Deficiency Records for Lassen Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Lassen Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-13 | 2023-12-29 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-07 | 2023-08-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-07 | 2023-08-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-07 | 2023-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-07 | 2023-08-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-07 | 2023-08-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-07 | 2023-08-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-07 | 2023-08-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-08-07 | 2023-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-07 | 2023-08-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-08-04 | 2023-08-23 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-08-04 | 2023-08-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-04 | 2023-08-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-04 | 2023-08-22 | 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 | 2023-08-04 | 2023-08-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-08-04 | 2023-08-21 | 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 | 2023-08-04 | 2023-08-21 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-08-04 | 2023-08-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-31 | 2023-06-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-30 | 2023-06-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-21 | 2023-05-04 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2023-04-17 | 2023-04-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-17 | 2023-04-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-12 | 2022-10-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-14 | 2022-08-17 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-07-14 | 2022-08-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-14 | 2022-08-17 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-07-14 | 2022-08-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-08-17 | Y |
| Keep all essential equipment working safely. | Health | 2022-07-14 | 2022-08-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-14 | 2022-08-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-01 | 2022-07-22 | Y |
| Assess the resident when there is a significant change in condition | Health | 2021-08-19 | 2021-09-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-19 | 2021-07-27 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-12 | 2019-10-24 | 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 | 2019-09-12 | 2019-10-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-09-12 | 2019-10-24 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-09-12 | 2019-10-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-12 | 2019-10-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-12 | 2019-10-24 | N |
| Keep all essential equipment working safely. | Health | 2019-09-12 | 2019-10-24 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-09-12 | 2019-10-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-09-24 | 2019-10-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-24 | 2019-10-09 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-24 | 2019-10-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-24 | 2019-10-09 | N |
| Enure that solid fuel-burning fireplaces are not in patient sleeping areas. | Fire Safety | 2019-09-24 | 2019-10-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-24 | 2019-10-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-24 | 2019-10-09 | N |
| Develop a communication plan. | Fire Safety | 2019-01-24 | 2019-02-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-24 | 2019-02-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-24 | 2019-02-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-01-24 | 2019-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-24 | 2019-02-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-01-24 | 2019-02-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-11 | 2018-11-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-10-11 | 2018-11-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-11 | 2018-11-13 | 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 | 2018-10-11 | 2018-11-13 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2018-10-11 | 2018-11-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-11 | 2018-11-13 | N |
