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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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