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Deficiency Records for Geneva Lake Manor

A list of the most recent deficiencies for Geneva Lake 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 Geneva Lake 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?
Keep residents' personal and medical records private and confidential. Health 2024-01-16 2024-02-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-16 2024-02-14 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-01-16 2024-02-14 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-01-16 2024-02-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-16 2024-02-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-01-16 2024-02-14 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2024-01-16 2024-02-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-16 2024-02-14 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-01-16 2024-02-14 N
Provide appropriate foot care. Health 2024-01-16 2024-02-14 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-01-16 2024-02-14 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 2024-01-16 2024-02-14 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-16 2024-02-14 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-01-16 2024-02-14 N
Ensure medication error rates are not 5 percent or greater. Health 2024-01-16 2024-02-14 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 2024-01-16 2024-02-14 N
Provide and implement an infection prevention and control program. Health 2024-01-16 2024-02-14 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-16 2024-02-14 Y
Respond appropriately to all alleged violations. Health 2024-01-16 2024-02-14 Y
Provide properly protected cooking facilities. Fire Safety 2024-01-10 2024-02-14 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-01-10 2024-02-14 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2024-01-10 2024-02-14 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-01-10 2024-02-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-01-10 2024-02-14 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-01-10 2024-02-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-01-10 2024-02-14 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-01-10 2024-02-14 N
Ensure that residents are free from significant medication errors. Health 2022-09-12 2022-10-03 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-09-12 2022-09-29 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 2022-09-12 2022-09-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-12 2022-09-29 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-09-12 2022-09-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-12 2022-09-29 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-09-12 2022-09-29 N
Observe each nurse aide's job performance and give regular training. Health 2022-09-12 2022-09-29 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2022-09-12 2022-09-29 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-09-12 2022-09-29 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 2022-09-12 2022-09-29 N
Perform COVID19 testing on residents and staff. Health 2022-09-12 2022-09-29 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 2022-09-12 2022-09-29 N
Keep all essential equipment working safely. Health 2022-09-12 2022-09-29 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2022-09-12 2022-09-29 N
Provide properly protected cooking facilities. Fire Safety 2022-09-08 2022-09-28 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-09-08 2022-09-28 N
Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. Fire Safety 2022-09-08 2022-09-28 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-09-08 2022-09-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-09-08 2022-09-28 N
Have restrictions on the use of portable space heaters. Fire Safety 2022-09-08 2022-09-28 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2021-06-03 2021-06-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-06-03 2021-06-30 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-06-03 2021-06-30 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 2021-06-03 2021-06-30 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-06-03 2021-06-30 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 2021-06-03 2021-06-30 N
Provide and implement an infection prevention and control program. Health 2021-06-03 2021-06-30 N
Install resident room doors of proper design and width. Fire Safety 2021-06-01 2021-06-30 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 2021-06-01 2021-06-30 N
Provide properly protected cooking facilities. Fire Safety 2021-06-01 2021-06-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-06-01 2021-06-30 N
Install an approved automatic sprinkler system. Fire Safety 2021-06-01 2021-06-30 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-06-01 2021-06-30 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2021-06-01 2021-06-30 N
Meet requirements for the use of electrical equipment. Fire Safety 2021-06-01 2021-06-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-06-01 2021-06-30 N

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