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Deficiency Records for Lake Lodge Nursing and Rehabilitation
A list of the most recent deficiencies for Lake Lodge Nursing and Rehabilitation. 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 Lodge Nursing and Rehabilitation. 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? |
---|---|---|---|---|
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-10-17 | 2024-11-14 | N |
Meet other general requirements. | Fire Safety | 2024-10-17 | 2024-11-14 | 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 | 2024-10-17 | 2024-11-14 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-10-17 | 2024-11-14 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-17 | 2024-11-14 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-17 | 2024-11-14 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-17 | 2024-11-14 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-10-17 | 2024-11-13 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-10-17 | 2024-10-18 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-10-17 | 2024-10-18 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-17 | 2024-10-18 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2024-10-17 | 2024-10-18 | 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 | 2024-10-17 | 2024-10-18 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-23 | 2024-06-13 | Y |
Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-06-06 | 2024-06-06 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-29 | 2024-03-01 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-02-29 | 2024-03-01 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-29 | 2024-03-01 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-29 | 2024-03-01 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-15 | 2023-11-16 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-16 | 2023-10-17 | 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 | 2023-10-16 | 2023-10-17 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-10-16 | 2023-10-17 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-11 | 2023-10-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-11 | 2023-10-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-11 | 2023-10-15 | N |
Keep residents' personal and medical records private and confidential. | Health | 2023-09-08 | 2023-10-13 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-08 | 2023-10-13 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-08 | 2023-10-13 | N |
Provide and implement an infection prevention and control program. | Health | 2023-09-08 | 2023-10-13 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-09-08 | 2023-10-13 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-08 | 2023-10-13 | Y |
Use approved construction type or materials. | Fire Safety | 2023-09-11 | 2023-10-06 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-09-11 | 2023-09-15 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-11 | 2023-09-12 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-11 | 2023-09-12 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-21 | 2023-07-22 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-21 | 2023-07-22 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-21 | 2023-07-22 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-21 | 2023-07-22 | Y |
Have an alternate power supply for its alarm system. | Fire Safety | 2022-08-04 | 2022-09-16 | N |
Install properly constructed windows in hallway walls or doors. | Fire Safety | 2022-08-04 | 2022-09-16 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-08-04 | 2022-08-29 | N |
Provide and implement an infection prevention and control program. | Health | 2022-06-27 | 2022-06-28 | Y |
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