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Deficiency Records for Lahser Hills Care Centre
A list of the most recent deficiencies for Lahser Hills Care Centre. 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 Lahser Hills Care Centre. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-01 | 2024-05-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-01 | 2024-05-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-01 | 2024-05-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-01 | 2024-05-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-01 | 2024-05-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-01 | 2024-05-20 | 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 | 2024-05-01 | 2024-05-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-01 | 2024-05-20 | 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 | 2024-05-01 | 2024-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-01 | 2024-05-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-07 | 2023-10-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-07 | 2023-10-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-07 | 2023-09-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-07 | 2023-09-26 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-06 | 2023-05-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-06 | 2023-05-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-06 | 2023-05-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-06 | 2023-05-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-21 | 2023-05-08 | 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 | 2023-04-21 | 2023-05-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-21 | 2023-05-08 | 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 | 2023-04-21 | 2023-05-08 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-04-21 | 2023-05-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-21 | 2023-05-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-21 | 2023-05-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-21 | 2023-05-08 | Y |
| 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 | 2023-04-21 | 2023-05-08 | Y |
| 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 | 2023-03-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-08 | 2023-03-17 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-04-28 | 2022-05-03 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-03-29 | 2022-04-12 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-29 | 2022-04-12 | 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 | 2022-02-09 | 2022-04-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-09 | 2022-03-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-09 | 2022-03-09 | 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 | 2022-02-09 | 2022-03-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-09 | 2022-03-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-09 | 2022-03-09 | 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 | 2022-02-09 | 2022-03-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-09 | 2022-03-09 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-02-09 | 2022-03-09 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-02-09 | 2022-03-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-02-09 | 2022-03-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-09 | 2022-03-09 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-09 | 2022-03-09 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-02-09 | 2022-03-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-09 | 2022-03-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-09 | 2022-03-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-10 | 2021-12-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-10 | 2021-12-01 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-11-10 | 2021-12-01 | Y |
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