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Deficiency Records for Lakin Hospital
A list of the most recent deficiencies for Lakin Hospital. 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 Lakin Hospital. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-07-19 | 2023-08-31 | 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 | 2023-07-19 | 2023-08-31 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-07-19 | 2023-08-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-19 | 2023-08-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-07-19 | 2023-08-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-19 | 2023-08-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-19 | 2023-08-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-19 | 2023-08-31 | 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 | 2023-07-19 | 2023-08-31 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-07-19 | 2023-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-19 | 2023-08-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-19 | 2023-08-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-19 | 2023-08-31 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-18 | 2023-08-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-18 | 2023-08-02 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-07-18 | 2023-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-18 | 2023-08-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-18 | 2023-08-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-18 | 2023-08-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-16 | 2022-04-11 | 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 | 2022-03-16 | 2022-04-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-16 | 2022-04-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-16 | 2022-04-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-16 | 2022-04-11 | N |
| Post nurse staffing information every day. | Health | 2022-03-16 | 2022-04-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-16 | 2022-04-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-09-12 | 2019-11-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-09-12 | 2019-11-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-12 | 2019-11-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-12 | 2019-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-12 | 2019-11-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-09-12 | 2019-11-06 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-09-12 | 2019-11-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-12 | 2019-11-06 | 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 | 2019-09-12 | 2019-11-06 | N |
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