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Deficiency Records for Lantern Park Specialty Care
A list of the most recent deficiencies for Lantern Park Specialty Care. 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 Lantern Park Specialty Care. 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 fully informed and understand their health status, care and treatments. | Health | 2024-08-01 | 2024-08-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-01 | 2024-08-30 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-08-01 | 2024-08-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-01 | 2024-08-30 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-08 | 2024-08-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-08-08 | 2024-08-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-08-08 | 2024-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-08 | 2024-08-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-08 | 2024-08-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-08 | 2024-08-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-09 | 2024-05-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-09 | 2024-05-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-25 | 2024-04-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-25 | 2024-04-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-25 | 2024-04-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-25 | 2024-04-01 | 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 | 2024-03-25 | 2024-04-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-25 | 2024-04-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-25 | 2024-04-01 | Y |
| 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 | 2023-05-18 | 2023-06-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-18 | 2023-06-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-18 | 2023-06-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-18 | 2023-06-22 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-18 | 2023-06-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-18 | 2023-06-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-18 | 2023-06-22 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-05-18 | 2023-06-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-05-18 | 2023-06-22 | 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 | 2023-05-18 | 2023-06-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-18 | 2023-06-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-18 | 2023-06-22 | 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 | 2023-05-18 | 2023-06-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-22 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-05-18 | 2023-06-22 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-05-18 | 2023-06-22 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-18 | 2023-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-18 | 2023-06-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-18 | 2023-06-22 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-05-18 | 2023-06-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-24 | 2023-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-24 | 2023-05-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-24 | 2023-05-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-24 | 2023-05-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-20 | 2023-03-13 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-02-20 | 2023-03-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-20 | 2023-03-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-20 | 2023-03-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-20 | 2023-03-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-20 | 2023-03-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-20 | 2023-03-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-12 | 2023-03-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-12 | 2023-03-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-12 | 2023-03-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-12 | 2023-03-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-20 | 2022-05-20 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-04-20 | 2022-05-03 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-15 | 2021-12-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-18 | 2021-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2021-12-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2021-12-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-18 | 2021-12-10 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-11-15 | 2021-11-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-15 | 2021-11-23 | N |
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