CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Lefa Seran Snf
A list of the most recent deficiencies for Lefa Seran Snf. 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 Lefa Seran Snf. 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 approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-29 | 2024-07-20 | 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 | 2024-05-23 | 2024-07-12 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-05-23 | 2024-07-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-07-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-23 | 2024-07-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-05-23 | 2024-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-23 | 2024-07-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-05-23 | 2024-07-05 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-05-23 | 2024-07-05 | N |
| 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 | 2024-05-23 | 2024-07-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-23 | 2024-06-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-29 | 2024-06-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-05-29 | 2024-05-29 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-10 | 2023-10-15 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-10 | 2023-10-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-08-10 | 2023-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-10 | 2023-10-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-10 | 2023-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-10 | 2023-10-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-10 | 2023-10-15 | 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 | 2023-08-10 | 2023-10-15 | 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 | 2023-08-10 | 2023-10-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-10 | 2023-10-15 | 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 | 2023-08-10 | 2023-10-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-08-02 | 2023-10-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-02 | 2023-09-30 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-08-10 | 2023-09-28 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-08-10 | 2023-09-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-10 | 2023-09-18 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-08-10 | 2023-09-15 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2023-08-10 | 2023-09-15 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-08-02 | 2023-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-10 | 2023-09-14 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-08-02 | 2023-08-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-02 | 2023-08-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-10 | 2023-08-10 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-08-10 | 2023-08-10 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-04-05 | 2023-05-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-05 | 2023-05-15 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-14 | 2022-09-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-07-12 | 2022-09-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-12 | 2022-09-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-12 | 2022-09-15 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-07-14 | 2022-09-01 | 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 | 2022-07-14 | 2022-09-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-07-12 | 2022-08-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-14 | 2022-08-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-12 | 2022-08-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-12 | 2022-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-14 | 2022-08-23 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-07-14 | 2022-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-08-22 | 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 | 2022-07-14 | 2022-08-19 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-07-14 | 2022-08-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-14 | 2022-08-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-12 | 2022-08-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-14 | 2022-08-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-07-14 | 2022-08-15 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-07-14 | 2022-08-15 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-07-14 | 2022-08-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-07-14 | 2022-08-15 | N |
Healthcare Search Options
Make informed decisions about your healthcare optionsOur site is designed to help you find the information you need quickly and easily, no matter what type of healthcare provider you're looking for. We provide a wealth of statistics and data that can help you make informed decisions about your healthcare options.
Purchase a Marketing or Other Report from our Database
We can provide custom data reports based on our database of skilled nursing facilities. Anything from emails to spreadsheets to an API. Bring the data directly into Salesforce or any other CRM.
- Facility Name
- Owner Name
- Mailing Address
- Contact Information
- Phone Numbers
- Website Addresses
- File Formats: .xls, .csv, .txt
- APIs
Reports updated monthly.
