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Deficiency Records for Lake Pointe Health Care

A list of the most recent deficiencies for Lake Pointe Health Care. 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 Lake Pointe Health Care. 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?
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-12-11 2023-12-22 Y
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 2023-11-03 2023-11-14 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-08-09 2023-08-25 Y
Respond appropriately to all alleged violations. Health 2023-08-09 2023-08-25 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-06-27 2023-07-10 Y
Ensure that residents are free from significant medication errors. Health 2023-06-27 2023-07-10 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-04-18 2022-04-28 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 2022-04-18 2022-04-28 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-04-18 2022-04-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-18 2022-04-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-18 2022-04-28 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-04-18 2022-04-28 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2022-04-11 2022-04-28 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-04-11 2022-04-28 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-04-11 2022-04-28 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-02-25 2022-03-14 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-01-06 2022-01-21 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-01-06 2022-01-21 Y
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 2019-06-06 2019-06-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-06-06 2019-06-24 N
Provide and implement an infection prevention and control program. Health 2019-06-06 2019-06-24 N
Have horizontal exits used in accordance with safety requirements. Fire Safety 2019-06-04 2019-06-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-06-04 2019-06-24 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-06-04 2019-06-24 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2019-06-04 2019-06-24 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2019-06-04 2019-06-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-06-04 2019-06-24 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2018-05-03 2018-05-11 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2018-05-03 2018-05-11 N
Ensure each resident receives an accurate assessment. Health 2018-05-03 2018-05-11 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-05-03 2018-05-11 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 2018-05-03 2018-05-11 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2018-05-03 2018-05-11 N
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2018-05-03 2018-05-11 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 2018-05-03 2018-05-11 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 2018-05-03 2018-05-11 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 2018-05-03 2018-05-11 N
Have properly located and lighted "Exit" signs. Fire Safety 2018-05-03 2018-05-11 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 2018-05-03 2018-05-11 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-05-03 2018-05-11 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-05-03 2018-05-11 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-05-03 2018-05-11 N

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