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Deficiency Records for Lakeside Lutheran Home
A list of the most recent deficiencies for Lakeside Lutheran Home. 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 Lakeside Lutheran Home. 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? |
---|---|---|---|---|
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-22 | 2024-03-22 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-22 | 2024-03-22 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-22 | 2024-03-22 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-02-22 | 2024-03-22 | N |
Conduct testing and exercise requirements. | Fire Safety | 2024-02-22 | 2024-03-06 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2024-02-22 | 2024-03-05 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-22 | 2024-03-05 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-02-22 | 2024-03-04 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-02-22 | 2024-03-04 | N |
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 | 2024-02-15 | 2024-02-28 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-15 | 2024-02-28 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-15 | 2024-02-28 | 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 | 2024-02-15 | 2024-02-28 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-15 | 2024-02-28 | N |
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-02-15 | 2024-02-28 | N |
Ensure that residents are free from significant medication errors. | Health | 2024-02-15 | 2024-02-28 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-22 | 2024-02-26 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-22 | 2024-02-26 | 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 | 2024-02-22 | 2024-02-23 | N |
Construct fire resistant interior walls. | Fire Safety | 2024-02-22 | 2024-02-23 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-22 | 2024-02-23 | N |
Have restrictions on the use of flammable curtains. | Fire Safety | 2024-02-22 | 2024-02-23 | N |
Honor the resident's right to manage his or her financial affairs. | Health | 2023-01-26 | 2023-02-26 | N |
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 | 2023-01-26 | 2023-02-26 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-26 | 2023-02-26 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-02-26 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-26 | 2023-02-26 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-01-31 | 2023-02-24 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-31 | 2023-02-09 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-31 | 2023-02-07 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-31 | 2023-01-31 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-18 | 2022-11-18 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-18 | 2022-11-18 | 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 | 2021-07-29 | 2021-08-27 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-29 | 2021-08-27 | 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 | 2021-07-29 | 2021-08-27 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-07-29 | 2021-08-27 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-29 | 2021-08-27 | N |
List the names and contact information of those in the facility. | Fire Safety | 2021-08-04 | 2021-08-13 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-08-04 | 2021-08-10 | N |
Provide primary/alternate means for communication. | Fire Safety | 2021-08-04 | 2021-08-10 | N |
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-08-04 | 2021-08-05 | N |
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