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Deficiency Records for Lancaster Ltc Partners Inc

A list of the most recent deficiencies for Lancaster Ltc Partners Inc. 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 Lancaster Ltc Partners Inc. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-02 2024-05-24 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2024-05-02 2024-05-24 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-04-03 2024-04-26 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-03 2024-02-28 Y
Provide and implement an infection prevention and control program. Health 2024-02-03 2024-02-28 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-01-29 2024-02-16 Y
Provide and implement an infection prevention and control program. Health 2023-12-06 2023-12-29 Y
Install corridor and hallway doors that block smoke. Fire Safety 2023-09-20 2023-10-31 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-09-20 2023-10-31 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-09-20 2023-10-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-09-20 2023-10-31 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-09-20 2023-10-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-20 2023-10-20 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-09-20 2023-10-20 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 2023-08-31 2023-10-06 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-08-31 2023-10-06 Y
Provide and implement an infection prevention and control program. Health 2022-11-18 2022-12-15 Y
Provide and implement an infection prevention and control program. Health 2022-07-27 2022-08-19 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-07-27 2022-08-17 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 2022-07-27 2022-08-17 N
Ensure medication error rates are not 5 percent or greater. Health 2022-07-27 2022-08-17 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2022-07-27 2022-08-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-27 2022-08-17 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-07-26 2022-08-17 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-07-26 2022-08-17 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 2022-07-26 2022-08-17 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2022-07-26 2022-08-17 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-07-26 2022-08-17 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-07-27 2022-08-15 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-07-27 2022-07-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-12-07 2021-12-25 Y
Install corridor and hallway doors that block smoke. Fire Safety 2021-05-20 2021-07-04 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2021-05-20 2021-06-18 N
Provide and implement an infection prevention and control program. Health 2021-05-20 2021-06-17 N
Have proper medical gas storage and administration areas. Fire Safety 2021-05-20 2021-06-10 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2021-05-20 2021-05-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-20 2021-05-25 N
Install proper backup exit lighting. Fire Safety 2021-05-20 2021-05-25 N
Ensure each resident receives an accurate assessment. Health 2021-05-20 2021-05-24 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 2021-05-20 2021-05-24 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 2021-05-20 2021-05-24 N
Ensure medication error rates are not 5 percent or greater. Health 2021-05-20 2021-05-24 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-05-20 2021-05-24 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-05-20 2021-05-21 N

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