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Deficiency Records for Lexington Court Care Center
A list of the most recent deficiencies for Lexington Court Care 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 Lexington Court Care 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? |
|---|---|---|---|---|
| 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 | 2022-06-27 | 2022-09-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-27 | 2022-09-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-30 | 2022-07-26 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-06-30 | 2022-07-26 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-06-30 | 2022-07-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-30 | 2022-07-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-06-30 | 2022-07-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-30 | 2022-07-26 | 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 | 2022-06-30 | 2022-07-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-30 | 2022-07-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-30 | 2022-07-26 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-06-30 | 2022-07-26 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-06-30 | 2022-07-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-30 | 2022-07-26 | 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 | 2022-06-30 | 2022-07-26 | 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 | 2022-06-30 | 2022-07-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-30 | 2022-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-30 | 2022-07-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-30 | 2022-07-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-06-27 | 2022-07-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-27 | 2022-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-27 | 2022-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-27 | 2022-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-27 | 2022-07-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-27 | 2022-07-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-27 | 2022-07-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-27 | 2022-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-27 | 2022-07-26 | 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 | 2022-04-16 | 2022-04-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-16 | 2022-04-27 | Y |
| 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 | 2022-04-16 | 2022-04-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-12 | 2022-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-10 | 2021-12-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-17 | 2021-12-28 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-17 | 2021-12-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-17 | 2021-12-28 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-20 | 2019-08-09 | 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 | 2019-07-01 | 2019-08-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-01 | 2019-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-01 | 2019-08-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-07-01 | 2019-08-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-01 | 2019-08-09 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-03-30 | 2018-04-20 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-03-30 | 2018-04-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-30 | 2018-04-20 | 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 | 2018-03-30 | 2018-04-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-30 | 2018-04-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-30 | 2018-04-20 | 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 | 2018-03-30 | 2018-04-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-30 | 2018-04-20 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-03-30 | 2018-04-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-30 | 2018-04-20 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-03-30 | 2018-04-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-30 | 2018-04-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-03-30 | 2018-04-20 | 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 | 2018-03-30 | 2018-04-20 | N |
| Post nurse staffing information every day. | Health | 2018-03-30 | 2018-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-30 | 2018-04-20 | N |
| Use approved construction type or materials. | Fire Safety | 2018-03-28 | 2018-04-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-03-28 | 2018-04-20 | 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 | 2018-03-28 | 2018-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-28 | 2018-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-28 | 2018-04-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-28 | 2018-04-20 | N |
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