A list of the most recent deficiencies for Lynwood Post Acute 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 | 2024-01-18 | 2024-02-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-22 | 2023-12-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-17 | 2023-10-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-11 | 2023-09-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-05 | 2023-09-18 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-08-24 | 2023-09-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-24 | 2023-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-18 | 2023-09-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-14 | 2023-07-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-14 | 2023-07-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-24 | 2023-04-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-29 | 2023-01-29 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-29 | 2023-01-29 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-12-29 | 2023-01-29 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-12-29 | 2023-01-29 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-12-29 | 2023-01-29 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-12-29 | 2023-01-29 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-12-22 | 2023-01-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-22 | 2023-01-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-20 | 2023-01-20 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-12-20 | 2023-01-20 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-12-20 | 2023-01-20 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-12-20 | 2023-01-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-21 | 2023-01-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-21 | 2023-01-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-05 | 2022-12-16 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-11-03 | 2022-12-06 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-11-10 | 2022-12-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-31 | 2022-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-31 | 2022-11-30 | Y |
| Keep all essential equipment working safely. | Health | 2022-10-31 | 2022-11-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-09 | 2022-11-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-08 | 2022-10-07 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-08 | 2022-10-07 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-09-08 | 2022-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-16 | 2022-08-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-21 | 2022-08-19 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-21 | 2022-08-19 | Y |
| 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 | 2022-07-21 | 2022-08-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-21 | 2022-08-19 | Y |
| 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 | 2022-04-19 | 2022-06-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-19 | 2022-06-23 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-25 | 2022-05-04 | Y |
| 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 | 2022-02-10 | 2022-03-25 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-08-26 | 2021-10-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-07 | 2021-10-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-07 | 2021-09-12 | 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 | 2021-05-18 | 2021-06-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-18 | 2021-06-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-11 | 2021-06-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-11 | 2021-06-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-11 | 2021-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-11 | 2021-06-10 | 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 | 2021-05-11 | 2021-06-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-11 | 2021-06-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-11 | 2021-06-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-11 | 2021-06-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-11 | 2021-06-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-11 | 2021-06-10 | 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 | 2021-05-11 | 2021-06-10 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-05-11 | 2021-06-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-11 | 2021-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-11 | 2021-06-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-05-11 | 2021-06-10 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-05-11 | 2021-06-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-22 | 2019-08-26 | 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 | 2019-07-22 | 2019-08-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-07-22 | 2019-08-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-22 | 2019-08-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-22 | 2019-08-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-22 | 2019-08-26 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-22 | 2019-08-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-22 | 2019-08-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-22 | 2019-08-26 | 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 | 2019-07-22 | 2019-08-26 | 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 | 2019-07-22 | 2019-08-26 | 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 | 2019-07-22 | 2019-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-22 | 2019-08-26 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-07-22 | 2019-08-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-22 | 2019-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-22 | 2019-08-26 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-07-22 | 2019-08-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-28 | 2018-08-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-07-28 | 2018-08-28 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-07-28 | 2018-08-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-07-28 | 2018-08-28 | 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 | 2018-07-28 | 2018-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-28 | 2018-08-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-07-28 | 2018-08-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-07-28 | 2018-08-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-28 | 2018-08-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-28 | 2018-08-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-28 | 2018-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-28 | 2018-08-22 | 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 | 2018-07-28 | 2018-08-22 | 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 | 2018-07-28 | 2018-08-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-28 | 2018-08-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-28 | 2018-08-22 | 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 | 2018-07-28 | 2018-08-22 | 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 | 2018-07-28 | 2018-08-22 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-07-28 | 2018-08-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-28 | 2018-08-22 | N |
| Keep all essential equipment working safely. | Health | 2018-07-28 | 2018-08-22 | N |
