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Deficiency Records for Loch Haven

A list of the most recent deficiencies for Loch Haven. 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 Loch Haven. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-12 2024-04-01 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-11-02 2023-12-15 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2023-11-02 2023-12-15 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 2023-11-02 2023-12-15 N
Ensure medication error rates are not 5 percent or greater. Health 2023-11-02 2023-12-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-02 2023-12-15 N
Provide and implement an infection prevention and control program. Health 2023-11-02 2023-12-15 N
Meet other general requirements. Fire Safety 2023-10-30 2023-12-15 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-06-01 2023-07-17 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-02-14 2023-04-03 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-17 2022-04-22 Y
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 2020-01-16 2020-02-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-01-16 2020-02-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-01-16 2020-02-28 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2020-01-16 2020-02-28 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 2020-01-16 2020-02-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-01-16 2020-02-28 N
Provide and implement an infection prevention and control program. Health 2020-01-16 2020-02-28 N
Use approved construction type or materials. Fire Safety 2020-01-16 2020-02-28 N
Install proper backup exit lighting. Fire Safety 2020-01-16 2020-02-28 N
Provide properly protected cooking facilities. Fire Safety 2020-01-16 2020-02-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-01-16 2020-02-28 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-03-15 2019-04-26 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-03-15 2019-04-26 N
Provide activities to meet all resident's needs. Health 2019-03-15 2019-04-26 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 2019-03-15 2019-04-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-03-15 2019-04-26 N
Provide and implement an infection prevention and control program. Health 2019-03-15 2019-04-26 N
Have exits that are accessible at all times. Fire Safety 2019-03-15 2019-04-26 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 2019-03-15 2019-04-26 N
Provide properly protected cooking facilities. Fire Safety 2019-03-15 2019-04-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-03-15 2019-04-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-03-15 2019-04-26 N

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