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Deficiency Records for Lee Healthcare
A list of the most recent deficiencies for Lee Healthcare. 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 Lee Healthcare. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-07-25 | 2024-08-28 | 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 | 2024-07-25 | 2024-08-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-25 | 2024-08-28 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-25 | 2024-08-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-25 | 2024-08-28 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-07-25 | 2024-08-28 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-07-25 | 2024-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-25 | 2024-08-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-25 | 2024-08-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-08-05 | 2024-08-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-05 | 2024-08-28 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-05-09 | 2023-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-06 | 2023-06-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-09 | 2023-06-06 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-05-09 | 2023-06-06 | 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 | 2023-05-09 | 2023-06-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-09 | 2023-06-06 | N |
| Post nurse staffing information every day. | Health | 2023-05-09 | 2023-06-06 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-05-09 | 2023-06-06 | 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 | 2023-05-09 | 2023-06-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-16 | 2023-06-02 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-05-16 | 2023-06-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-16 | 2023-06-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-11 | 2023-04-28 | 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 | 2023-04-11 | 2023-04-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-12 | 2021-11-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-12 | 2021-11-12 | 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 | 2021-10-12 | 2021-11-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-12 | 2021-11-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-12 | 2021-11-12 | 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 | 2021-10-12 | 2021-11-12 | N |
| Provide appropriate foot care. | Health | 2021-10-12 | 2021-11-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-12 | 2021-11-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-12 | 2021-11-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-10-12 | 2021-11-12 | 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 | 2021-10-12 | 2021-11-12 | 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 | 2021-10-12 | 2021-11-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-12 | 2021-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-12 | 2021-11-12 | N |
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