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Deficiency Records for Lake Emory Post Acute Care
A list of the most recent deficiencies for Lake Emory Post Acute 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 Emory Post Acute 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-14 | 2024-08-15 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-18 | 2024-08-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-14 | 2024-08-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-14 | 2024-08-14 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-18 | 2024-08-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-18 | 2024-08-12 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-07-18 | 2024-08-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-24 | 2023-10-11 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-20 | 2023-04-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-20 | 2023-04-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-20 | 2023-04-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-03-20 | 2023-04-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-20 | 2023-04-19 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-02-03 | 2023-03-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-02-03 | 2023-03-14 | 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 | 2023-02-03 | 2023-03-14 | 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 | 2023-02-03 | 2023-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-03-14 | 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 | 2022-02-23 | 2022-03-09 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-06-24 | 2021-07-23 | 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 | 2021-06-24 | 2021-07-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-06-24 | 2021-07-23 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-06-24 | 2021-07-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-24 | 2021-07-23 | 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 | 2021-06-24 | 2021-07-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-24 | 2021-07-23 | N |
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