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Deficiency Records for Lynwood Manor Healthcare Center

A list of the most recent deficiencies for Lynwood Manor Healthcare Center. 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 Lynwood Manor Healthcare 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?
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2024-07-12 2024-08-07 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-07-12 2024-08-07 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-07-12 2024-08-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-12 2024-08-07 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 2024-07-12 2024-08-07 N
Provide enough food/fluids to maintain a resident's health. Health 2024-07-12 2024-08-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-07-12 2024-08-07 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 2024-07-12 2024-08-07 N
Ensure medication error rates are not 5 percent or greater. Health 2024-07-12 2024-08-07 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-07-12 2024-08-07 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-07-12 2024-08-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-12 2024-08-07 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-07-12 2024-08-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-12 2024-08-07 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-07-16 2024-08-07 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-16 2024-08-07 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-07-16 2024-08-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-15 2024-03-01 Y
Provide enough food/fluids to maintain a resident's health. Health 2024-02-15 2024-03-01 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-02-15 2024-03-01 Y
Provide properly protected cooking facilities. Fire Safety 2023-08-14 2023-10-27 Y
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-08-14 2023-10-27 Y
Provide a written emergency evacuation plan. Fire Safety 2023-08-14 2023-10-27 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-05-31 2023-06-06 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-05-31 2023-06-06 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-04-17 2023-05-26 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 2023-04-17 2023-05-26 N
Ensure each resident receives an accurate assessment. Health 2023-04-17 2023-05-26 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 2023-04-17 2023-05-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-17 2023-05-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-17 2023-05-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-17 2023-05-26 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2023-04-17 2023-05-26 N
Provide and implement an infection prevention and control program. Health 2023-04-17 2023-05-26 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-04-17 2023-05-26 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-04-12 2023-05-26 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 2023-04-12 2023-05-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-12 2023-05-26 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-04-12 2023-05-26 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-04-12 2023-05-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-04-12 2023-05-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-04-12 2023-05-26 N
Have proper medical gas storage and administration areas. Fire Safety 2023-04-12 2023-05-26 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 2023-03-08 2023-04-10 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-03-08 2023-04-10 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-03-08 2023-04-10 Y
Respond appropriately to all alleged violations. Health 2023-03-08 2023-04-10 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-08 2023-04-10 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 2022-05-24 2022-08-12 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-05-24 2022-08-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-05-24 2022-08-12 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-05-24 2022-07-24 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 2022-05-24 2022-07-24 N
Provide properly protected cooking facilities. Fire Safety 2022-05-24 2022-07-24 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-05-24 2022-07-24 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2022-05-24 2022-07-24 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-05-24 2022-07-24 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-05-24 2022-07-24 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-05-24 2022-07-24 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-05-24 2022-07-24 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-05-24 2022-07-24 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-05-24 2022-07-24 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-05-24 2022-07-24 N
Have proper medical gas storage and administration areas. Fire Safety 2022-05-24 2022-07-24 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 2022-05-25 2022-07-04 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-05-25 2022-07-04 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-05-25 2022-07-04 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 2022-05-25 2022-07-04 N
Assess the resident when there is a significant change in condition Health 2022-05-25 2022-07-04 N
Ensure each resident receives an accurate assessment. Health 2022-05-25 2022-07-04 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-05-25 2022-07-04 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-05-25 2022-07-04 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-25 2022-07-04 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 2022-05-25 2022-07-04 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-05-25 2022-07-04 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-05-25 2022-07-04 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-05-25 2022-07-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-25 2022-07-04 N
Provide enough food/fluids to maintain a resident's health. Health 2022-05-25 2022-07-04 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-05-25 2022-07-04 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-05-25 2022-07-04 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 2022-05-25 2022-07-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-25 2022-07-04 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-05-25 2022-07-04 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 2022-05-25 2022-07-04 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-05-25 2022-07-04 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-11-09 2021-11-26 Y

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