A list of the most recent deficiencies for Lone Tree Post Acute. 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? |
|---|---|---|---|---|
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-22 | 2023-05-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-18 | 2022-07-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-15 | 2021-06-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-15 | 2021-06-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-15 | 2021-06-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-15 | 2021-06-30 | 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 | 2021-04-15 | 2021-06-30 | 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 | 2021-04-15 | 2021-06-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-15 | 2021-06-30 | 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 | 2021-04-15 | 2021-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-15 | 2021-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-15 | 2021-06-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-22 | 2021-05-27 | N |
| Use approved construction type or materials. | Fire Safety | 2021-04-22 | 2021-05-27 | 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 | 2021-04-22 | 2021-05-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-22 | 2021-05-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-04-22 | 2021-05-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-04-22 | 2021-05-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-22 | 2021-05-27 | N |
| Use approved construction type or materials. | Fire Safety | 2019-12-05 | 2019-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-05 | 2019-12-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-05 | 2019-12-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-05 | 2019-12-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-05 | 2019-12-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-10 | 2019-12-01 | 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 | 2019-10-10 | 2019-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-10 | 2019-12-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-10 | 2019-12-01 | N |
| Have policies on smoking. | Health | 2019-10-10 | 2019-12-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-01-23 | 2019-02-15 | N |
| Use approved construction type or materials. | Fire Safety | 2019-01-23 | 2019-02-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-23 | 2019-02-15 | 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 | 2019-01-23 | 2019-02-15 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-01-23 | 2019-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-23 | 2019-02-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-23 | 2019-02-15 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-01-23 | 2019-02-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-23 | 2019-02-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-23 | 2019-02-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-23 | 2019-02-15 | 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 | 2018-11-08 | 2018-12-08 | 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 | 2018-11-08 | 2018-12-08 | N |
| Provide or obtain dental services for each resident. | Health | 2018-11-08 | 2018-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-08 | 2018-12-08 | N |
