Deficiency Records for Lakeside Post Acute
Updated as of April 01, 2022
This is not the most recent data for Lakeside Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for Lakeside 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-12 | 2021-10-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-12 | 2021-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-12 | 2021-10-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-01-12 | 2021-02-05 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2020-05-27 | 2020-05-27 | Y |
| 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 | 2020-05-27 | 2020-05-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-12 | 2020-02-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-12 | 2020-02-12 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-02-12 | 2020-02-12 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-10 | 2019-10-30 | N |
| Dispose of garbage and refuse properly. | Health | 2019-08-13 | 2019-10-04 | Y |
| 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 | 2019-08-13 | 2019-09-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-13 | 2019-09-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-10 | 2019-09-17 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-08-13 | 2019-09-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-13 | 2019-09-13 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-10 | 2019-09-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-10 | 2019-09-10 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2019-08-13 | 2019-09-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-08-13 | 2019-09-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-13 | 2019-09-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-13 | 2019-09-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-13 | 2019-09-06 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-08-13 | 2019-09-06 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-08-13 | 2019-09-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-06 | 2019-06-28 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-06-06 | 2019-06-28 | Y |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-06-19 | 2018-08-29 | 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 | 2018-06-14 | 2018-08-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-14 | 2018-08-22 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-06-14 | 2018-08-21 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-06-14 | 2018-08-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-06-14 | 2018-07-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-06-14 | 2018-07-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-14 | 2018-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-14 | 2018-07-18 | N |
| Keep all essential equipment working safely. | Health | 2018-06-14 | 2018-07-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-06-19 | 2018-07-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-06-19 | 2018-07-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-19 | 2018-07-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-19 | 2018-07-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-19 | 2018-07-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-19 | 2018-07-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-06-19 | 2018-07-13 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2018-06-19 | 2018-07-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-19 | 2018-07-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-06-14 | 2018-07-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-06-14 | 2018-07-11 | N |
