021-11-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-04 | 2021-11-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-04 | 2021-11-08 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-10-26 | 2021-10-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-10-26 | 2021-10-27 | N |
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