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Deficiency Records for Lakeview Manor Healthcare Center
A list of the most recent deficiencies for Lakeview 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 Lakeview 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? |
|---|---|---|---|---|
| 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 | 2024-04-04 | 2024-05-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-04 | 2024-05-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-04 | 2024-05-01 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-04-04 | 2024-05-01 | 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 | 2024-04-04 | 2024-05-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-04 | 2024-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-04 | 2024-05-01 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-03 | 2024-05-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-04-03 | 2024-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-03 | 2024-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-03 | 2024-05-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-04-03 | 2024-05-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-03 | 2024-05-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-03 | 2024-05-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-05 | 2023-05-05 | 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 | 2023-04-05 | 2023-05-05 | 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 | 2023-04-05 | 2023-05-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-05 | 2023-05-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-05 | 2023-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-05 | 2023-05-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-05 | 2023-05-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-05 | 2023-05-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-03 | 2023-05-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-03 | 2023-05-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-03 | 2023-05-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-03 | 2023-05-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-03 | 2023-05-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-03 | 2023-05-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-03 | 2023-05-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-03 | 2023-05-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-21 | 2022-01-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-21 | 2022-01-25 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-12-21 | 2022-01-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-21 | 2022-01-25 | 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 | 2021-12-21 | 2022-01-25 | 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 | 2021-12-21 | 2022-01-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-12-21 | 2022-01-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-21 | 2022-01-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-21 | 2022-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-21 | 2022-01-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-21 | 2022-01-25 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-15 | 2022-01-21 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-12-15 | 2022-01-21 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-12-15 | 2022-01-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-15 | 2022-01-21 | 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 | 2021-12-15 | 2022-01-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-15 | 2022-01-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-12-15 | 2022-01-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-15 | 2022-01-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-12-15 | 2022-01-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-15 | 2022-01-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-15 | 2022-01-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-15 | 2022-01-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-15 | 2022-01-21 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2021-12-15 | 2022-01-21 | N |
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