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Deficiency Records for Lakeview Healthcare and Rehab
A list of the most recent deficiencies for Lakeview Healthcare and Rehab. 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 Lakeview Healthcare and Rehab. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-18 | 2024-08-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-06-25 | 2024-08-01 | N |
| Meet other general requirements. | Fire Safety | 2024-06-25 | 2024-08-01 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-06-25 | 2024-08-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-25 | 2024-08-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-25 | 2024-08-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-25 | 2024-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-25 | 2024-08-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-25 | 2024-08-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-06-25 | 2024-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-25 | 2024-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-25 | 2024-08-01 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-06-18 | 2024-07-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-18 | 2024-07-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-18 | 2024-07-25 | 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 | 2024-06-18 | 2024-07-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-18 | 2024-07-25 | 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 | 2024-02-28 | 2024-04-12 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-02-28 | 2024-04-12 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-13 | 2023-08-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-13 | 2023-08-28 | 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 | 2023-07-07 | 2023-08-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-07 | 2023-08-18 | 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 | 2023-07-07 | 2023-08-18 | 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 | 2023-07-07 | 2023-08-18 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-07-07 | 2023-08-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-07 | 2023-08-18 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-03-09 | 2023-04-04 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-30 | 2022-11-18 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-08-30 | 2022-10-19 | 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 | 2022-08-30 | 2022-10-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-30 | 2022-10-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-30 | 2022-10-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-30 | 2022-10-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-30 | 2022-10-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-25 | 2022-10-10 | 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 | 2022-08-25 | 2022-10-10 | N |
| Provide activities to meet all resident's needs. | Health | 2022-08-25 | 2022-10-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-08-25 | 2022-10-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-25 | 2022-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-22 | Not Fixed | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-11-22 | Not Fixed | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-05-24 | Not Fixed | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-05-24 | Not Fixed | Y |
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