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Deficiency Records for Lake Ridge Center
A list of the most recent deficiencies for Lake Ridge 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 Ridge 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-13 | 2024-09-17 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-06-17 | 2024-07-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-06-17 | 2024-07-23 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-06-17 | 2024-07-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-17 | 2024-07-23 | 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 | 2024-06-17 | 2024-07-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-06-17 | 2024-07-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-17 | 2024-07-23 | N |
| Provide activities to meet all resident's needs. | Health | 2024-06-17 | 2024-07-23 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-06-17 | 2024-07-23 | 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 | 2024-06-17 | 2024-07-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-17 | 2024-07-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-06-17 | 2024-07-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-17 | 2024-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-17 | 2024-07-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-17 | 2024-07-23 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-06-12 | 2024-07-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-06-12 | 2024-07-17 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-06-12 | 2024-07-17 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-06-12 | 2024-07-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-06-12 | 2024-07-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-12 | 2024-07-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-12 | 2024-07-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-12 | 2024-07-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-12 | 2024-07-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-12 | 2024-07-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-12 | 2024-07-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-12 | 2024-07-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-12 | 2024-06-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-12 | 2024-06-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-06-12 | 2024-06-20 | 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 | 2024-06-12 | 2024-06-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-16 | 2023-07-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-24 | 2023-07-20 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-05-24 | 2023-07-20 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-05-24 | 2023-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-24 | 2023-07-20 | 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 | 2023-05-16 | 2023-06-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-16 | 2023-06-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-16 | 2023-06-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-16 | 2023-06-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-16 | 2023-06-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-16 | 2023-06-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-16 | 2023-06-12 | N |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-06-29 | 2022-08-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-29 | 2022-08-11 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-02-07 | 2022-02-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-07 | 2022-02-22 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-12-21 | 2022-02-02 | 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 | 2021-12-21 | 2022-02-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-21 | 2022-02-02 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-12-21 | 2022-02-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-12-21 | 2022-02-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-21 | 2022-02-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-21 | 2022-02-02 | N |
| Provide activities to meet all resident's needs. | Health | 2021-12-21 | 2022-02-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-21 | 2022-02-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-12-21 | 2022-02-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-21 | 2022-02-02 | 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 | 2021-12-21 | 2022-02-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-21 | 2022-02-02 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-12-21 | 2022-02-02 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-13 | 2022-01-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-13 | 2022-01-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-13 | 2022-01-19 | N |
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