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Deficiency Records for Lourdes Rehabilitation and Healthcare Center
A list of the most recent deficiencies for Lourdes Rehabilitation and 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 Lourdes Rehabilitation and 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? |
|---|---|---|---|---|
| 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 | 2024-07-23 | 2024-08-06 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-07-23 | 2024-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-23 | 2024-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-23 | 2024-08-06 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-07-23 | 2024-08-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-24 | 2023-09-13 | 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 | 2023-08-24 | 2023-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-24 | 2023-09-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-09-13 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-08-24 | 2023-09-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-24 | 2023-09-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-10 | 2022-09-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-11 | 2022-09-07 | 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 | 2022-08-11 | 2022-09-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-08-11 | 2022-09-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-11 | 2022-09-07 | 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 | 2022-08-10 | 2022-08-10 | 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 | 2022-08-10 | 2022-08-10 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-08-10 | 2022-08-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-10 | 2022-08-10 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-08-10 | 2022-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-10 | 2022-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-10 | 2022-08-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-10 | 2022-08-10 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-06-01 | 2022-06-13 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-01 | 2022-06-13 | Y |
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