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Deficiency Records for Golden Years of Lake Geneva
A list of the most recent deficiencies for Golden Years of Lake Geneva. 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 Golden Years of Lake Geneva. 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? |
|---|---|---|---|---|
| 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 | 2024-02-08 | 2024-03-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-02-07 | 2024-02-28 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-02-07 | 2024-02-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-02-07 | 2024-02-28 | N |
| Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency. | Fire Safety | 2024-02-07 | 2024-02-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-08 | 2024-02-09 | 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 | 2024-02-08 | 2024-02-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-08 | 2024-02-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-08 | 2024-02-09 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-07 | 2024-02-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-02-07 | 2024-02-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-07 | 2024-02-08 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-02-07 | 2024-02-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-07 | 2024-02-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-10 | 2022-12-01 | 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 | 2022-11-10 | 2022-11-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-10 | 2022-11-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-10 | 2022-11-11 | 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 | 2022-11-10 | 2022-11-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-09 | 2022-11-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-11-09 | 2022-11-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-23 | 2021-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-28 | 2021-10-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-28 | 2021-10-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-28 | 2021-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-28 | 2021-10-21 | 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 | 2021-09-28 | 2021-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-28 | 2021-10-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-09-23 | 2021-10-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-23 | 2021-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-23 | 2021-10-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-23 | 2021-10-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-23 | 2021-10-19 | N |
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