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Deficiency Records for Lakewood Manor
A list of the most recent deficiencies for Lakewood Manor. 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 Lakewood Manor. 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? |
|---|---|---|---|---|
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-06-23 | 2023-07-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-23 | 2023-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-23 | 2023-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-30 | 2022-10-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-30 | 2022-10-17 | N |
| Report COVID19 data to residents and families. | Health | 2022-08-30 | 2022-10-17 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-30 | 2022-10-17 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-08-30 | 2022-10-17 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-30 | 2022-10-17 | 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 | 2021-04-01 | 2021-07-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-01 | 2021-06-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-01 | 2021-06-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-01 | 2021-06-16 | N |
| Respond appropriately to all alleged violations. | Health | 2021-04-01 | 2021-06-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-01 | 2021-06-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-01 | 2021-06-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-01 | 2021-06-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-01 | 2021-06-16 | N |
| 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 | 2021-04-01 | 2021-06-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-01 | 2021-06-16 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-04-01 | 2021-06-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-01 | 2021-06-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-01 | 2021-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-01 | 2021-06-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-06 | 2021-05-07 | N |
| Meet other general requirements. | Fire Safety | 2018-08-29 | 2018-11-09 | N |
| Use approved construction type or materials. | Fire Safety | 2018-08-29 | 2018-11-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-29 | 2018-11-09 | 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 | 2018-08-29 | 2018-11-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-29 | 2018-11-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-29 | 2018-11-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-08-29 | 2018-11-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-29 | 2018-11-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-29 | 2018-11-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-16 | 2018-09-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-16 | 2018-09-28 | 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 | 2018-08-16 | 2018-09-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-16 | 2018-09-28 | N |
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