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Deficiency Records for Clearvista Lake Health Campus

A list of the most recent deficiencies for Clearvista Lake Health Campus. 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 Clearvista Lake Health Campus. 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 2024-06-21 2024-07-12 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-21 2024-07-12 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-06-21 2024-07-12 Y
Provide and implement an infection prevention and control program. Health 2024-06-21 2024-07-12 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-03 2024-05-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-12 2023-12-29 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-08-22 2023-09-22 N
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 2023-08-22 2023-09-22 N
Ensure each resident receives an accurate assessment. Health 2023-08-22 2023-09-22 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-08-22 2023-09-22 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-22 2023-09-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-22 2023-09-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-22 2023-09-22 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-08-22 2023-09-22 N
Provide routine and 24-hour emergency dental care for each resident. Health 2023-08-22 2023-09-22 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-22 2023-09-22 N
Provide and implement an infection prevention and control program. Health 2023-08-22 2023-09-22 N
Install an approved automatic sprinkler system. Fire Safety 2023-09-05 2023-09-06 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-31 2023-02-18 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-01-31 2023-02-18 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-01-31 2023-02-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-07 2022-09-26 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-05-23 2022-06-06 Y
Provide and implement an infection prevention and control program. Health 2022-05-23 2022-06-06 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-03-16 2022-04-17 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-03-16 2022-04-17 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 2022-03-16 2022-04-17 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-16 2022-04-17 N
Respond appropriately to all alleged violations. Health 2022-03-16 2022-04-17 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2022-03-16 2022-04-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-16 2022-04-17 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 2022-03-16 2022-04-17 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-03-16 2022-04-17 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-03-16 2022-04-17 N
Ensure that residents are free from significant medication errors. Health 2022-03-16 2022-04-17 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-03-16 2022-04-17 N
Provide and implement an infection prevention and control program. Health 2022-03-16 2022-04-17 N
Implement a program that monitors antibiotic use. Health 2022-03-16 2022-04-17 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-03-16 2022-04-17 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2022-03-16 2022-04-17 N
Ensure staff are vaccinated for COVID-19 Health 2022-03-16 2022-04-17 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 2022-03-16 2022-04-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-16 2022-04-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-16 2022-04-17 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-03-16 2022-04-17 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2022-03-16 2022-04-17 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-04-05 2022-04-08 N
Have proper medical gas storage and administration areas. Fire Safety 2022-04-05 2022-04-08 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-08-08 2019-09-10 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-08-08 2019-09-10 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-07-01 2019-07-30 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-07-01 2019-07-30 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-07-01 2019-07-30 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-07-01 2019-07-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-07-01 2019-07-30 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-07-01 2019-07-30 N
Ensure that residents are free from significant medication errors. Health 2019-07-01 2019-07-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-07-01 2019-07-30 N

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