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Deficiency Records for Lost Creek Rehabilitation and Nursing Center
A list of the most recent deficiencies for Lost Creek Rehabilitation and Nursing Center. 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 Lost Creek Rehabilitation and Nursing Center. 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 | 2024-06-27 | 2024-07-11 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-08 | 2024-02-26 | Y |
| 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 | 2024-02-08 | 2024-02-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-21 | 2022-12-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-21 | 2022-12-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-21 | 2022-12-19 | N |
| Provide or obtain dental services for each resident. | Health | 2022-11-21 | 2022-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-21 | 2022-12-19 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-11-21 | 2022-12-19 | N |
| Use approved construction type or materials. | Fire Safety | 2022-11-14 | 2022-12-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-14 | 2022-12-19 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-11-14 | 2022-12-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-14 | 2022-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-14 | 2022-12-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-14 | 2022-12-19 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2022-11-14 | 2022-12-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-11-21 | 2022-12-16 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-11-21 | 2022-12-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-14 | 2022-03-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-14 | 2022-03-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-05 | 2020-01-10 | 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 | 2019-12-05 | 2020-01-10 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-12-05 | 2020-01-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-05 | 2020-01-10 | N |
| Respond appropriately to all alleged violations. | Health | 2019-12-05 | 2020-01-10 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-12-05 | 2020-01-10 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2019-12-05 | 2020-01-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-12-04 | 2020-01-10 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2019-12-04 | 2020-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-04 | 2020-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-04 | 2020-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-04 | 2020-01-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-07 | 2019-02-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-07 | 2019-01-31 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-11-07 | 2019-01-31 | N |
| 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 | 2018-11-07 | 2019-01-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-07 | 2019-01-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-11-07 | 2019-01-31 | 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 | 2018-11-07 | 2019-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-07 | 2019-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-07 | 2019-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-07 | 2019-01-31 | 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 | 2018-11-07 | 2019-01-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-11-07 | 2019-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-07 | 2019-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-07 | 2019-01-31 | N |
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