A list of the most recent deficiencies for Lakewood Therapy and Living 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 care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-02-23 | 2024-03-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-23 | 2024-03-23 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-02-23 | 2024-03-23 | 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 | 2024-02-23 | 2024-03-23 | 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 | 2024-02-23 | 2024-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-23 | 2024-03-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-02-23 | 2024-03-23 | 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 | 2024-02-20 | 2024-03-23 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-02-20 | 2024-03-23 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-02-20 | 2024-03-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-06 | 2023-06-09 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-04-24 | 2023-04-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-08 | 2022-12-23 | 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 | 2022-12-08 | 2022-12-23 | 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 | 2022-12-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-08 | 2022-12-23 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-12-08 | 2022-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2022-12-23 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-12-07 | 2022-12-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-06 | 2022-07-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-06 | 2022-07-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-07 | 2021-11-06 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-10-07 | 2021-11-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-10-07 | 2021-11-06 | N |
| Keep all essential equipment working safely. | Health | 2021-10-07 | 2021-11-06 | 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 | 2021-10-05 | 2021-11-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-05 | 2021-11-04 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-10-05 | 2021-11-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-05 | 2021-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-05 | 2021-11-04 | N |
