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Deficiency Records for Mayo Clinic Health System - Lake City
A list of the most recent deficiencies for Mayo Clinic Health System - Lake City. 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 Mayo Clinic Health System - Lake City. 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 residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-06-13 | 2024-08-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-06-13 | 2024-08-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-13 | 2024-08-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-13 | 2024-08-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-13 | 2024-08-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-06-13 | 2024-08-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-06-13 | 2024-08-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-08-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-13 | 2024-08-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-11 | 2024-07-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-11 | 2024-07-31 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-11-06 | 2023-11-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-06 | 2023-11-27 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-06 | 2023-11-27 | Y |
| 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 | 2023-11-06 | 2023-11-27 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-11-06 | 2023-11-27 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-25 | 2023-08-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-25 | 2023-08-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-25 | 2023-08-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-25 | 2023-08-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-28 | 2023-03-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-03 | 2023-01-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-22 | 2022-12-12 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-11-04 | 2022-12-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-04 | 2022-12-09 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-26 | 2022-05-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-26 | 2022-05-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-12-09 | 2022-01-11 | Y |
| 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 | 2021-12-09 | 2022-01-11 | Y |
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