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Deficiency Records for Haven of Lakeside
View the most recent health deficiencies and inspection results for Haven of Lakeside. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Haven of Lakeside. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-11-19 | 2026-03-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2025-11-19 | 2026-03-23 | N |
| Respond appropriately to all alleged violations. | Health | 2026-01-21 | 2026-03-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-21 | 2026-03-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-01-21 | 2026-03-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-01-27 | 2026-03-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-27 | 2026-03-01 | Y |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2025-11-19 | 2025-12-05 | N |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-11-19 | 2025-12-05 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-11-19 | 2025-12-05 | N |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2025-11-19 | 2025-12-05 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2025-11-19 | 2025-12-05 | 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 | 2025-11-19 | 2025-12-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-11-19 | 2025-12-05 | N |
| Post nurse staffing information every day. | Health | 2025-11-19 | 2025-12-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-11-19 | 2025-12-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-19 | 2025-12-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-19 | 2025-12-05 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2025-11-19 | 2025-12-05 | 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 | 2025-11-19 | 2025-12-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-11-19 | 2025-12-05 | N |
| Respond appropriately to all alleged violations. | Health | 2025-07-09 | 2025-08-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-09 | 2025-08-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-11 | 2025-07-10 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-03-04 | 2025-04-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-04 | 2025-04-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-04 | 2025-04-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-21 | 2025-03-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-06 | 2025-03-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-01 | 2024-11-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-06 | 2024-08-16 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-06-06 | 2024-08-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-06 | 2024-08-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-06 | 2024-08-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-16 | 2024-08-16 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-06-06 | 2024-08-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-06 | 2024-06-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-06 | 2024-06-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-12-08 | 2023-02-24 | 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 | 2022-12-08 | 2023-02-24 | 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 | 2022-12-08 | 2023-02-24 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-12-08 | 2023-02-24 | 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 | 2022-12-08 | 2023-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-02-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-12-08 | 2023-02-24 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-12-08 | 2023-02-24 | 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 | 2022-12-08 | 2023-02-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-08 | 2023-02-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-08 | 2023-02-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-12-08 | 2023-02-24 | 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 | 2022-12-08 | 2023-02-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-08 | 2023-02-24 | N |