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Deficiency Records for Lake Mills Care Center
A list of the most recent deficiencies for Lake Mills Care 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 Lake Mills Care 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-13 | 2024-07-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-06-13 | 2024-07-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-13 | 2024-07-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-09 | 2023-06-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-09 | 2023-06-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-05-09 | 2023-06-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-05-09 | 2023-06-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-04 | 2023-06-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-04 | 2023-06-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-05-04 | 2023-06-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-04 | 2023-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-04 | 2023-06-04 | 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 | 2023-05-04 | 2023-06-04 | 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 | 2023-05-04 | 2023-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-04 | 2023-06-04 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2023-05-04 | 2023-06-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-12-13 | 2022-01-31 | 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 | 2021-12-13 | 2022-01-13 | 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 | 2021-12-13 | 2022-01-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-13 | 2021-12-27 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-12-13 | 2021-12-22 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-12-13 | 2021-12-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-13 | 2021-12-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-13 | 2021-12-13 | N |
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