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Deficiency Records for Lake Jackson Healthcare Center
A list of the most recent deficiencies for Lake Jackson Healthcare 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 Lake Jackson Healthcare 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-05-28 | 2024-05-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-28 | 2024-05-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-28 | 2024-05-29 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-05-14 | 2024-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-14 | 2024-05-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-14 | 2024-05-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-06 | 2023-04-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-06 | 2023-04-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-06 | 2023-04-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-06 | 2023-04-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-06 | 2023-04-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-06 | 2023-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-06 | 2023-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-13 | 2022-02-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-01-13 | 2022-02-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-14 | 2022-02-14 | 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 | 2022-01-14 | 2022-02-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-14 | 2022-02-14 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-01-14 | 2022-02-14 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-13 | 2022-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-14 | 2022-02-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-01-14 | 2022-02-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-03 | 2021-12-03 | Y |
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