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Deficiency Records for Lakeview Village
A list of the most recent deficiencies for Lakeview Village. 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 Lakeview Village. 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? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-10 | 2024-08-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-10 | 2024-08-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-07-10 | 2024-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-10 | 2024-08-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-10 | 2024-08-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-10 | 2024-08-12 | 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 | 2024-06-05 | 2024-07-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-05 | 2024-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-05 | 2024-07-05 | 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 | 2024-06-05 | 2024-07-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-05 | 2024-07-05 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-06-05 | 2024-07-05 | 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 | 2024-06-05 | 2024-07-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-05 | 2024-07-05 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-06-05 | 2024-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-05 | 2024-07-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-05 | 2024-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-19 | 2023-12-05 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-09 | 2023-03-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-09 | 2023-03-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-09 | 2023-03-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-02-09 | 2023-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-09 | 2023-03-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-02-09 | 2023-03-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-02-09 | 2023-03-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-02-09 | 2023-03-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-02-09 | 2023-03-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-09 | 2023-03-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-12 | 2023-02-12 | 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 | 2023-01-12 | 2023-02-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-12 | 2023-02-12 | 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 | 2023-01-12 | 2023-02-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-12 | 2023-02-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-27 | 2022-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-29 | 2022-03-29 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-04 | 2021-09-02 | 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 | 2021-08-04 | 2021-09-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
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