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Deficiency Records for Ecumen Lakeshore
A list of the most recent deficiencies for Ecumen Lakeshore. 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 Ecumen Lakeshore. 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? |
---|---|---|---|---|
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-06-25 | 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 | 2024-06-11 | 2024-06-25 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-11 | 2024-06-25 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-11 | 2024-06-25 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-06-11 | 2024-06-25 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-11 | 2024-06-25 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-11 | 2024-06-25 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-08 | 2023-10-09 | 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 | 2023-09-08 | 2023-10-09 | 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 | 2023-09-08 | 2023-10-09 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-09-08 | 2023-10-09 | N |
Provide and implement an infection prevention and control program. | Health | 2023-09-08 | 2023-10-09 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-05 | 2023-10-06 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-05 | 2023-10-01 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-05 | 2023-09-30 | 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 | 2023-09-05 | 2023-09-25 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-05 | 2023-09-25 | N |
Post nurse staffing information every day. | Health | 2022-11-08 | 2022-12-08 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-25 | 2022-07-09 | 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 | 2022-05-25 | 2022-07-09 | 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 | 2022-05-25 | 2022-07-09 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-25 | 2022-07-09 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-25 | 2022-07-09 | Y |
Respond appropriately to all alleged violations. | Health | 2022-05-25 | 2022-07-09 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-25 | 2022-07-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-25 | 2022-07-09 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-25 | 2022-07-09 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-23 | 2022-07-09 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-05-23 | 2022-07-09 | N |
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