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Deficiency Records for Lapeer County Medical Care Fac
A list of the most recent deficiencies for Lapeer County Medical Care Fac. 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 Lapeer County Medical Care Fac. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-31 | 2024-09-03 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-12-19 | 2024-01-26 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-19 | 2024-01-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-19 | 2024-01-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-19 | 2024-01-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-19 | 2024-01-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-19 | 2024-01-26 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-12-19 | 2024-01-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-12-19 | 2024-01-26 | 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 | 2023-12-19 | 2024-01-26 | 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 | 2023-12-19 | 2024-01-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-19 | 2024-01-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-19 | 2024-01-26 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-12-19 | 2024-01-26 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-12-19 | 2024-01-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-19 | 2024-01-26 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-13 | 2024-01-26 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-12-13 | 2024-01-26 | 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 | 2023-12-13 | 2024-01-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-13 | 2024-01-26 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-12-13 | 2024-01-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-13 | 2024-01-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-22 | 2023-03-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-22 | 2023-03-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-22 | 2023-03-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-22 | 2023-03-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-22 | 2022-11-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-09-22 | 2022-11-08 | 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 | 2022-09-22 | 2022-11-08 | 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 | 2022-09-22 | 2022-11-08 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-09-22 | 2022-11-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-22 | 2022-11-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-22 | 2022-11-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-22 | 2022-11-08 | 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 | 2022-09-22 | 2022-11-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-22 | 2022-11-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-22 | 2022-11-08 | 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 | 2022-09-22 | 2022-11-08 | 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 | 2022-09-22 | 2022-11-08 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-09-22 | 2022-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-22 | 2022-11-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-22 | 2022-11-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-26 | 2022-11-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-26 | 2022-11-08 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-09-20 | 2022-11-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-20 | 2022-11-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-20 | 2022-11-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-20 | 2022-11-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-09-20 | 2022-11-08 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-09-20 | 2022-11-08 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-09-20 | 2022-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-20 | 2022-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-20 | 2022-11-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-27 | 2022-03-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-27 | 2022-03-01 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2020-02-13 | 2020-03-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-13 | 2020-03-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-13 | 2020-03-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-02-13 | 2020-03-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-13 | 2020-03-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-02-13 | 2020-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-13 | 2020-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-03-23 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-12 | 2020-03-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-02-12 | 2020-03-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-12 | 2020-03-23 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2020-02-12 | 2020-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-12 | 2020-03-23 | N |
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