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Deficiency Records for The Lakes at Texas City

A list of the most recent deficiencies for The Lakes at Texas City. 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 at Texas City. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-09-11 2024-10-04 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-09-11 2024-10-04 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-09-11 2024-10-04 N
Provide or obtain dental services for each resident. Health 2024-09-11 2024-10-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-09-11 2024-10-04 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-09-09 2024-10-04 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-09-09 2024-10-04 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-09-09 2024-10-04 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 2024-06-05 2024-06-07 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-05 2024-06-07 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-06-05 2024-06-07 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-08-04 2023-09-03 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-08-04 2023-09-03 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-08-04 2023-09-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-04 2023-09-03 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 2023-08-04 2023-09-03 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-04 2023-09-03 N
Ensure medication error rates are not 5 percent or greater. Health 2023-08-04 2023-09-03 N
Ensure that residents are free from significant medication errors. Health 2023-08-04 2023-09-03 N
Provide or get specialized rehabilitative services as required for a resident. Health 2023-08-04 2023-09-03 N
Provide and implement an infection prevention and control program. Health 2023-08-04 2023-09-03 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-08-04 2023-09-03 Y
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-08-01 2023-08-31 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2023-08-01 2023-08-31 N
Respond appropriately to all alleged violations. Health 2023-05-25 2023-06-23 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-01-26 2023-02-04 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 2023-01-26 2023-02-04 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-01-26 2023-02-04 Y
Provide and implement an infection prevention and control program. Health 2023-01-12 2023-02-03 Y
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-12-27 2023-02-03 Y
Provide and implement an infection prevention and control program. Health 2022-12-27 2023-02-03 Y
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-06-20 2022-07-19 N
Provide activities to meet all resident's needs. Health 2022-06-20 2022-07-19 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 2022-06-20 2022-07-19 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 2022-06-20 2022-07-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-20 2022-07-19 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-06-20 2022-07-19 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-06-16 2022-07-19 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-06-16 2022-07-19 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-06-16 2022-07-19 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 2022-04-01 2022-05-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-01 2022-04-11 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-04-01 2022-04-11 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-04-01 2022-04-11 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-13 2022-02-14 Y
Have policies on smoking. Health 2022-02-13 2022-02-14 Y

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