Deficiency Records for Lake Way Nursing and Rehabilitation Center

A list of the most recent deficiencies for Lake Way Nursing and Rehabilitation 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	Health	2022-11-23	2022-11-23	Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	Health	2022-11-23	2022-11-23	Y
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	2020-10-08	2020-11-11	N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Health	2020-10-08	2020-11-11	N
Protect each resident from the wrongful use of the resident's belongings or money.	Health	2020-10-08	2020-06-13	N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	Health	2019-01-10	2019-02-23	N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.	Health	2019-01-10	2019-02-23	N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	Health	2019-01-10	2019-02-23	N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	Health	2019-01-10	2019-02-23	N
Respond appropriately to all alleged violations.	Health	2019-01-10	2019-02-23	N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	Health	2019-01-10	2019-02-23	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	2019-01-10	2019-02-23	N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	Health	2019-01-10	2019-02-23	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	2019-01-10	2019-02-23	N
Ensure services provided by the nursing facility meet professional standards of quality.	Health	2019-01-10	2019-02-23	N
Provide care and assistance to perform activities of daily living for any resident who is unable.	Health	2019-01-10	2019-02-23	N
Provide appropriate treatment and care according to orders, resident?s preferences and goals.	Health	2019-01-10	2019-02-23	N
Provide appropriate pressure ulcer care and prevent new ulcers from developing.	Health	2019-01-10	2019-02-23	N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	Health	2019-01-10	2019-02-23	N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	Health	2019-01-10	2019-02-23	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	2019-01-10	2019-02-23	N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	Health	2019-01-10	2019-02-23	N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	Health	2019-01-10	2019-02-23	N
Provide and implement an infection prevention and control program.	Health	2019-01-10	2019-02-23	N
Keep aisles, corridors, and exits free of obstruction in case of emergency.	Fire Safety	2019-01-10	2019-02-23	N
Inspect, test, and maintain automatic sprinkler systems.	Fire Safety	2019-01-10	2019-02-23	N
Ensure services provided by the nursing facility meet professional standards of quality.	Health	2017-11-16	2017-12-12	N
Store, cook, and serve food in a safe and clean way.	Health	2017-11-16	2017-12-12	N
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.	Health	2017-11-16	2017-12-12	N
Have a program that investigates, controls and keeps infection from spreading.	Health	2017-11-16	2017-12-12	N
Establish an Emergency Preparedness Program (EP).	Fire Safety	2017-11-16	2017-12-12	N

Deficiency Records for Lake Way Nursing and Rehabilitation Center

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