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Deficiency Records for Lake Manassas Health and Rehabilitation Center

A list of the most recent deficiencies for Lake Manassas Health and Rehabilitation 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 Manassas Health and Rehabilitation 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?
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-04-17 2024-07-31 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-04-17 2024-07-31 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 2024-04-17 2024-07-31 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2024-04-17 2024-07-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-04-17 2024-07-31 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 2024-04-17 2024-07-31 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-04-17 2024-07-31 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-04-17 2024-07-31 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-04-17 2024-07-31 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-04-17 2024-07-31 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 2024-04-17 2024-07-31 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-04-17 2024-07-31 N
Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. Health 2024-04-17 2024-07-31 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-04-17 2024-07-31 N
Provide and implement an infection prevention and control program. Health 2024-04-17 2024-07-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-06-14 2023-07-11 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-06-14 2023-07-11 Y
Meet other general requirements. Fire Safety 2022-08-02 2022-08-26 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-08-02 2022-08-26 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2022-07-14 2022-08-22 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-07-14 2022-08-22 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 2022-07-14 2022-08-22 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-07-14 2022-08-22 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2022-07-14 2022-08-22 N
Ensure each resident receives an accurate assessment. Health 2022-07-14 2022-08-22 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-07-14 2022-08-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-14 2022-08-22 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 2022-07-14 2022-08-22 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-07-14 2022-08-22 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-07-14 2022-08-22 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-07-14 2022-08-22 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-07-14 2022-08-22 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-07-14 2022-08-22 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-07-14 2022-08-22 Y
Reasonably accommodate the needs and preferences of each resident. Health 2020-02-27 2020-03-16 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2020-02-27 2020-03-16 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2020-02-27 2020-03-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-02-27 2020-03-16 N
Provide enough food/fluids to maintain a resident's health. Health 2020-02-27 2020-03-16 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2020-02-27 2020-03-16 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2020-02-27 2020-03-16 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2020-02-27 2020-03-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-02-27 2020-03-16 N
Dispose of garbage and refuse properly. Health 2020-02-27 2020-03-16 N
Provide and implement an infection prevention and control program. Health 2020-02-27 2020-03-16 N

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