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Deficiency Records for Lakeshore Rehabilitation Center LLC

A list of the most recent deficiencies for Lakeshore Rehabilitation Center LLC. 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 Lakeshore Rehabilitation Center LLC. 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?
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2024-05-29 2024-08-22 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 2024-05-29 2024-08-22 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-05-30 2024-07-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-30 2024-07-02 N
Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. Health 2024-05-30 2024-07-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-30 2024-07-02 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-05-30 2024-07-02 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-05-29 2024-07-02 N
Have horizontal exits used in accordance with safety requirements. Fire Safety 2024-05-29 2024-07-02 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-05-29 2024-07-02 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-05-29 2024-07-02 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-05-29 2024-07-02 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-06-07 2023-08-01 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-06-07 2023-08-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-06-07 2023-08-01 N
Conduct testing and exercise requirements. Fire Safety 2023-06-07 2023-08-01 N
Have exits that are accessible at all times. Fire Safety 2023-06-06 2023-08-01 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-06-06 2023-08-01 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-06-06 2023-08-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-06-06 2023-08-01 N
Implement emergency and standby power systems. Fire Safety 2023-06-07 2023-07-18 N
Have proper medical gas storage and administration areas. Fire Safety 2021-06-23 2021-08-23 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-06-24 2021-08-16 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2021-06-24 2021-08-16 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-06-24 2021-08-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-24 2021-08-16 N
Provide and implement an infection prevention and control program. Health 2021-06-24 2021-08-16 N
Implement emergency and standby power systems. Fire Safety 2021-06-24 2021-08-16 N
Have exits that are accessible at all times. Fire Safety 2021-06-23 2021-08-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-06-23 2021-08-16 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-06-23 2021-08-16 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-06-23 2021-08-16 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2021-06-23 2021-08-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-06-23 2021-08-16 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-06-23 2021-08-16 N

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