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Deficiency Records for Lindsay Gardens Nursing and Rehabilitation
A list of the most recent deficiencies for Lindsay Gardens Nursing and Rehabilitation. 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 Lindsay Gardens Nursing and Rehabilitation. 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 each resident receives an accurate assessment. | Health | 2024-07-18 | 2024-08-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-18 | 2024-08-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-18 | 2024-08-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-18 | 2024-08-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-18 | 2024-08-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-23 | 2024-08-08 | 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 | 2024-07-23 | 2024-08-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-07-23 | 2024-08-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-23 | 2024-08-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-23 | 2024-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-23 | 2024-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-23 | 2024-08-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-23 | 2024-08-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-23 | 2024-08-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-23 | 2024-08-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-23 | 2024-08-08 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-07-23 | 2024-08-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-03 | 2023-01-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-16 | 2022-12-17 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-12-16 | 2021-12-20 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Establish methods for sharing information. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-06-15 | 2021-07-20 | 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 | 2021-06-15 | 2021-07-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-15 | 2021-07-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-10 | 2021-07-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-06-10 | 2021-07-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | 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 | 2021-06-10 | 2021-07-09 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-06-10 | 2021-07-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-07-09 | N |
| Have policies on smoking. | Health | 2021-06-10 | 2021-07-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-11 | 2020-04-07 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-21 | 2020-03-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-21 | 2020-03-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-21 | 2020-03-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-21 | 2020-03-19 | 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 | 2020-02-21 | 2020-03-19 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-02-21 | 2020-03-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-21 | 2020-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-21 | 2020-03-19 | N |
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