Deficiency Records for Lighthouse Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Lighthouse Rehabilitation and 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-24 | 2020-02-17 | 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 | 2020-01-24 | 2020-02-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-24 | 2019-07-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-24 | 2019-07-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-05 | 2019-04-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-05 | 2019-04-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-02-28 | 2019-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-28 | 2019-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-28 | 2019-04-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-11 | 2018-02-15 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2018-01-11 | 2018-02-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-11 | 2018-02-15 | 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 | 2018-01-11 | 2018-02-15 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-01-11 | 2018-02-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-11 | 2018-02-15 | N |
| Dispose of garbage and refuse properly. | Health | 2018-01-11 | 2018-02-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-01-11 | 2018-02-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-01-11 | 2018-02-15 | N |
| Develop a communication plan. | Fire Safety | 2018-01-11 | 2018-02-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-01-11 | 2018-02-15 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2018-01-11 | 2018-02-15 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-01-11 | 2018-02-15 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-01-11 | 2018-02-15 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-01-11 | 2018-02-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-11 | 2018-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-11 | 2018-02-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-11 | 2018-02-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-01-11 | 2018-02-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-01-11 | 2018-02-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-01-11 | 2018-02-15 | N |
