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Deficiency Records for Lakewood Healthcare Center
A list of the most recent deficiencies for Lakewood Healthcare 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 Lakewood Healthcare 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-04-18 | 2024-05-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-18 | 2024-05-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-12 | 2024-05-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-28 | 2024-04-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-28 | 2024-04-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-28 | 2024-04-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-05 | 2024-03-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-16 | 2023-11-16 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-10-02 | 2023-11-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-02 | 2023-11-03 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-10-02 | 2023-11-03 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-02 | 2023-11-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-02 | 2023-11-03 | N |
| 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 | 2023-10-02 | 2023-11-03 | 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 | 2023-10-02 | 2023-11-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-02 | 2023-11-03 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-10-02 | 2023-11-03 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-10-02 | 2023-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-02 | 2023-11-03 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-02 | 2023-11-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-02 | 2023-11-03 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-10-02 | 2023-11-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-02 | 2023-11-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-02 | 2023-11-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-02 | 2023-11-03 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-02 | 2023-11-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-02 | 2023-11-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-14 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-04 | 2023-10-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-10-04 | 2023-10-06 | 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 | 2023-10-04 | 2023-10-06 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-10-04 | 2023-10-06 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-10-04 | 2023-10-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-04 | 2023-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-04 | 2023-10-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-04 | 2023-10-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-04 | 2023-10-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-22 | 2023-09-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-22 | 2023-09-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-21 | 2023-09-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-26 | 2023-08-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-23 | 2023-07-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-23 | 2022-09-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-20 | 2022-06-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-20 | 2022-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-21 | 2022-05-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-31 | 2022-05-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-31 | 2022-05-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-31 | 2022-05-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-30 | 2022-04-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-27 | 2021-08-26 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-07-27 | 2021-08-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-07-27 | 2021-08-25 | 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 | 2021-07-27 | 2021-08-25 | 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 | 2021-07-27 | 2021-08-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-27 | 2021-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-27 | 2021-08-25 | 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 | 2021-07-27 | 2021-08-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-27 | 2021-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-27 | 2021-08-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-27 | 2021-08-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-27 | 2021-08-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-07-27 | 2021-08-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-27 | 2021-08-25 | 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 | 2021-07-27 | 2021-08-25 | 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 | 2021-07-27 | 2021-08-25 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-07-27 | 2021-08-25 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-07-27 | 2021-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-27 | 2021-08-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-27 | 2021-08-25 | N |
| Keep all essential equipment working safely. | Health | 2021-07-27 | 2021-08-25 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-07-27 | 2021-08-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-27 | 2021-08-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-27 | 2021-08-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-27 | 2021-08-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-07-27 | 2021-08-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-27 | 2021-08-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-27 | 2021-08-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-27 | 2021-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-27 | 2021-08-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-09 | 2019-05-17 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-04-09 | 2019-05-17 | 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 | 2019-04-09 | 2019-05-17 | 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 | 2019-04-09 | 2019-05-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-04-09 | 2019-05-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-09 | 2019-05-17 | 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 | 2019-04-09 | 2019-05-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-09 | 2019-05-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-04-09 | 2019-05-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-09 | 2019-05-17 | N |
| Provide activities to meet all resident's needs. | Health | 2019-04-09 | 2019-05-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-09 | 2019-05-17 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-04-09 | 2019-05-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-09 | 2019-05-17 | 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 | 2019-04-09 | 2019-05-17 | N |
| 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 | 2019-04-09 | 2019-05-17 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2019-04-09 | 2019-05-17 | N |
| Post nurse staffing information every day. | Health | 2019-04-09 | 2019-05-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-09 | 2019-05-17 | 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 | 2019-04-09 | 2019-05-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-09 | 2019-05-17 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-04-09 | 2019-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-09 | 2019-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-09 | 2019-05-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-04-09 | 2019-05-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-04-09 | 2019-05-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-06 | 2019-04-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-06 | 2019-04-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-06 | 2019-04-30 | N |
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