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Deficiency Records for Lakes of Monclova Health Campus The
A list of the most recent deficiencies for Lakes of Monclova Health Campus The. 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 Lakes of Monclova Health Campus The. 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 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 | 2024-06-06 | 2024-07-15 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-06-06 | 2024-06-27 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-06-06 | 2024-06-27 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-06-06 | 2024-06-27 | 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 | 2024-06-06 | 2024-06-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-06 | 2024-06-27 | 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 | 2024-06-03 | 2024-06-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-03 | 2024-06-27 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-06-06 | 2024-06-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-30 | 2021-10-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-30 | 2021-10-22 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-09-30 | 2021-10-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-30 | 2021-10-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-29 | 2021-10-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-29 | 2021-10-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-29 | 2021-10-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-21 | 2019-04-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-21 | 2019-04-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-21 | 2019-04-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-21 | 2019-04-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-21 | 2019-04-10 | 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 | 2019-03-21 | 2019-04-10 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-03-21 | 2019-04-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-21 | 2019-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-21 | 2019-04-10 | 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 | 2019-03-21 | 2019-04-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-21 | 2019-04-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-21 | 2019-04-10 | 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 | 2019-03-21 | 2019-04-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-21 | 2019-04-10 | 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 | 2019-03-21 | 2019-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-04-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-20 | 2019-04-10 | N |
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