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Deficiency Records for The Lakes

A list of the most recent deficiencies for The Lakes. 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 The Lakes. 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 exits that are accessible at all times. Fire Safety 2024-02-21 2024-04-17 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 2024-02-21 2024-04-17 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-21 2024-04-17 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 2024-02-21 2024-03-20 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2024-02-21 2024-03-20 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-02-21 2024-03-20 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-02-21 2024-03-20 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-02-21 2024-03-20 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-09-28 2023-11-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-09-28 2023-11-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-28 2023-11-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-04-11 2023-05-25 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-04-11 2023-05-25 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-04-11 2023-05-25 Y
Ensure each resident receives an accurate assessment. Health 2022-06-08 2022-07-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-06-08 2022-07-07 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-06-08 2022-07-07 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 2022-06-08 2022-07-07 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-06-08 2022-07-07 Y
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 2022-06-07 2022-07-07 N
Provide properly protected cooking facilities. Fire Safety 2022-06-07 2022-07-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-06-07 2022-07-07 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-06-07 2022-07-07 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-04-15 2021-06-02 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-04-15 2021-06-02 N
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Health 2021-04-15 2021-06-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-04-15 2021-06-02 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2021-04-15 2021-06-02 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-04-15 2021-06-02 N
Ensure that residents are free from significant medication errors. Health 2021-04-15 2021-06-02 N
Provide and implement an infection prevention and control program. Health 2021-04-15 2021-06-02 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 2021-04-14 2021-06-02 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-04-14 2021-06-02 N

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