Deficiency Records for Lake Merritt Healthcare Center LLC
Updated as of December 01, 2018
This is not the most recent data for Lake Merritt Healthcare Center LLC. For the most recent information, click here.
A list of the most recent deficiencies for Lake Merritt Healthcare Center LLC. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-18 | 2018-11-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-18 | 2018-11-15 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-06-06 | 2018-06-22 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-04-04 | 2018-04-18 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-01-19 | 2018-02-16 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-01-19 | 2018-02-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-19 | 2018-02-16 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-01-19 | 2018-02-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-19 | 2018-02-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-01-19 | 2018-02-16 | 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 | 2018-01-19 | 2018-02-16 | 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 | 2018-01-19 | 2018-02-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-01-19 | 2018-02-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-19 | 2018-02-16 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-01-19 | 2018-02-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-04 | 2018-02-06 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2018-01-04 | 2018-02-06 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2018-01-10 | 2018-01-24 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-11-15 | 2017-12-13 | Y |
| Keep all essential equipment working safely. | Health | 2017-11-15 | 2017-12-13 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-10-16 | 2017-11-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-04 | 2017-11-01 | Y |
| Help and prepare each resident for a safe and easy discharge or transfer from the nursing home. | Health | 2017-10-03 | 2017-11-01 | Y |
| Provide a tasty and well-balanced diet that meets the nutritional needs of each resident. | Health | 2017-09-29 | 2017-10-30 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-16 | 2017-10-03 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-08-15 | 2017-10-02 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-08-03 | 2017-09-01 | Y |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-08-07 | 2017-08-30 | Y |
| Completely assess the resident at least every twelve months. | Health | 2017-08-07 | 2017-08-30 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-08-07 | 2017-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-07 | 2017-08-30 | Y |
| Provide food in a way that meets a resident's needs. | Health | 2017-08-07 | 2017-08-30 | Y |
| Keep all essential equipment working safely. | Health | 2017-08-07 | 2017-08-30 | Y |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-08-07 | 2017-08-30 | Y |
| Tell the attending physician the results of x-rays and other tests, in a timely manner. | Health | 2017-06-23 | 2017-08-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-07 | 2017-08-01 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-06-07 | 2017-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-06 | 2017-08-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-06-01 | 2017-08-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-01 | 2017-08-01 | Y |
| Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2017-05-11 | 2017-06-08 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-26 | 2017-06-08 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-04-26 | 2017-06-08 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-20 | 2017-04-20 | Y |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-01-20 | 2017-02-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-20 | 2017-02-22 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-01-20 | 2017-02-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-20 | 2017-02-22 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-01-20 | 2017-02-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-20 | 2017-02-22 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-20 | 2017-02-22 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-20 | 2017-02-22 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-01-09 | 2017-02-13 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-01-09 | 2017-02-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-12-08 | 2016-12-30 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-12-07 | 2016-12-28 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-09-30 | 2016-10-24 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-07-21 | 2016-08-19 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-07-21 | 2016-08-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-27 | 2016-06-23 | Y |
| Establish and follow a written policy that permits a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2016-02-29 | 2016-03-29 | Y |
| Approved construction type or materials. | Fire Safety | 2016-02-11 | 2016-03-08 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-02-11 | 2016-03-08 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-02-11 | 2016-03-08 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-02-11 | 2016-03-08 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-11 | 2016-03-08 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-02-11 | 2016-03-08 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-02-11 | 2016-03-08 | N |
| Try to resolve each resident's complaints quickly. | Health | 2016-02-03 | 2016-02-23 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-02-03 | 2016-02-23 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-02-03 | 2016-02-23 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-02-03 | 2016-02-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-03 | 2016-02-23 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-02-03 | 2016-02-23 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-02-03 | 2016-02-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-03 | 2016-02-23 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2016-02-03 | 2016-02-23 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2016-02-03 | 2016-02-23 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-12-14 | 2015-12-31 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-12-14 | 2015-12-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-12-14 | 2015-12-31 | Y |
