A list of the most recent deficiencies for Lake Balboa Care 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-25 | 2023-06-09 | Y |
| Report COVID19 data to residents and families. | Health | 2022-07-17 | 2022-07-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-22 | 2022-07-25 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-05-06 | 2022-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-06 | 2022-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-28 | 2022-03-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-21 | 2021-12-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-11-21 | 2021-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-21 | 2021-12-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-21 | 2021-12-20 | 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 | 2021-11-21 | 2021-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-21 | 2021-12-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-11-20 | 2021-12-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-20 | 2021-12-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-20 | 2021-12-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-20 | 2021-12-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-27 | 2020-04-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-27 | 2020-04-10 | 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 | 2020-02-27 | 2020-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-27 | 2020-04-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-27 | 2020-04-10 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2020-02-27 | 2020-04-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-21 | 2020-03-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-21 | 2020-03-10 | 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 | 2020-02-21 | 2020-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-21 | 2020-03-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-02-21 | 2020-03-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-15 | 2019-03-12 | N |
| Post nurse staffing information every day. | Health | 2019-02-15 | 2019-03-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-15 | 2019-03-12 | 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 | 2019-02-15 | 2019-03-12 | 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 | 2019-02-15 | 2019-03-12 | 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 | 2019-02-15 | 2019-03-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-15 | 2019-03-12 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-02-20 | 2019-03-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-02-20 | 2019-03-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-02-20 | 2019-03-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-02-20 | 2019-03-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-02-20 | 2019-03-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-20 | 2019-03-12 | 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 | 2019-02-20 | 2019-03-12 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-02-20 | 2019-03-12 | 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 | 2019-02-20 | 2019-03-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-20 | 2019-03-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-02-20 | 2019-03-12 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-11-21 | Not Fixed | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-02-15 | Not Fixed | N |
